CPT code 58301: IUD service, removal2026 Medicare rate & RVUs
Report this service when a clinician removes an intrauterine device, such as for discontinuation, expiration, or replacement with another contraceptive method.
Medicare pays $111.56 for 58301 nationally in the office and $57.78 in a hospital or facility. Local office rates run $99.26–$140.76.
Medicare rate · 58301
IUD service, removal
- Work RVUs
- 1.24
- Total RVUs
- 3.34
- Global days
- 000
National rate · 2026
$111.56
Office setting, before claim adjustments.
See every locality for 58301 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 58301 covers
A clinician commonly removes an intrauterine device during an office visit when a patient wants to discontinue it, its use period has ended, or the patient is changing contraceptive methods. For routine removal, the clinician visualizes the cervix with a speculum and applies gentle traction to the device strings. Gynecologists and other clinicians who provide contraceptive care perform this service in office or facility settings. Removal under hysteroscopic guidance for an impacted device is a different service pathway.
Report 58301 for the removal itself, and document the reason for removal and the procedure performed. If a new device is inserted during the same session, report the insertion separately. The 0-day global period includes same-day preoperative and postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are paid at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; 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.
Where 58301 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$99.26 to $140.76
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $100.62 | $53.57 |
| Alaska | $133.22 | $75.95 |
| Arizona | $108.59 | $56.48 |
| Arkansas | $99.26 | $53.06 |
| Atlanta, GA | $114.10 | $59.47 |
| Austin, TX | $114.50 | $57.61 |
| Bakersfield, CA | $115.66 | $56.73 |
| Baltimore area, MD | $118.49 | $60.79 |
| Beaumont, TX | $105.38 | $56.44 |
| Brazoria, TX | $109.78 | $56.49 |
| Chicago, IL | $121.25 | $67.20 |
| Chico, CA | $115.07 | $56.13 |
| Colorado | $114.56 | $57.34 |
| Connecticut | $118.72 | $60.81 |
| Dallas, TX | $110.68 | $57.12 |
| Delaware | $110.30 | $57.17 |
| Detroit, MI | $114.16 | $62.27 |
| East St. Louis, IL | $113.62 | $64.15 |
| El Centro, CA | $115.10 | $56.17 |
| Fort Lauderdale, FL | $118.05 | $63.57 |
| Fort Worth, TX | $110.14 | $57.12 |
| Fresno, CA | $115.07 | $56.13 |
| Galveston, TX | $110.24 | $56.84 |
| Hanford, CA | $115.07 | $56.13 |
| Hawaii, Guam, HI | $117.25 | $56.11 |
| Houston, TX | $114.09 | $60.69 |
| Idaho | $102.81 | $53.34 |
| Indiana | $103.35 | $53.50 |
| Iowa | $101.96 | $52.76 |
| Kansas | $102.02 | $53.41 |
| Kentucky | $103.96 | $56.15 |
| King County, WA | $126.68 | $60.69 |
| Los Angeles, CA | $122.45 | $58.84 |
| Madera, CA | $115.07 | $56.13 |
| Manhattan, NY | $128.55 | $66.06 |
| Marin County, CA | $137.58 | $61.76 |
| Merced, CA | $115.07 | $56.13 |
| Metropolitan Boston, MA | $124.73 | $60.52 |
| Metropolitan Kansas City, MO | $107.55 | $57.05 |
| Metropolitan Philadelphia, PA | $116.25 | $60.27 |
| Metropolitan St. Louis, MO | $108.54 | $57.35 |
| Miami, FL | $124.87 | $68.89 |
| Minnesota | $108.45 | $53.12 |
| Mississippi | $100.95 | $54.65 |
| Modesto, CA | $115.07 | $56.13 |
| Montana | $111.54 | $57.77 |
| Napa, CA | $130.79 | $59.92 |
| Nebraska | $102.34 | $52.70 |
| Nevada | $110.45 | $56.62 |
| New Hampshire | $113.27 | $57.29 |
| New Mexico | $107.73 | $58.42 |
| New Orleans, LA | $108.79 | $58.19 |
| North Carolina | $104.80 | $54.62 |
| North Dakota | $107.39 | $53.62 |
| Northern New Jersey | $124.75 | $62.37 |
| NYC suburbs and Long Island, NY | $132.15 | $68.21 |
| Ohio | $106.12 | $57.03 |
| Oklahoma | $103.24 | $55.22 |
| Oxnard, CA | $121.56 | $58.00 |
| Portland, OR | $117.43 | $57.69 |
| Poughkeepsie and northern NYC suburbs, NY | $120.89 | $62.01 |
| Puerto Rico | $112.15 | $57.78 |
| Queens, NY | $128.80 | $65.24 |
| Redding, CA | $115.07 | $56.13 |
| Rest of California | $115.07 | $56.13 |
| Rest of Florida | $112.31 | $60.90 |
| Rest of Georgia | $106.09 | $58.12 |
| Rest of Illinois | $110.02 | $60.92 |
| Rest of Louisiana | $104.00 | $56.41 |
| Rest of Maine | $103.86 | $54.38 |
| Rest of Maryland | $112.16 | $57.73 |
| Rest of Massachusetts | $114.14 | $57.52 |
| Rest of Michigan | $106.97 | $57.87 |
| Rest of Missouri | $102.67 | $56.31 |
| Rest of New Jersey | $119.70 | $60.98 |
| Rest of New York | $106.32 | $55.23 |
| Rest of Oregon | $109.22 | $55.66 |
| Rest of Pennsylvania | $106.00 | $56.63 |
| Rest of Texas | $107.66 | $56.63 |
| Rest of Washington | $113.77 | $57.14 |
| Rhode Island | $113.67 | $58.12 |
| Riverside, CA | $117.33 | $58.40 |
| Sacramento, CA | $120.09 | $57.54 |
| Salinas, CA | $119.63 | $57.30 |
| San Benito County, CA | $140.76 | $63.22 |
| San Diego, CA | $121.96 | $57.65 |
| San Francisco, CA | $137.34 | $61.52 |
| San Luis Obispo, CA | $117.78 | $56.53 |
| Santa Clara County, CA | $139.79 | $62.24 |
| Santa Cruz, CA | $122.75 | $57.41 |
| Santa Maria, CA | $119.94 | $57.24 |
| Santa Rosa, CA | $123.94 | $57.90 |
| South Carolina | $105.71 | $56.02 |
| South Dakota | $106.90 | $53.13 |
| Southern Maine, ME | $108.40 | $55.11 |
| Stockton, CA | $115.07 | $56.13 |
| Suburban Chicago, IL | $118.97 | $63.74 |
| Tennessee | $102.57 | $53.68 |
| Utah | $107.06 | $56.51 |
| Vallejo, CA | $130.45 | $59.57 |
| Vermont | $107.46 | $54.23 |
| Virgin Islands, VI | $112.15 | $57.78 |
| Virginia | $108.42 | $55.56 |
| Visalia, CA | $115.07 | $56.13 |
| Washington, DC area | $125.82 | $62.48 |
| West Virginia | $106.31 | $59.58 |
| Wisconsin | $104.05 | $52.54 |
| Wyoming | $109.74 | $55.96 |
| Yuba City, CA | $115.07 | $56.13 |
58301 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.
