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See a sample rate comparisonCPT 59898 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 Laparoscopy Procedure, Maternity Care And Delivery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 59898 |
| Medicaid Fee Schedule | View Medicaid rates for 59898 |
National average reimbursement for CPT 59898 by major payers:
$1,935.80
$141.58
$5,500.00
$2,549.67
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CPT 59898
5 of 25 sample ratesHigher to lower in this preview
Summit Ambulatory Surgical Center, LLC
$5,433.00Published rateSan Mateo Surgery Center LLC
$4,200.00Published rateNaadi Manteca Asc
$2,883.00Published rateBarrington Pain And Spine Institute, LLC, Barrington Ambulatory Surgery Center
Barrington Pain And Spine Institute LLC
$2,473.00Published rateBentonville Ambulatory Surgery Center, LLC
Bentonville Ambulatory Surgery Center LLC
$1,473.00Published rate
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See a sample payer proposalCPT 59898 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59898 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 59898 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. |
| 59898-CPT | High | Unlisted Laparoscopy Procedure, Maternity Care And Delivery |
| 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 59898. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59898 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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