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See a sample rate comparisonHealthcare 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.
| 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 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58951 |
| Medicaid Fee Schedule | View Medicaid rates for 58951 |
National average reimbursement for CPT 58951 by major payers:

$1,694.91

$1,906.14

$1,964.74

$2,325.62
Choose a payer to see a sample of rates for CPT 58951.
Skin Surgery Center P. S.
Ambulatory Surgery Center LLC
Linden Surgical Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 58951 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58951 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 58951 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 |
|---|---|---|
| 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 |
| 58950-CPT | High | Gynecologic Tumor Removal, Surgical Removal Of A Tumor By Removing The Ovaries Fallopian Tubes And Lymph Tissue. The Procedure May Additionally Remove The Uterus And Pelvic Lymph Nodes. |
| 58951-CPT | High | Resect Ovarian Malignancy, Resection Initial Of Ovarian Tubal Or Primary Peritoneal Malignancy With Bilateral Salpingo Oophorectomy And Omentectomy With Total Abdominal Hysterectomy Pelvic And Limited Para Aortic Lymphadenectomy |
| 58952-CPT | High | Resect Ovarian Malignancy, Resection Initial Of Ovarian Tubal Or Primary Peritoneal Malignancy With Bilateral Salpingo Oophorectomy And Omentectomy With Radical Dissection For Debulking Ie Radical Excision Or Destruction Intra Abdominal Or Retroperitoneal Tumors |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58951 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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