CPT code 58120: Dilation and curettage, diagnostic or therapeutic, nonobstetric2026 Medicare rate & RVUs in North Carolina
Reports cervical dilation and uterine curettage to obtain endometrial tissue or treat nonobstetric uterine conditions, such as abnormal bleeding.
In North Carolina, Medicare pays $279.74 for 58120 in the office and $197.15 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 North Carolina 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. North Carolina pays $279.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$279.74
- Los Angeles, CA · California$324.99+$45.25
- Washington, DC area · District of Columbia$335.45+$55.71
- Miami, FL · Florida$338.01+$58.27
- Chicago, IL · Illinois$328.00+$48.26
- Manhattan, NY · New York$344.34+$64.60
- Alaska · Alaska$357.35+$77.61
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Hanford, CACalifornia | $305.51 | $208.50 |
| Madera, CACalifornia | $305.51 | $208.50 |
| Merced, CACalifornia | $305.51 | $208.50 |
| Modesto, CACalifornia | $305.51 | $208.50 |
| Napa, CACalifornia | $345.72 | $229.06 |
| Oxnard, CACalifornia | $322.42 | $217.79 |
| Redding, CACalifornia | $305.51 | $208.50 |
| Rest of CaliforniaCalifornia | $305.51 | $208.50 |
| Riverside, CACalifornia | $312.51 | $215.50 |
| Sacramento, CACalifornia | $318.43 | $215.49 |
| Salinas, CACalifornia | $317.21 | $214.62 |
| San Diego, CACalifornia | $323.13 | $217.27 |
| Marin County, CACalifornia | $363.09 | $238.29 |
| San Francisco, CACalifornia | $362.35 | $237.55 |
| San Benito County, CACalifornia | $371.62 | $243.99 |
| Santa Clara County, CACalifornia | $368.61 | $240.97 |
| San Luis Obispo, CACalifornia | $312.38 | $211.56 |
| Santa Cruz, CACalifornia | $324.98 | $217.43 |
| Santa Maria, CACalifornia | $317.97 | $214.77 |
| Santa Rosa, CACalifornia | $328.11 | $219.41 |
| Stockton, CACalifornia | $305.51 | $208.50 |
| Vallejo, CACalifornia | $344.66 | $228.00 |
| Visalia, CACalifornia | $305.51 | $208.50 |
| Yuba City, CACalifornia | $305.51 | $208.50 |
| ColoradoColorado | $305.14 | $210.96 |
| ConnecticutConnecticut | $317.46 | $222.13 |
| DelawareDelaware | $294.75 | $207.30 |
| Fort Lauderdale, FLFlorida | $317.89 | $228.22 |
| Rest of FloridaFlorida | $302.17 | $217.55 |
| Atlanta, GAGeorgia | $305.54 | $215.61 |
| Rest of GeorgiaGeorgia | $285.20 | $206.24 |
| Hawaii, Guam, HIHawaii | $311.00 | $210.36 |
| IowaIowa | $271.61 | $190.62 |
| IdahoIdaho | $274.06 | $192.62 |
| East St. Louis, ILIllinois | $307.51 | $226.08 |
| Rest of IllinoisIllinois | $296.60 | $215.79 |
| Suburban Chicago, ILIllinois | $320.16 | $229.26 |
| IndianaIndiana | $275.46 | $193.40 |
| KansasKansas | $272.17 | $192.16 |
| KentuckyKentucky | $278.70 | $200.02 |
| New Orleans, LALouisiana | $291.80 | $208.51 |
| Rest of LouisianaLouisiana | $279.00 | $200.66 |
| Metropolitan Boston, MAMassachusetts | $331.65 | $225.96 |
| Rest of MassachusettsMassachusetts | $304.20 | $210.99 |
| Baltimore area, MDMaryland | $316.94 | $221.97 |
| Rest of MarylandMaryland | $299.57 | $210.00 |
| Rest of MaineMaine | $277.29 | $195.86 |
| Southern Maine, MEMaine | $288.82 | $201.11 |
| Detroit, MIMichigan | $307.58 | $222.16 |
| Rest of MichiganMichigan | $287.18 | $206.37 |
| MinnesotaMinnesota | $287.62 | $196.54 |
| Metropolitan Kansas City, MOMissouri | $288.03 | $204.92 |
| Metropolitan St. Louis, MOMissouri | $290.65 | $206.39 |
| Rest of MissouriMissouri | $275.67 | $199.38 |
| MississippiMississippi | $270.41 | $194.20 |
| MontanaMontana | $298.23 | $209.71 |
| North DakotaNorth Dakota | $285.37 | $196.86 |
| NebraskaNebraska | $272.47 | $190.78 |
| New HampshireNew Hampshire | $302.10 | $209.96 |
| Northern New JerseyNew Jersey | $332.66 | $229.98 |
| Rest of New JerseyNew Jersey | $319.74 | $223.08 |
| New MexicoNew Mexico | $289.38 | $208.22 |
| NevadaNevada | $294.80 | $206.20 |
| NYC suburbs and Long Island, NYNew York | $354.53 | $249.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $323.26 | $226.34 |
| Queens, NYNew York | $344.41 | $239.78 |
| Rest of New YorkNew York | $283.84 | $199.75 |
| OhioOhio | $284.55 | $203.74 |