$99.26
$133.22
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 | $133.22 | 1 |
| AL | $100.62 | 1 |
| AR | $99.26 | 1 |
| AZ | $108.59 | 1 |
| CA | $115.07–$140.76 | 29 |
| CO | $114.56 | 1 |
| CT | $118.72 | 1 |
| DC | $125.82 | 1 |
| DE | $110.30 | 1 |
| FL | $112.31–$124.87 | 3 |
| GA | $106.09–$114.10 | 2 |
| GU | $117.25 | 1 |
| HI | $117.25 | 1 |
| IA | $101.96 | 1 |
| ID | $102.81 | 1 |
| IL | $110.02–$121.25 | 4 |
| IN | $103.35 | 1 |
| KS | $102.02 | 1 |
| KY | $103.96 | 1 |
| LA | $104.00–$108.79 | 2 |
| MA | $114.14–$124.73 | 2 |
| MD | $112.16–$125.82 | 3 |
| ME | $103.86–$108.40 | 2 |
| MI | $106.97–$114.16 | 2 |
| MN | $108.45 | 1 |
| MO | $102.67–$108.54 | 3 |
| MS | $100.95 | 1 |
| MT | $111.54 | 1 |
| NC | $104.80 | 1 |
| ND | $107.39 | 1 |
| NE | $102.34 | 1 |
| NH | $113.27 | 1 |
| NJ | $119.70–$124.75 | 2 |
| NM | $107.73 | 1 |
| NV | $110.45 | 1 |
| NY | $106.32–$132.15 | 5 |
| OH | $106.12 | 1 |
| OK | $103.24 | 1 |
| OR | $109.22–$117.43 | 2 |
| PA | $106.00–$116.25 | 2 |
| PR | $112.15 | 1 |
| RI | $113.67 | 1 |
| SC | $105.71 | 1 |
| SD | $106.90 | 1 |
| TN | $102.57 | 1 |
| TX | $105.38–$114.50 | 8 |
| UT | $107.06 | 1 |
| VA | $108.42–$125.82 | 2 |
| VI | $112.15 | 1 |
| VT | $107.46 | 1 |
| WA | $113.77–$126.68 | 2 |
| WI | $104.05 | 1 |
| WV | $106.31 | 1 |
| WY | $109.74 | 1 |
How the 58301 rate is calculated
Each of 58301’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 · 58301
RVUs × geographic indexes × conversion factor
Work1.24
1.24 RVUs× 1.000 GPCI
Practice expense1.89
1.89 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
3.3400
Conversion factor
$33.4009
Medicare rate
$111.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58301
The CMS indicators that decide how 58301 is paid alongside other services.
CMS payment indicators · 58301
IUD service, removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58301 without 51 · national office
$111.56
IUD service, removal
58301-51 · Second procedure: 50%
$55.78
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%).
58301 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58300IUD insertion
- 58300 reports insertion of an IUD; 58301 reports removal of an existing device. Both may be reported when the clinician removes and replaces an IUD in one session.
- 58562HysteroscopyForeign-body removal
- Use 58562 for hysteroscopic removal of an impacted intrauterine device. Routine removal by traction on visible strings is reported with 58301.
- 99212Office visitEstablished patient, straightforward
- 99212 describes a separately supported established-patient office E/M service, not the IUD removal. Report it only when evaluation beyond routine removal work is documented.
58301 billing questions
How is removal different from 58300?
Use 58301 for taking out an existing IUD and 58300 for placing a new one. When the clinician removes and replaces the device in the same session, report both services.
Is removal included when a new IUD is inserted?
Report removal and insertion separately when both are performed. The same-session multiple procedure reduction may affect payment for the services.
Does 58301 cover hysteroscopic removal of an impacted IUD?
For removal of an impacted device under hysteroscopic guidance, consider 58562 rather than routine removal by traction on visible strings.
Can an office E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the clinician performs and documents evaluation beyond the routine work of removal. The procedure's same-day care is included in its 0-day global period.
What documentation supports 58301?
Document the indication, the removal performed, and relevant findings such as whether the strings were visualized and the device was removed.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for IUD removal.
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
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