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See a sample rate comparisonCPT 58956 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.
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.
| 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 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58956 |
| Medicaid Fee Schedule | View Medicaid rates for 58956 |
National average reimbursement for CPT 58956 by major payers:
$1,676.86
$1,821.35
$1,829.34
$2,220.54
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CPT 58956
5 of 25 sample ratesHigher to lower in this preview
Garland Surgicare Partners, Ltd., Baylor Surgicare At Garland
Garland Surgicare Partners Ltd
$1,955.00Published rateUpstate Gastroenterology, LLC
Upstate Gastroenterology LLC
$780.00Published rateHarbin Clinic, LLC, Harbin Clinic Gi Lab Cartersville
The Harbin Clinic, L.L.C.
$544.00Published rateRockledge Surgery Center, Inc.
Rockledge Surgery Center Inc
$400.00Published rateSurgical Specialty Suites, Inc
Surgical Specialty Suites Inc
$120.00Published rate
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See a sample payer proposalCPT 58956 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58956 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 58956 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 |
|---|---|---|
| 58953-CPT | High | Partial Removal Of Tumor, Surgical Removal Of A Portion Of A Tumor Along With The Ovaries Fallopian Tubes And Lymph Tissues. The Uterus And Lymph Nodes May Also Be Removed. In This Procedure The Tumor Cannot Be Removed Completely. |
| 58954-CPT | High | Partial Removal Of Tumor, Surgical Removal Of A Portion Of A Tumor Along With The Ovaries Fallopian Tubes And Lymph Tissues. The Uterus And Lymph Nodes May Also Be Removed. In This Procedure The Tumor Cannot Be Removed Completely. |
| 58956-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. |
| 58958-CPT | High | Resect Recur Gyn Mal W Lym, Resection Tumor Debulking Of Recurrent Ovarian Tubal Primary Peritoneal Uterine Malignancy Intra Abdominal Retroperitoneal Tumors With Omentectomy If Performed With Pelvic Lymphadenectomy And Limited Para Aortic Lymphadenectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58956. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58956 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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