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See a sample rate comparisonCPT 58805 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58805 |
| Medicaid Fee Schedule | View Medicaid rates for 58805 |
National average reimbursement for CPT 58805 by major payers:
$521.49
$552.00
$557.76
$686.56
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CPT 58805
5 of 25 sample ratesHigher to lower in this preview
Summit Ambulatory Surgical Center, LLC
$2,859.00Published rateAscension Saint Thomas Lebanon Surgery Center LLC, Lebanon Surgery Center
$2,307.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$1,514.00Published ratePark Endoscopy Center, LLC
Park Endoscopy Center LLC
$864.00Published rateOphthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight
Ophthalmic Outpatient Surgery Center Partners LLC
$434.00Published rate
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See a sample payer proposalCPT 58805 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58805 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 58805 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 |
|---|---|---|
| 58752-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. |
| 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 |
| 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 58805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58805 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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