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See a sample rate comparisonCPT 58800 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Of Ovarian Cyst(S) Unilat Or Bilate (Sepa Proc, Drainage Of Ovarian Cyst(S) Unilateral Or Bilateral (Separate Procedu
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58800 |
| Medicaid Fee Schedule | View Medicaid rates for 58800 |
National average reimbursement for CPT 58800 by major payers:
$421.14
$446.34
$453.32
$558.98
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CPT 58800
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$7,810.00Published rateFish Pond Surgery Center, LLC
Fish Pond Surgery Center LLC
$2,353.00Published rateSouthwestern Eye Center Ltd, Southwestern Eye Center
Southwestern Eye Center, Ltd.
$1,505.00Published rateGsi Asc, LLC
Gsi Asc LLC
$1,011.00Published rateKingsport Endoscopy Corporation
$425.00Published rate
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See a sample payer proposalCPT 58800 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58800 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 58800 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 |
|---|---|---|
| 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 |
| 58820-CPT | Moderate | Drain Ovarian Abscess;Vaginal Appch |
| 58822-CPT | Moderate | Drainage Abscess Ovary Abdom Appr |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58800 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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