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See a sample rate comparisonCPT 58999 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.
Unlisted Proc Female Genital System (Nonobstetric), Unlisted Procedure Female Genital System (Nonobstetrical)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58999 |
| Medicaid Fee Schedule | View Medicaid rates for 58999 |
National average reimbursement for CPT 58999 by major payers:
$1,223.57
$71.07
$5,946.97
$1,116.57
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CPT 58999
5 of 25 sample ratesHigher to lower in this preview
Methodist Healthcare System Of San Antonio, Ltd., L.L.P., Methodist Hospital
$1,547.00Published rateBethesda Chevy Chase Surgery Center, LLC
Bethesda Chevy Chase Surgery Cen
$531.00Published ratePhysicians Surgery Center Of Florence LLC, Physicians Surgery Center Of Florence
Qhg Of South Carolina Inc
$200.00Published rateFairfax Colon & Rectal Surgery Center, LLC
$141.00Published rateValley Eye Institute Asc LLC, Cvp Surgery Center
Valley Eye Institute Asc LLC
$60.00Published rate
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See a sample payer proposalCPT 58999 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58999 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 58999 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. |
| 58999-CPT | High | Unlisted Proc Female Genital System (Nonobstetric), Unlisted Procedure Female Genital System (Nonobstetrical) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58999 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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