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CPT code 58120: Dilation and curettage, diagnostic or therapeutic, nonobstetric2026 Medicare rate & RVUs in Baltimore area, MD

Reports cervical dilation and uterine curettage to obtain endometrial tissue or treat nonobstetric uterine conditions, such as abnormal bleeding.

CMS RVU26DEffective Oct 1, 2026One payment locality4.3K Medicare services in 2024

In Baltimore area, MD, Medicare pays $316.94 for 58120 in the office and $221.97 when it’s performed in a hospital or facility.

$316.94Office (non-facility)
$221.97Hospital or facility
+6.3%vs the national office rate ($298.27)

Check a contract rate as a % of Medicare · 58120 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58120 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Baltimore area, MD
  2. What 58120 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 58120 covers

A gynecologist dilates the cervix and uses a curette to sample or remove tissue from the uterine cavity. The procedure may be diagnostic, such as evaluating abnormal uterine bleeding when office sampling is inadequate or not feasible, or therapeutic when curettage is performed to address bleeding. It is performed in settings such as an operating room, ambulatory surgery center, or, in selected cases, an office.

Report the service when the documented procedure includes cervical dilation and uterine curettage; a biopsy without dilation is a different service. The record should identify the indication, the work performed, and relevant findings or specimens. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Baltimore area, MD compares for 58120

Across 109 of 109 payment localities, the office rate for 58120 runs from $265.23 in Arkansas to $371.62 in San Benito County, CA. Baltimore area, MD pays $316.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

58120 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$316.94
  2. Rest of Maryland · Maryland$299.57−$17.37
  3. Los Angeles, CA · California$324.99+$8.05
  4. Washington, DC area · District of Columbia$335.45+$18.51
  5. Miami, FL · Florida$338.01+$21.07
  6. Chicago, IL · Illinois$328.00+$11.06
  7. Manhattan, NY · New York$344.34+$27.40

Other areas in Maryland first, then benchmark localities. Bars start at $0.

Every other payment area

58120 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$357.35$263.09
AlabamaAlabama$268.89$191.44
ArkansasArkansas$265.23$189.20
ArizonaArizona$290.19$204.43
Bakersfield, CACalifornia$307.33$210.32
Chico, CACalifornia$305.51$208.50
El Centro, CACalifornia$305.62$208.61
Fresno, CACalifornia$305.51$208.50

58120 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$265.23

$357.35

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
58120 office rate range by state
State / territoryOffice rate rangeLocalities
AK$357.351
AL$268.891
AR$265.231
AZ$290.191
CA$305.51–$371.6229
CO$305.141
CT$317.461
DC$335.451
DE$294.751
FL$302.17–$338.013
GA$285.20–$305.542
GU$311.001
HI$311.001
IA$271.611
ID$274.061
IL$296.60–$328.004
IN$275.461
KS$272.171
KY$278.701
LA$279.00–$291.802
MA$304.20–$331.652
MD$299.57–$335.453
ME$277.29–$288.822
MI$287.18–$307.582
MN$287.621
MO$275.67–$290.653
MS$270.411
MT$298.231
NC$279.741
ND$285.371
NE$272.471
NH$302.101
NJ$319.74–$332.662
NM$289.381
NV$294.801
NY$283.84–$354.535
OH$284.551
OK$276.351
OR$291.18–$312.302
PA$283.98–$311.112
PR$299.701
RI$303.421
SC$282.881
SD$283.851
TN$273.691
TX$282.36–$306.258
UT$286.481
VA$289.17–$335.452
VI$299.701
VT$285.951
WA$303.06–$336.382
WI$276.541
WV$286.711
WY$292.631

See 58120 in every payment locality

How the 58120 rate is calculated

Each of 58120’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 58120

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.50

3.50 RVUs× 1.000 GPCI

Practice expense4.78

4.78 RVUs× 1.000 GPCI

Malpractice0.65

0.65 RVUs× 1.000 GPCI

Adjusted RVUs

8.9300

Conversion factor

$33.4009

Medicare rate

$298.27

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Baltimore area, MD inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,518

Code
58120
Physician work
3.50
Practice expense
4.78
Malpractice
0.65

GPCI2026.csv

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 58120 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0163.5560
Practice expense4.78× 1.0735.1289
Malpractice0.65× 1.2370.8041
Total RVUs9.4890
Conversion factor× 33.4009

Office rate, Baltimore area, MD$316.94

Office: (3.5 × 1.016 + 4.78 × 1.073 + 0.65 × 1.237) × $33.4009 = $316.94

Facility: (3.5 × 1.016 + 2.13 × 1.073 + 0.65 × 1.237) × $33.4009 = $221.97

Open 58120 in the RVU calculator

Payment rules and modifiers for 58120

58120 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58120

Dilation and curettage, diagnostic or therapeutic, nonobstetric

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58120

Dilation and curettage, diagnostic or therapeutic, nonobstetric

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58120 without 51 · national office

$298.27

Dilation and curettage, diagnostic or therapeutic, nonobstetric

58120-51 · Second procedure: 50%

$149.14

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 58120

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 58120
CodeHow it relatesOffice range, Baltimore area, MD
Used instead
58100Endometrial biopsy, without cervical dilationEndometrial sampling without cervical dilation may be reported instead when that is the procedure performed.$104.27
58558Hysteroscopy, biopsy or polyp removalHysteroscopic sampling or polyp removal is reported when the uterine cavity is treated under direct visualization.$1,358.80
Often billed with
88305Tissue pathology exam, level IV specimenA laboratory may report histopathologic examination of tissue submitted from the curettage.$73.98

