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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58760 |
| Medicaid Fee Schedule | View Medicaid rates for 58760 |
National average reimbursement for CPT 58760 by major payers:

$1,068.51

$1,098.36

$1,079.46

$1,328.90
Choose a payer to see a sample of rates for CPT 58760.
Ascension Wisconsin Surgery Centermount Pleasant LLC
The Outpatient Center Of Boynton Beach, Ltd.
Surgery Center Of Rome Lp
Ocean Endosurgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 58760 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58760 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 58760 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 |
| 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. |
| 58760-CPT | High | Fimbrioplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58760 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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