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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58770 |
| Medicaid Fee Schedule | View Medicaid rates for 58770 |
National average reimbursement for CPT 58770 by major payers:

$1,071.15

$1,155.93

$1,121.74

$1,396.86
Choose a payer to see a sample of rates for CPT 58770.
Highmark Health
Chattanooga Pain Management
Temecula Valley Day Surgery Pain Therapy Center Inc
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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 58770 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58770 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 58770 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 |
|---|---|---|
| 58760-CPT | High | Fimbrioplasty |
| 58770-CPT | High | Fallopian Tube Surgery, Surgery To Repair One Or Both Fallopian Tubes. The Procedure May Be Aided By A Scope (Laparoscopy). |
| 58800-CPT | Moderate | Drain Of Ovarian Cyst(S) Unilat Or Bilate (Sepa Proc, Drainage Of Ovarian Cyst(S) Unilateral Or Bilateral (Separate Procedu |
| 58805-CPT | Moderate | Drain Of Ovarian Cyst(S) Unilat Or Bilate (Sepa Proc, Drainage Of Ovarian Cyst(S) Unilateral Or Bilateral (Separate Procedu |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58770. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58770 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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