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CPT 58740 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Surgery For Scar Tissue, Surgery To Remove Internal Scar Tissue (Adhesions) That Has Formed Around The Ovaries Or Fallopian Tubes. The Procedure May Be A Regular Surgery Or Aided By A Scope (Laparoscope).
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

51 - Multiple procedures

59 - Distinct Procedural Service

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 58740
Medicaid Fee ScheduleView Medicaid rates for 58740

National average reimbursement for CPT 58740 by major payers:

bcbs

$1,127.89

uhc

$1,187.62

aetna

$1,151.04

cigna

$1,439.69

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 58740.

CPT 58740
5 of 25 sample ratesHigher to lower in this preview
  1. Peak One Surgery Center, LLC, Peak One Surgery Center

    Peak One Surgery Center LLC

    COAmbulatory Surgical Clinic/CenterNPI 1609876556Tax ID 20-1620230

    $9,210.00Published rate
  2. East Portland Surgery Center LLC

    East Portland Surgery Center, LLC

    ORAmbulatory Surgical Clinic/CenterNPI 1417287137Tax ID 27-1402985

    $2,725.00Published rate
  3. Palos Hills Surgery Center, LLC

    Palos Hills Surgery Center LLC

    ILAmbulatory Surgical Clinic/CenterNPI 1386999662Tax ID 45-1617538

    $1,764.00Published rate
  4. Crossings Surgery Center, LLC

    Orthopedics Rhode Island, Inc.

    RIAmbulatory Surgical Clinic/CenterNPI 1154034429Tax ID 47-2361569

    $1,311.00Published rate
  5. Arizona Skin Cancer Surgery Center, P.C.

    Arizona Skin Cancer Surgery Center PC

    AZAmbulatory Surgical Clinic/CenterNPI 1518969773Tax ID 56-2365590

    $678.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 58740 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 58740 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 58740 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
58720-CPTModerateSalpingo-Oophorectomy Comple Or Partial Unilat Or Bilate (S, Salpingo-Oophorectomy Complete Or Partial Unilateral Or Bilateral (S
58740-CPTHighSurgery For Scar Tissue, Surgery To Remove Internal Scar Tissue (Adhesions) That Has Formed Around The Ovaries Or Fallopian Tubes. The Procedure May Be A Regular Surgery Or Aided By A Scope (Laparoscope).
58750-CPTHighUnblock Fallopian Tube, Microsurgical Repair Of A Blocked Fallopian Tube. The Blocked Section Is Removed. Then Either The Tube Ends Are Sewn Together Or The Tube Is Reimplanted Into The Uterus.
58760-CPTHighFimbrioplasty

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58740 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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