How 58120 has changed in Baltimore area, MD

58120 · Office / nonfacility

$316.94

Effective 2026-10-01

The base rate is $7.46 higher than on 2025-10-01, moving from $309.48 to $316.94 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $309.48changed to$316.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.59 changed to 3.50
    • Practice expense RVU 4.75 changed to 4.78
    • Malpractice RVU 0.60 changed to 0.65
    • Work GPCI 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $321.36changed to$309.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.83 changed to 4.75

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $316.11changed to$321.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $327.60changed to$316.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.80 changed to 4.83
    • Malpractice RVU 0.59 changed to 0.60
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309

  5. January 1, 2023

    RVU23A

    $335.90changed to$327.60

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.77 changed to 4.80
    • Malpractice RVU 0.60 changed to 0.59
    • Work GPCI 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $327.82changed to$335.90

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.51 changed to 4.77
    • Malpractice RVU 0.58 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $314.59changed to$327.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.93 changed to 4.51
    • Malpractice RVU 0.56 changed to 0.58
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $296.50changed to$314.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.58 changed to 3.93
    • Malpractice RVU 0.49 changed to 0.56
    • Work GPCI 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $283.56changed to$296.50

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.26 changed to 3.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $281.75changed to$283.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.27 changed to 3.26
    • Malpractice RVU 0.48 changed to 0.49
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $279.44changed to$281.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.25 changed to 3.27
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $281.30changed to$279.44

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.50 changed to 0.48

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $279.90changed to$281.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $283.56changed to$279.90

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.23 changed to 3.25
    • Malpractice RVU 0.58 changed to 0.50
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $282.97changed to$283.56

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.55 changed to 3.23
    • Malpractice RVU 0.61 changed to 0.58
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $282.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$316.94$221.97RVU26D
2026-07-01$316.94$221.97RVU26C
2026-04-01$316.94$221.97RVU26B
2026-01-01$316.94$221.97RVU26A
2025-10-01$309.48$243.58RVU25D
2025-07-01$309.48$243.58RVU25C
2025-04-01$309.48$243.58RVU25B
2025-01-01$309.48$243.58RVU25A
2024-10-01$321.36$251.02RVU24D
2024-07-01$321.36$251.02RVU24C
2024-04-01$321.36$251.02RVU24B
2024-03-09$321.36$251.02RVU24AR
2024-01-01$316.11$246.93RVU24A
2023-10-01$327.60$255.03RVU23D
2023-07-01$327.60$255.03RVU23C
2023-04-01$327.60$255.03RVU23B
2023-01-01$327.60$255.03RVU23A
2022-10-01$335.90$260.42RVU22D
2022-07-01$335.90$260.42RVU22C
2022-04-01$335.90$260.42RVU22B
2022-01-01$335.90$260.42RVU22A
2021-10-01$327.82$256.69RVU21D
2021-07-01$327.82$256.69RVU21C
2021-04-01$327.82$256.69RVU21B
2021-01-01$327.82$256.69RVU21A
2020-10-01$314.59$254.52RVU20D
2020-07-01$314.59$254.52RVU20C
2020-04-01$314.59$254.52RVU20B
2020-01-01$314.59$254.52RVU20A
2019-10-01$296.50$244.81RVU19D
2019-07-01$296.50$244.81RVU19C
2019-04-01$296.50$244.81RVU19B
2019-01-01$296.50$244.81RVU19A
2018-10-01$283.56$239.41RVU18D
2018-07-01$283.56$239.41RVU18C
2018-04-01$283.56$239.41RVU18B
2018-01-01$283.56$239.41RVU18AR1
2017-10-01$281.75$238.49RVU17D
2017-07-01$281.75$238.49RVU17C
2017-04-01$281.75$238.49RVU17B
2017-01-01$281.75$238.49RVU17A
2016-10-01$279.44$236.24RVU16D
2016-07-01$279.44$236.24RVU16C
2016-04-01$279.44$236.24RVU16B
2016-01-01$279.44$236.24RVU16A
2015-10-01$281.30$238.33RVU15D
2015-07-01$281.30$238.33RVU15C
2015-04-01$279.90$237.15RVU15B
2015-01-01$279.90$237.15RVU15A
2014-10-01$283.56$241.12RVU14D
2014-07-01$283.56$241.12RVU14C
2014-04-01$283.56$241.12RVU14B
2014-01-01$283.56$241.12RVU14A
2013-10-01$282.97$237.81RVU13D
2013-07-01$282.97$237.81RVU13C
2013-04-01$282.97$237.81RVU13B
2013-01-01$282.97$237.81RVU13AR

Price 58120 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

58120 billing questions

How is this different from 58100?

58120 includes cervical dilation and curettage of the uterine cavity. 58100 is endometrial sampling without cervical dilation.

When would 58558 be a better fit?

Use 58558 when the physician performs operative hysteroscopy with endometrial sampling or polyp removal. Do not separately report a D&C that is part of that hysteroscopic service.

Can the pathology examination be reported separately?

The laboratory may separately report its examination of submitted tissue. The physician's D&C service and the laboratory's pathology service are distinct services.

Should modifier 50 be appended?

No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

How does the multiple-procedure rule affect payment?

For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Are assistant or co-surgeon services payable?

Medicare does not pay an assistant at surgery for 58120. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 58120PPRRVU2026_Oct_nonQPP.csv, line 6,518 (RVU26D)
Geographic factors for Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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