CPT code 58301: IUD service, removal2026 Medicare rate & RVUs in North Dakota
Report this service when a clinician removes an intrauterine device, such as for discontinuation, expiration, or replacement with another contraceptive method.
In North Dakota, Medicare pays $107.39 for 58301 in the office and $53.62 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 58301 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 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.
How North Dakota compares for 58301
Across 109 of 109 payment localities, the office rate for 58301 runs from $99.26 in Arkansas to $140.76 in San Benito County, CA. North Dakota pays $107.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$107.39
- Los Angeles, CA · California$122.45+$15.06
- Washington, DC area · District of Columbia$125.82+$18.43
- Miami, FL · Florida$124.87+$17.48
- Chicago, IL · Illinois$121.25+$13.86
- Manhattan, NY · New York$128.55+$21.16
- Alaska · Alaska$133.22+$25.83
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $100.62 | $53.57 |
| ArkansasArkansas | $99.26 | $53.06 |
| ArizonaArizona | $108.59 | $56.48 |
| Bakersfield, CACalifornia | $115.66 | $56.73 |
| Chico, CACalifornia | $115.07 | $56.13 |
| El Centro, CACalifornia | $115.10 | $56.17 |
| Fresno, CACalifornia | $115.07 | $56.13 |
| Hanford, CACalifornia | $115.07 | $56.13 |
| Madera, CACalifornia | $115.07 | $56.13 |
| Merced, CACalifornia | $115.07 | $56.13 |
| Modesto, CACalifornia | $115.07 | $56.13 |
| Napa, CACalifornia | $130.79 | $59.92 |
| Oxnard, CACalifornia | $121.56 | $58.00 |
| Redding, CACalifornia | $115.07 | $56.13 |
| Rest of CaliforniaCalifornia | $115.07 | $56.13 |
| Riverside, CACalifornia | $117.33 | $58.40 |
| Sacramento, CACalifornia | $120.09 | $57.54 |
| Salinas, CACalifornia | $119.63 | $57.30 |
| San Diego, CACalifornia | $121.96 | $57.65 |
| Marin County, CACalifornia | $137.58 | $61.76 |
| San Francisco, CACalifornia | $137.34 | $61.52 |
| San Benito County, CACalifornia | $140.76 | $63.22 |
| Santa Clara County, CACalifornia | $139.79 | $62.24 |
| San Luis Obispo, CACalifornia | $117.78 | $56.53 |
| Santa Cruz, CACalifornia | $122.75 | $57.41 |
| Santa Maria, CACalifornia | $119.94 | $57.24 |
| Santa Rosa, CACalifornia | $123.94 | $57.90 |
| Stockton, CACalifornia | $115.07 | $56.13 |
| Vallejo, CACalifornia | $130.45 | $59.57 |
| Visalia, CACalifornia | $115.07 | $56.13 |
| Yuba City, CACalifornia | $115.07 | $56.13 |
| ColoradoColorado | $114.56 | $57.34 |
| ConnecticutConnecticut | $118.72 | $60.81 |
| DelawareDelaware | $110.30 | $57.17 |
| Fort Lauderdale, FLFlorida | $118.05 | $63.57 |
| Rest of FloridaFlorida | $112.31 | $60.90 |
| Atlanta, GAGeorgia | $114.10 | $59.47 |
| Rest of GeorgiaGeorgia | $106.09 | $58.12 |
| Hawaii, Guam, HIHawaii | $117.25 | $56.11 |
| IowaIowa | $101.96 | $52.76 |
| IdahoIdaho | $102.81 | $53.34 |
| East St. Louis, ILIllinois | $113.62 | $64.15 |
| Rest of IllinoisIllinois | $110.02 | $60.92 |
| Suburban Chicago, ILIllinois | $118.97 | $63.74 |
| IndianaIndiana | $103.35 | $53.50 |
| KansasKansas | $102.02 | $53.41 |
| KentuckyKentucky | $103.96 | $56.15 |
| New Orleans, LALouisiana | $108.79 | $58.19 |
| Rest of LouisianaLouisiana | $104.00 | $56.41 |
