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See a sample rate comparisonCPT 58943 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Removal Of Ovary S, Oophorectomy Partial Or Total Unilateral Or Bilateral For Ovarian Tubal Or Primary Peritoneal Malignancy With Para Aortic And Pelvic Lymph Node Biopsies Peritoneal Washings Peritoneal Biopsies Diaphragmatic Assessments With Or Without Salpingectomy S With Or Without Omentectomy
| 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 AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58943 |
| Medicaid Fee Schedule | View Medicaid rates for 58943 |
National average reimbursement for CPT 58943 by major payers:
$1,415.26
$1,553.01
$1,562.90
$1,906.96
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CPT 58943
5 of 25 sample ratesHigher to lower in this preview
Cleburne Surgical Center, LLC
Cleburne Surgical Center LLC
$6,342.00Published rateFour Corners Ambulatory Surgery Center, LLC
$3,470.00Published rateEndoscopy Center At Ridge Plaza Lp, Endoscopy Center At Medpoint
Endoscopy Center At Med Point
$2,010.00Published rateCaplan-Berkeley, LLP, Caplan Surgery Center
Caplanberkeley LLP
$1,550.00Published rateLake Country Endoscopy Center, LLC
Lake Country Endoscopy Center LLC
$730.00Published rate
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See a sample payer proposalCPT 58943 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58943 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 58943 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 |
|---|---|---|
| 58825-CPT | Moderate | Move Ovary For Radiation, Surgery To Move One Or Both Ovaries Behind The Uterus Prior To Radiation Therapy. The Uterus Shields The Ovary From The Radiation. |
| 58920-CPT | Moderate | Wedge Resec/Bisection-Ovary,Uni/Bil |
| 58940-CPT | Moderate | Ovary Surgery, Surgery To Remove All Or Part Of One Or Both Ovaries. The Procedure May Include Taking Multiple Tissue Samples For Testing (Biopsy) Removal Of Lymph Nodes Or Removal Of One Or Both Fallopian Tubes. |
| 58943-CPT | High | Removal Of Ovary S, Oophorectomy Partial Or Total Unilateral Or Bilateral For Ovarian Tubal Or Primary Peritoneal Malignancy With Para Aortic And Pelvic Lymph Node Biopsies Peritoneal Washings Peritoneal Biopsies Diaphragmatic Assessments With Or Without Salpingectomy S With Or Without Omentectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58943. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58943 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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