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CPT code 58301: IUD service, removal2026 Medicare rate & RVUs in Tennessee

Report this service when a clinician removes an intrauterine device, such as for discontinuation, expiration, or replacement with another contraceptive method.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Tennessee, Medicare pays $102.57 for 58301 in the office and $53.68 when it’s performed in a hospital or facility.

$102.57Office (non-facility)
$53.68Hospital or facility
−8.1%vs the national office rate ($111.56)

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.

We’ll open 58301 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 58301 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 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 Tennessee 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. Tennessee pays $102.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

58301 in Tennessee vs other payment areas
  1. Tennessee · this page$102.57
  2. Los Angeles, CA · California$122.45+$19.88
  3. Washington, DC area · District of Columbia$125.82+$23.25
  4. Miami, FL · Florida$124.87+$22.30
  5. Chicago, IL · Illinois$121.25+$18.68
  6. Manhattan, NY · New York$128.55+$25.98
  7. Alaska · Alaska$133.22+$30.65

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

Every other payment area

58301 in every other Medicare payment locality
Payment localityOfficeFacility
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

58301 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.

$99.26

$133.22

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

View every state and territory as a table
58301 office rate range by state
State / territoryOffice rate rangeLocalities
AK$133.221
AL$100.621
AR$99.261
AZ$108.591
CA$115.07–$140.7629
CO$114.561
CT$118.721
DC$125.821
DE$110.301
FL$112.31–$124.873
GA$106.09–$114.102
GU$117.251
HI$117.251
IA$101.961
ID$102.811
IL$110.02–$121.254
IN$103.351
KS$102.021
KY$103.961
LA$104.00–$108.792
MA$114.14–$124.732
MD$112.16–$125.823
ME$103.86–$108.402
MI$106.97–$114.162
MN$108.451
MO$102.67–$108.543
MS$100.951
MT$111.541
NC$104.801
ND$107.391
NE$102.341
NH$113.271
NJ$119.70–$124.752
NM$107.731
NV$110.451
NY$106.32–$132.155
OH$106.121
OK$103.241
OR$109.22–$117.432
PA$106.00–$116.252
PR$112.151
RI$113.671
SC$105.711
SD$106.901
TN$102.571
TX$105.38–$114.508
UT$107.061
VA$108.42–$125.822
VI$112.151
VT$107.461
WA$113.77–$126.682
WI$104.051
WV$106.311
WY$109.741

See 58301 in every payment locality

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

Office or facility?

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 58301 in Tennessee
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0001.2400
Practice expense1.89× 0.9091.7180
Malpractice0.21× 0.5370.1128
Total RVUs3.0708
Conversion factor× 33.4009

Office rate, Tennessee$102.57

Office: (1.24 × 1 + 1.89 × 0.909 + 0.21 × 0.537) × $33.4009 = $102.57

Facility: (1.24 × 1 + 0.28 × 0.909 + 0.21 × 0.537) × $33.4009 = $53.68

Open 58301 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

Codes related to 58301

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

Codes related to 58301
CodeHow it relatesOffice range, Tennessee
Often billed with
58300IUD insertionReported with removal when a new IUD is inserted during the same session.No office rate
99212Office visit, established patient, straightforwardEstablished-patient office E/M only when separately supported beyond routine removal care.$55.43
Used instead
58562Hysteroscopy, foreign-body removalHysteroscopic removal may be appropriate for an impacted intrauterine device.$365.62

How 58301 has changed in Tennessee

58301 · Office / nonfacility

$102.57

Effective 2026-10-01

The base rate is $5.63 higher than on 2025-10-01, moving from $96.94 to $102.57 (5.8%).

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

    $96.94changed to$102.57

    • 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
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $101.26changed to$96.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.85 changed to 1.80

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $99.60changed to$101.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $102.59changed to$99.60

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.20 changed to 0.21
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544

  5. January 1, 2023

    RVU23A

    $104.46changed to$102.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.28changed to$104.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.72 changed to 1.85

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $96.26changed to$101.28

    • 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
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $90.18changed to$96.26

    • 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
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $90.08changed to$90.18

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$90.08

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$102.57$53.68RVU26D
2026-07-01$102.57$53.68RVU26C
2026-04-01$102.57$53.68RVU26B
2026-01-01$102.57$53.68RVU26A
2025-10-01$96.94$59.27RVU25D
2025-07-01$96.94$59.27RVU25C
2025-04-01$96.94$59.27RVU25B
2025-01-01$96.94$59.27RVU25A
2024-10-01$101.26$60.99RVU24D
2024-07-01$101.26$60.99RVU24C
2024-04-01$101.26$60.99RVU24B
2024-03-09$101.26$60.99RVU24AR
2024-01-01$99.60$60.00RVU24A
2023-10-01$102.59$61.70RVU23D
2023-07-01$102.59$61.70RVU23C
2023-04-01$102.59$61.70RVU23B
2023-01-01$102.59$61.70RVU23A
2022-10-01$104.46$62.48RVU22D
2022-07-01$104.46$62.48RVU22C
2022-04-01$104.46$62.48RVU22B
2022-01-01$104.46$62.48RVU22A
2021-10-01$101.28$63.00RVU21D
2021-07-01$101.28$63.00RVU21C
2021-04-01$101.28$63.00RVU21B
2021-01-01$101.28$63.00RVU21A
2020-10-01$96.26$65.19RVU20D
2020-07-01$96.26$65.19RVU20C
2020-04-01$96.26$65.19RVU20B
2020-01-01$96.26$65.19RVU20A
2019-10-01$90.18$64.52RVU19D
2019-07-01$90.18$64.52RVU19C
2019-04-01$90.18$64.52RVU19B
2019-01-01$90.18$64.52RVU19A
2018-10-01$90.08$64.78RVU18D
2018-07-01$90.08$64.78RVU18C
2018-04-01$90.08$64.78RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 58301 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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
RVUs for 58301PPRRVU2026_Oct_nonQPP.csv, line 6,541 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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