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See a sample rate comparisonCPT 58822 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.
Drainage Abscess Ovary Abdom Appr
| 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 80 - Assistant surgeon 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58822 |
| Medicaid Fee Schedule | View Medicaid rates for 58822 |
National average reimbursement for CPT 58822 by major payers:
$931.11
$945.69
$945.55
$1,150.63
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CPT 58822
5 of 25 sample ratesHigher to lower in this preview
Manatee Surgicare Ltd
$6,734.00Published rateFlorida Springs Surgery Center LLC
Florida Springs Surgery Center L
$3,500.00Published rateJ. Graff Surgery Center Inc, Willow Bend Surgery Center Of Plano
J Graff Surgery Center Inc
$1,913.00Published rateBoulder Medical Center, PC, Boulder Medical Center Asc
Boulder Medical Center, P.C.
$1,583.00Published rateEndoscopy Center Of North Baltimore
$1,131.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58822 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58822 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 58822 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 58822. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58822 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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