| Metropolitan Boston, MAMassachusetts | $124.73 | $60.52 |
| Rest of MassachusettsMassachusetts | $114.14 | $57.52 |
| Baltimore area, MDMaryland | $118.49 | $60.79 |
| Rest of MarylandMaryland | $112.16 | $57.73 |
| Rest of MaineMaine | $103.86 | $54.38 |
| Southern Maine, MEMaine | $108.40 | $55.11 |
| Detroit, MIMichigan | $114.16 | $62.27 |
| Rest of MichiganMichigan | $106.97 | $57.87 |
| MinnesotaMinnesota | $108.45 | $53.12 |
| Metropolitan Kansas City, MOMissouri | $107.55 | $57.05 |
| Metropolitan St. Louis, MOMissouri | $108.54 | $57.35 |
| Rest of MissouriMissouri | $102.67 | $56.31 |
| MississippiMississippi | $100.95 | $54.65 |
| MontanaMontana | $111.54 | $57.77 |
| North CarolinaNorth Carolina | $104.80 | $54.62 |
| NebraskaNebraska | $102.34 | $52.70 |
| New HampshireNew Hampshire | $113.27 | $57.29 |
| Northern New JerseyNew Jersey | $124.75 | $62.37 |
| Rest of New JerseyNew Jersey | $119.70 | $60.98 |
| New MexicoNew Mexico | $107.73 | $58.42 |
| NevadaNevada | $110.45 | $56.62 |
| NYC suburbs and Long Island, NYNew York | $132.15 | $68.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $120.89 | $62.01 |
| Queens, NYNew York | $128.80 | $65.24 |
| Rest of New YorkNew York | $106.32 | $55.23 |
| OhioOhio | $106.12 | $57.03 |
| OklahomaOklahoma | $103.24 | $55.22 |
| Portland, OROregon | $117.43 | $57.69 |
| Rest of OregonOregon | $109.22 | $55.66 |
| Metropolitan Philadelphia, PAPennsylvania | $116.25 | $60.27 |
| Rest of PennsylvaniaPennsylvania | $106.00 | $56.63 |
| Puerto RicoPuerto Rico | $112.15 | $57.78 |
| Rhode IslandRhode Island | $113.67 | $58.12 |
| South CarolinaSouth Carolina | $105.71 | $56.02 |
| South DakotaSouth Dakota | $106.90 | $53.13 |
| TennesseeTennessee | $102.57 | $53.68 |
| Austin, TXTexas | $114.50 | $57.61 |
| Beaumont, TXTexas | $105.38 | $56.44 |
| Brazoria, TXTexas | $109.78 | $56.49 |
| Dallas, TXTexas | $110.68 | $57.12 |
| Fort Worth, TXTexas | $110.14 | $57.12 |
| Galveston, TXTexas | $110.24 | $56.84 |
| Houston, TXTexas | $114.09 | $60.69 |
| Rest of TexasTexas | $107.66 | $56.63 |
| UtahUtah | $107.06 | $56.51 |
| VirginiaVirginia | $108.42 | $55.56 |
| Virgin Islands, VIUnited States Virgin Islands | $112.15 | $57.78 |
| VermontVermont | $107.46 | $54.23 |
| Rest of WashingtonWashington | $113.77 | $57.14 |
| King County, WAWashington | $126.68 | $60.69 |
| WisconsinWisconsin | $104.05 | $52.54 |
| West VirginiaWest Virginia | $106.31 | $59.58 |
| WyomingWyoming | $109.74 | $55.96 |
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.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,541
- Code
- 58301
- Physician work
- 1.24
- Practice expense
- 1.89
- Malpractice
- 0.21
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 1.89 | × 1.000 | 1.8900 |
| Malpractice | 0.21 | × 0.406 | 0.0853 |
| Total RVUs | 3.2153 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$107.39
Office: (1.24 × 1 + 1.89 × 1 + 0.21 × 0.406) × $33.4009 = $107.39
Facility: (1.24 × 1 + 0.28 × 1 + 0.21 × 0.406) × $33.4009 = $53.62
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%).
How 58301 has changed in North Dakota
58301 · Office / nonfacility
$107.39
Effective 2026-10-01
The base rate is $4.57 higher than on 2025-10-01, moving from $102.82 to $107.39 (4.4%).
