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See a sample rate comparisonCPT 59897 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.
Surgery On A Fetus, Surgery Performed On A Fetus With The Aid Of Ultrasound (Sound Waves Used To See Inside The Body).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service UA |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 59897 |
| Medicaid Fee Schedule | View Medicaid rates for 59897 |
National average reimbursement for CPT 59897 by major payers:
$1,106.30
$593.57
$1,891.35
$2,653.75
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CPT 59897
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$2,347.00Published rateSurgery Center At University Park, LLC, Premier Surgery Center Of Sarasota
Surgery Center At University Park LLC
$555.00Published rateColiseum Same Day Surgery Center Lp
$293.00Published rateBlaine Asc, LLC, Blaine Orthopedic Surgery Center
Blaine Asc LLC
$168.00Published rateGeorgia Retina Surgery Center, LLC
Georgia Retina Surgery Center LLC
$79.00Published rate
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See a sample payer proposalCPT 59897 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59897 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. 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 59897 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 |
|---|---|---|
| 59866-CPT | Moderate | Remove Embryo From Uterus, Selective Removal Of Developing Embryos From A Multiple Pregnancy. This Procedure Usually Is Related To In Vitro Fertilization Or Artificial Insemination. |
| 59870-CPT | Moderate | Removal Of Uterine Contents, This Surgery Removes The Uterine Contents When A Pregnancy Fails And Forms A Cluster Of Cells Called A Hydatidiform Mole. |
| 59897-CPT | High | Surgery On A Fetus, Surgery Performed On A Fetus With The Aid Of Ultrasound (Sound Waves Used To See Inside The Body). |
| 59899-CPT | Moderate | Childbirth Related Procedure, A Birthing Or Obstetric Procedure That May Be Aided By A Scope (Laparoscope). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59897. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59897 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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