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See a sample rate comparisonCPT 58750 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.
Unblock 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58750 |
| Medicaid Fee Schedule | View Medicaid rates for 58750 |
National average reimbursement for CPT 58750 by major payers:
$1,202.70
$1,227.06
$1,242.63
$1,480.16
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CPT 58750
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$6,602.00Published rateAdvanced Surgical Care Of Lutz, LLC, Advanced Surgical Care Of New Tampa
Advanced Surgical Care Of Lutz LLC
$3,623.00Published rateAdvanced Heart And Vein Surgery Center, LLC
Advanced Heart And Vein Surgery Center LLC
$2,700.00Published ratePumpkin Patch Ambulatory Surgical Center, LLC, Orlando Avenue Surgery Center, LLC
Pumpkin Patch Ambulatory Surgical Center LLC
$1,500.00Published rateSouthwest Endoscopy LLC
$727.00Published rate
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See a sample payer proposalCPT 58750 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58750 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 58750 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.
| Code | Complexity | Description |
|---|---|---|
| 58700-CPT | Moderate | Salpingectomy Comple Or Partial Unilat Or Bilate (Sepa, Salpingectomy Complete Or Partial Unilateral Or Bilateral (Separate |
| 58720-CPT | Moderate | Salpingo-Oophorectomy Comple Or Partial Unilat Or Bilate (S, Salpingo-Oophorectomy Complete Or Partial Unilateral Or Bilateral (S |
| 58740-CPT | High | 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). |
| 58750-CPT | High | Unblock 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58750 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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