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
$102.82changed to$107.39
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.27 changed to 1.24
- Practice expense RVU 1.80 changed to 1.89
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$107.47changed to$102.82
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.85 changed to 1.80
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$105.72changed to$107.47
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$108.94changed to$105.72
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.20 changed to 0.21
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$110.95changed to$108.94
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$107.34changed to$110.95
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.72 changed to 1.85
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$101.49changed to$107.34
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.45 changed to 1.72
- Malpractice RVU 0.19 changed to 0.20
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$94.82changed to$101.49
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.28 changed to 1.45
- Malpractice RVU 0.15 changed to 0.19
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$94.71changed to$94.82
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$94.10changed to$94.71
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.27 changed to 1.28
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$93.56changed to$94.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.26 changed to 1.27
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$94.10changed to$93.56
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.16 changed to 0.15
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$93.63changed to$94.10
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$94.66changed to$93.63
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.21 changed to 0.16
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$94.03changed to$94.66
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.38 changed to 1.26
- Malpractice RVU 0.22 changed to 0.21
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $94.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $107.39 | $53.62 | RVU26D |
| 2026-07-01 | $107.39 | $53.62 | RVU26C |
| 2026-04-01 | $107.39 | $53.62 | RVU26B |
| 2026-01-01 | $107.39 | $53.62 | RVU26A |
| 2025-10-01 | $102.82 | $60.77 | RVU25D |
| 2025-07-01 | $102.82 | $60.77 | RVU25C |
| 2025-04-01 | $102.82 | $60.77 | RVU25B |
| 2025-01-01 | $102.82 | $60.77 | RVU25A |
| 2024-10-01 | $107.47 | $62.53 | RVU24D |
| 2024-07-01 | $107.47 | $62.53 | RVU24C |
| 2024-04-01 | $107.47 | $62.53 | RVU24B |
| 2024-03-09 | $107.47 | $62.53 | RVU24AR |
| 2024-01-01 | $105.72 | $61.51 | RVU24A |
| 2023-10-01 | $108.94 | $63.19 | RVU23D |
| 2023-07-01 | $108.94 | $63.19 | RVU23C |
| 2023-04-01 | $108.94 | $63.19 | RVU23B |
| 2023-01-01 | $108.94 | $63.19 | RVU23A |
| 2022-10-01 | $110.95 | $63.89 | RVU22D |
| 2022-07-01 | $110.95 | $63.89 | RVU22C |
| 2022-04-01 | $110.95 | $63.89 | RVU22B |
| 2022-01-01 | $110.95 | $63.89 | RVU22A |
| 2021-10-01 | $107.34 | $64.42 | RVU21D |
| 2021-07-01 | $107.34 | $64.42 | RVU21C |
| 2021-04-01 | $107.34 | $64.42 | RVU21B |
| 2021-01-01 | $107.34 | $64.42 | RVU21A |
| 2020-10-01 | $101.49 | $66.84 | RVU20D |
| 2020-07-01 | $101.49 | $66.84 | RVU20C |
| 2020-04-01 | $101.49 | $66.84 | RVU20B |
| 2020-01-01 | $101.49 | $66.84 | RVU20A |
| 2019-10-01 | $94.82 | $66.35 | RVU19D |
| 2019-07-01 | $94.82 | $66.35 | RVU19C |
| 2019-04-01 | $94.82 | $66.35 | RVU19B |
| 2019-01-01 | $94.82 | $66.35 | RVU19A |
| 2018-10-01 | $94.71 | $66.64 | RVU18D |
| 2018-07-01 | $94.71 | $66.64 | RVU18C |
| 2018-04-01 | $94.71 | $66.64 | RVU18B |
| 2018-01-01 | $94.71 | $66.64 | RVU18AR1 |
| 2017-10-01 | $94.10 | $66.83 | RVU17D |
| 2017-07-01 | $94.10 | $66.83 | RVU17C |
| 2017-04-01 | $94.10 | $66.83 | RVU17B |
| 2017-01-01 | $94.10 | $66.83 | RVU17A |
| 2016-10-01 | $93.56 | $66.35 | RVU16D |
| 2016-07-01 | $93.56 | $66.35 | RVU16C |
| 2016-04-01 | $93.56 | $66.35 | RVU16B |
| 2016-01-01 | $93.56 | $66.35 | RVU16A |
| 2015-10-01 | $94.10 | $66.79 | RVU15D |
| 2015-07-01 | $94.10 | $66.79 | RVU15C |
| 2015-04-01 | $93.63 | $66.46 | RVU15B |
| 2015-01-01 | $93.63 | $66.46 | RVU15A |
| 2014-10-01 | $94.66 | $67.44 | RVU14D |
| 2014-07-01 | $94.66 | $67.44 | RVU14C |
| 2014-04-01 | $94.66 | $67.44 | RVU14B |
| 2014-01-01 | $94.66 | $67.44 | RVU14A |
| 2013-10-01 | $94.03 | $65.45 | RVU13D |
| 2013-07-01 | $94.03 | $65.45 | RVU13C |
| 2013-04-01 | $94.03 | $65.45 | RVU13B |
| 2013-01-01 | $94.03 | $65.45 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
Show the CMS file lines behind this rate
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