| OklahomaOklahoma | $276.35 | $197.30 |
| Portland, OROregon | $312.30 | $213.97 |
| Rest of OregonOregon | $291.18 | $203.03 |
| Metropolitan Philadelphia, PAPennsylvania | $311.11 | $218.97 |
| Rest of PennsylvaniaPennsylvania | $283.98 | $202.73 |
| Puerto RicoPuerto Rico | $299.70 | $210.21 |
| Rhode IslandRhode Island | $303.42 | $211.98 |
| South CarolinaSouth Carolina | $282.88 | $201.09 |
| South DakotaSouth Dakota | $283.85 | $195.34 |
| TennesseeTennessee | $273.69 | $193.23 |
| Austin, TXTexas | $305.29 | $211.64 |
| Beaumont, TXTexas | $282.36 | $201.81 |
| Brazoria, TXTexas | $292.99 | $205.28 |
| Dallas, TXTexas | $295.60 | $207.44 |
| Fort Worth, TXTexas | $294.29 | $207.01 |
| Galveston, TXTexas | $294.35 | $206.46 |
| Houston, TXTexas | $306.25 | $218.36 |
| Rest of TexasTexas | $288.02 | $204.02 |
| UtahUtah | $286.48 | $203.27 |
| VirginiaVirginia | $289.17 | $202.17 |
| Virgin Islands, VIUnited States Virgin Islands | $299.70 | $210.21 |
| VermontVermont | $285.95 | $198.32 |
| Rest of WashingtonWashington | $303.06 | $209.86 |
| King County, WAWashington | $336.38 | $227.78 |
| WisconsinWisconsin | $276.54 | $191.75 |
| West VirginiaWest Virginia | $286.71 | $209.80 |
| WyomingWyoming | $292.63 | $204.11 |
58120 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $357.35 | 1 |
| AL | $268.89 | 1 |
| AR | $265.23 | 1 |
| AZ | $290.19 | 1 |
| CA | $305.51–$371.62 | 29 |
| CO | $305.14 | 1 |
| CT | $317.46 | 1 |
| DC | $335.45 | 1 |
| DE | $294.75 | 1 |
| FL | $302.17–$338.01 | 3 |
| GA | $285.20–$305.54 | 2 |
| GU | $311.00 | 1 |
| HI | $311.00 | 1 |
| IA | $271.61 | 1 |
| ID | $274.06 | 1 |
| IL | $296.60–$328.00 | 4 |
| IN | $275.46 | 1 |
| KS | $272.17 | 1 |
| KY | $278.70 | 1 |
| LA | $279.00–$291.80 | 2 |
| MA | $304.20–$331.65 | 2 |
| MD | $299.57–$335.45 | 3 |
| ME | $277.29–$288.82 | 2 |
| MI | $287.18–$307.58 | 2 |
| MN | $287.62 | 1 |
| MO | $275.67–$290.65 | 3 |
| MS | $270.41 | 1 |
| MT | $298.23 | 1 |
| NC | $279.74 | 1 |
| ND | $285.37 | 1 |
| NE | $272.47 | 1 |
| NH | $302.10 | 1 |
| NJ | $319.74–$332.66 | 2 |
| NM | $289.38 | 1 |
| NV | $294.80 | 1 |
| NY | $283.84–$354.53 | 5 |
| OH | $284.55 | 1 |
| OK | $276.35 | 1 |
| OR | $291.18–$312.30 | 2 |
| PA | $283.98–$311.11 | 2 |
| PR | $299.70 | 1 |
| RI | $303.42 | 1 |
| SC | $282.88 | 1 |
| SD | $283.85 | 1 |
| TN | $273.69 | 1 |
| TX | $282.36–$306.25 | 8 |
| UT | $286.48 | 1 |
| VA | $289.17–$335.45 | 2 |
| VI | $299.70 | 1 |
| VT | $285.95 | 1 |
| WA | $303.06–$336.38 | 2 |
| WI | $276.54 | 1 |
| WV | $286.71 | 1 |
| WY | $292.63 | 1 |
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
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 North Carolina 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
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.50 | × 1.000 | 3.5000 |
| Practice expense | 4.78 | × 0.933 | 4.4597 |
| Malpractice | 0.65 | × 0.639 | 0.4153 |
| Total RVUs | 8.3751 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$279.74
Office: (3.5 × 1 + 4.78 × 0.933 + 0.65 × 0.639) × $33.4009 = $279.74
Facility: (3.5 × 1 + 2.13 × 0.933 + 0.65 × 0.639) × $33.4009 = $197.15
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
How 58120 has changed in North Carolina
58120 · Office / nonfacility
$279.74
Effective 2026-10-01
The base rate is $8.43 higher than on 2025-10-01, moving from $271.31 to $279.74 (3.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$271.31changed to$279.74
- 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
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$281.66changed to$271.31
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.83 changed to 4.75
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$277.07changed to$281.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$287.27changed to$277.07
- 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
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$294.43changed to$287.27
- 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
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$287.88changed to$294.43
- 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.
