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See a sample rate comparisonCPT 58960 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.
Exploration Of Abdomen, Laparotomy For Staging Or Restaging Of Ovarian Tubal Or Primary Peritoneal Malignancy Second Look With Or Without Omentectomy Peritoneal Washing Biopsy Of Abdominal And Pelvic Peritoneum Diaphragmatic Assessment With Pelvic And Limited Para Aortic Lymphadenectomy
| 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 AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58960 |
| Medicaid Fee Schedule | View Medicaid rates for 58960 |
National average reimbursement for CPT 58960 by major payers:
$1,257.82
$1,285.51
$1,291.32
$1,594.96
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CPT 58960
5 of 25 sample ratesHigher to lower in this preview
Chandler Endoscopy Center, L.L.C.
$6,588.00Published rateMercy Health Boardman Surgery
Bsmh Ambulatory Ventures II LLC
$5,040.00Published rateUrology Health Surgery Center, LLC
Urology Health Surgery Center LLC
$3,145.00Published rateCenter For Eye Surgery, LLC
Center For Eye Surgery LLC
$2,368.00Published rateMcdowell Ambulatory Surgery Center LLC
$795.00Published rate
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See a sample payer proposalCPT 58960 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58960 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 58960 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. |
| 58960-CPT | High | Exploration Of Abdomen, Laparotomy For Staging Or Restaging Of Ovarian Tubal Or Primary Peritoneal Malignancy Second Look With Or Without Omentectomy Peritoneal Washing Biopsy Of Abdominal And Pelvic Peritoneum Diaphragmatic Assessment With Pelvic 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 58960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58960 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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