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See a sample rate comparisonCPT 58900 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.
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| 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 58900 |
| Medicaid Fee Schedule | View Medicaid rates for 58900 |
National average reimbursement for CPT 58900 by major payers:
$558.21
$569.94
$573.39
$704.87
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CPT 58900
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$5,982.00Published rateCentral Jersey Surgery Center LLC, Central Jersey Surgery Center
Central Jersey Surgery Center LLC
$2,388.00Published rateBaptist Plaza Surgicare Lp, Saint Thomas Surgery Center - Midtown
$2,156.00Published rateSog Surgery Center LLC
$1,151.00Published rateSurgery Center At Gateway LLC
$490.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58900 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58900 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 58900 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58900 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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