January 1, 2021
RVU21A
$276.76changed to$287.88
- 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
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$261.77changed to$276.76
- 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
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$250.76changed to$261.77
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.26 changed to 3.58
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$250.71changed to$250.76
- 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
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$249.95changed to$250.71
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.25 changed to 3.27
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$251.41changed to$249.95
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.50 changed to 0.48
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$250.16changed to$251.41
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$251.31changed to$250.16
- 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
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$248.53changed to$251.31
- 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
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $248.53
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $279.74 | $197.15 | RVU26D |
| 2026-07-01 | $279.74 | $197.15 | RVU26C |
| 2026-04-01 | $279.74 | $197.15 | RVU26B |
| 2026-01-01 | $279.74 | $197.15 | RVU26A |
| 2025-10-01 | $271.31 | $214.70 | RVU25D |
| 2025-07-01 | $271.31 | $214.70 | RVU25C |
| 2025-04-01 | $271.31 | $214.70 | RVU25B |
| 2025-01-01 | $271.31 | $214.70 | RVU25A |
| 2024-10-01 | $281.66 | $221.25 | RVU24D |
| 2024-07-01 | $281.66 | $221.25 | RVU24C |
| 2024-04-01 | $281.66 | $221.25 | RVU24B |
| 2024-03-09 | $281.66 | $221.25 | RVU24AR |
| 2024-01-01 | $277.07 | $217.64 | RVU24A |
| 2023-10-01 | $287.27 | $225.39 | RVU23D |
| 2023-07-01 | $287.27 | $225.39 | RVU23C |
| 2023-04-01 | $287.27 | $225.39 | RVU23B |
| 2023-01-01 | $287.27 | $225.39 | RVU23A |
| 2022-10-01 | $294.43 | $230.52 | RVU22D |
| 2022-07-01 | $294.43 | $230.52 | RVU22C |
| 2022-04-01 | $294.43 | $230.52 | RVU22B |
| 2022-01-01 | $294.43 | $230.52 | RVU22A |
| 2021-10-01 | $287.88 | $227.65 | RVU21D |
| 2021-07-01 | $287.88 | $227.65 | RVU21C |
| 2021-04-01 | $287.88 | $227.65 | RVU21B |
| 2021-01-01 | $287.88 | $227.65 | RVU21A |
| 2020-10-01 | $276.76 | $225.75 | RVU20D |
| 2020-07-01 | $276.76 | $225.75 | RVU20C |
| 2020-04-01 | $276.76 | $225.75 | RVU20B |
| 2020-01-01 | $276.76 | $225.75 | RVU20A |
| 2019-10-01 | $261.77 | $217.82 | RVU19D |
| 2019-07-01 | $261.77 | $217.82 | RVU19C |
| 2019-04-01 | $261.77 | $217.82 | RVU19B |
| 2019-01-01 | $261.77 | $217.82 | RVU19A |
| 2018-10-01 | $250.76 | $213.22 | RVU18D |
| 2018-07-01 | $250.76 | $213.22 | RVU18C |
| 2018-04-01 | $250.76 | $213.22 | RVU18B |
| 2018-01-01 | $250.76 | $213.22 | RVU18AR1 |
| 2017-10-01 | $250.71 | $213.96 | RVU17D |
| 2017-07-01 | $250.71 | $213.96 | RVU17C |
| 2017-04-01 | $250.71 | $213.96 | RVU17B |
| 2017-01-01 | $250.71 | $213.96 | RVU17A |
| 2016-10-01 | $249.95 | $213.33 | RVU16D |
| 2016-07-01 | $249.95 | $213.33 | RVU16C |
| 2016-04-01 | $249.95 | $213.33 | RVU16B |
| 2016-01-01 | $249.95 | $213.33 | RVU16A |
| 2015-10-01 | $251.41 | $214.98 | RVU15D |
| 2015-07-01 | $251.41 | $214.98 | RVU15C |
| 2015-04-01 | $250.16 | $213.91 | RVU15B |
| 2015-01-01 | $250.16 | $213.91 | RVU15A |
| 2014-10-01 | $251.31 | $215.36 | RVU14D |
| 2014-07-01 | $251.31 | $215.36 | RVU14C |
| 2014-04-01 | $251.31 | $215.36 | RVU14B |
| 2014-01-01 | $251.31 | $215.36 | RVU14A |
| 2013-10-01 | $248.53 | $210.37 | RVU13D |
| 2013-07-01 | $248.53 | $210.37 | RVU13C |
| 2013-04-01 | $248.53 | $210.37 | RVU13B |
| 2013-01-01 | $248.53 | $210.37 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
Fee sheets · Coming soon
Put 58120 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist