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CPT code 58558: Hysteroscopy, biopsy or polyp removal2026 Medicare rate & RVUs in Virginia

Report this service when a clinician uses hysteroscopy to sample the endometrium or remove an endometrial polyp, with or without curettage.

CMS RVU26DEffective Oct 1, 2026One payment locality48.1K Medicare services in 2024

In Virginia, Medicare pays $1,243.96 for 58558 in the office and $196.59 when it’s performed in a hospital or facility.

$1,243.96Office (non-facility)
$196.59Hospital or facility
−2.0%vs the national office rate ($1,269.90)

Check a contract rate as a % of Medicare · 58558 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 58558 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 58558 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 58558 covers

A gynecologist passes a hysteroscope through the cervix to inspect the uterine cavity and obtain endometrial tissue or remove a polyp under direct visualization. The procedure is commonly performed in an operating room or ambulatory surgery center for abnormal uterine bleeding, a suspected endometrial lesion, or a polyp identified on imaging or earlier evaluation. Tissue is typically sent for pathology. The code also covers curettage performed with the hysteroscopic service.

Choose this code when the operative hysteroscopy includes endometrial sampling or polypectomy, rather than diagnostic inspection alone or removal of a submucosal fibroid. Document the indication, hysteroscopic findings, tissue sampling or polyp removal, and any curettage performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid; co-surgeons are permitted, while team surgery is 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 Virginia compares for 58558

Across 109 of 109 payment localities, the office rate for 58558 runs from $1,101.74 in Arkansas to $1,764.28 in San Benito County, CA. Virginia pays $1,243.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

58558 in Virginia vs other payment areas
  1. Virginia · this page$1,243.96
  2. Los Angeles, CA · California$1,470.51+$226.55
  3. Washington, DC area · District of Columbia$1,477.52+$233.56
  4. Miami, FL · Florida$1,352.18+$108.22
  5. Chicago, IL · Illinois$1,307.55+$63.59
  6. Manhattan, NY · New York$1,472.50+$228.54
  7. Alaska · Alaska$1,399.22+$155.26

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

Every other payment area

58558 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,120.73$188.42
ArkansasArkansas$1,101.74$186.49
ArizonaArizona$1,232.03$199.57
Bakersfield, CACalifornia$1,369.63$201.86
Chico, CACalifornia$1,367.61$199.83
El Centro, CACalifornia$1,367.73$199.95
Fresno, CACalifornia$1,367.61$199.83
Hanford, CACalifornia$1,367.61$199.83

58558 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.

$1,101.74

$1,565.95

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

View every state and territory as a table
58558 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,399.221
AL$1,120.731
AR$1,101.741
AZ$1,232.031
CA$1,367.61–$1,764.2829
CO$1,337.301
CT$1,363.131
DC$1,477.521
DE$1,254.831
FL$1,233.16–$1,352.183
GA$1,154.65–$1,292.902
GU$1,411.841
HI$1,411.841
IA$1,161.061
ID$1,168.441
IL$1,186.88–$1,319.394
IN$1,176.521
KS$1,151.421
KY$1,144.661
LA$1,141.25–$1,207.692
MA$1,326.02–$1,488.152
MD$1,282.61–$1,477.523
ME$1,172.02–$1,251.042
MI$1,176.44–$1,247.552
MN$1,285.161
MO$1,116.11–$1,216.673
MS$1,109.351
MT$1,269.851
NC$1,186.861
ND$1,255.621
NE$1,169.481
NH$1,312.401
NJ$1,379.78–$1,457.692
NM$1,182.611
NV$1,267.001
NY$1,207.26–$1,508.995
OH$1,173.531
OK$1,145.781
OR$1,258.32–$1,389.122
PA$1,177.57–$1,322.502
PR$1,281.751
RI$1,306.511
SC$1,181.941
SD$1,253.931
TN$1,157.771
TX$1,168.30–$1,331.818
UT$1,200.851
VA$1,243.96–$1,477.522
VI$1,281.751
VT$1,246.921
WA$1,324.75–$1,524.252
WI$1,206.641
WV$1,134.871
WY$1,263.651

See 58558 in every payment locality

How the 58558 rate is calculated

Each of 58558’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 · 58558

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.07

4.07 RVUs× 1.000 GPCI

Practice expense33.23

33.23 RVUs× 1.000 GPCI

Malpractice0.72

0.72 RVUs× 1.000 GPCI

Adjusted RVUs

38.0200

Conversion factor

$33.4009

Medicare rate

$1,269.90

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,567

Code
58558
Physician work
4.07
Practice expense
33.23
Malpractice
0.72

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 58558 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.07× 1.0004.0700
Practice expense33.23× 0.98332.6651
Malpractice0.72× 0.7060.5083
Total RVUs37.2434
Conversion factor× 33.4009

Office rate, Virginia$1243.96

Office: (4.07 × 1 + 33.23 × 0.983 + 0.72 × 0.706) × $33.4009 = $1243.96

Facility: (4.07 × 1 + 1.33 × 0.983 + 0.72 × 0.706) × $33.4009 = $196.59

Open 58558 in the RVU calculator

Payment rules and modifiers for 58558

The CMS indicators that decide how 58558 is paid alongside other services.

CMS payment indicators · 58558

Hysteroscopy, biopsy or polyp removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)2Permitted.
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

58558 without 51 · national office

$1,269.90

Hysteroscopy, biopsy or polyp removal

58558-51 · Second procedure: 50%

$634.95

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 58558

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

Codes related to 58558
CodeHow it relatesOffice range, Virginia
Same family
58555Hysteroscopy, diagnostic onlyDiagnostic hysteroscopy without endometrial sampling or polyp removal.$319.72
58559Hysteroscopy, intrauterine adhesion lysisHysteroscopic treatment of intrauterine adhesions.No office rate
58561Myoma removal, hysteroscopic approachHysteroscopic removal of a uterine leiomyoma.No office rate
58563Hysteroscopy, endometrial ablationHysteroscopic endometrial ablation.$1,970.17
Used instead
58100Endometrial biopsy, without cervical dilationEndometrial sampling without hysteroscopic visualization.$95.26

How 58558 has changed in Virginia

58558 · Office / nonfacility

$1243.96

Effective 2026-10-01

The base rate is $58.93 higher than on 2025-10-01, moving from $1185.03 to $1243.96 (5.0%).

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

    $1185.03changed to$1243.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.17 changed to 4.07
    • Practice expense RVU 32.44 changed to 33.23
    • Malpractice RVU 0.71 changed to 0.72
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1292.54changed to$1185.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 34.67 changed to 32.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1271.45changed to$1292.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1356.29changed to$1271.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 35.64 changed to 34.67
    • Malpractice RVU 0.69 changed to 0.71
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $1429.84changed to$1356.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 36.73 changed to 35.64
    • Malpractice RVU 0.67 changed to 0.69
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1486.89changed to$1429.84

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 38.05 changed to 36.73
    • Malpractice RVU 0.65 changed to 0.67

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1415.97changed to$1486.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 34.80 changed to 38.05
    • Malpractice RVU 0.64 changed to 0.65
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1381.90changed to$1415.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 34.19 changed to 34.80
    • Malpractice RVU 0.51 changed to 0.64
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1367.96changed to$1381.90

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 33.84 changed to 34.19

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1361.37changed to$1367.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 33.82 changed to 33.84
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $402.16changed to$1361.37

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.74 changed to 4.17
    • Practice expense RVU 6.11 changed to 33.82
    • Malpractice RVU 0.59 changed to 0.52
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $396.38changed to$402.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.88 changed to 6.11
    • Malpractice RVU 0.62 changed to 0.59

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $394.41changed to$396.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $394.88changed to$394.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.80 changed to 5.88
    • Malpractice RVU 0.77 changed to 0.62
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $393.57changed to$394.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.39 changed to 5.80
    • Malpractice RVU 0.80 changed to 0.77
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $393.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,243.96$196.59RVU26D
2026-07-01$1,243.96$196.59RVU26C
2026-04-01$1,243.96$196.59RVU26B
2026-01-01$1,243.96$196.59RVU26A
2025-10-01$1,185.03$218.06RVU25D
2025-07-01$1,185.03$218.06RVU25C
2025-04-01$1,185.03$218.06RVU25B
2025-01-01$1,185.03$218.06RVU25A
2024-10-01$1,292.54$223.75RVU24D
2024-07-01$1,292.54$223.75RVU24C
2024-04-01$1,292.54$223.75RVU24B
2024-03-09$1,292.54$223.75RVU24AR
2024-01-01$1,271.45$220.10RVU24A
2023-10-01$1,356.29$228.73RVU23D
2023-07-01$1,356.29$228.73RVU23C
2023-04-01$1,356.29$228.73RVU23B
2023-01-01$1,356.29$228.73RVU23A
2022-10-01$1,429.84$232.59RVU22D
2022-07-01$1,429.84$232.59RVU22C
2022-04-01$1,429.84$232.59RVU22B
2022-01-01$1,429.84$232.59RVU22A
2021-10-01$1,486.89$233.90RVU21D
2021-07-01$1,486.89$233.90RVU21C
2021-04-01$1,486.89$233.90RVU21B
2021-01-01$1,486.89$233.90RVU21A
2020-10-01$1,415.97$240.38RVU20D
2020-07-01$1,415.97$240.38RVU20C
2020-04-01$1,415.97$240.38RVU20B
2020-01-01$1,415.97$240.38RVU20A
2019-10-01$1,381.90$236.26RVU19D
2019-07-01$1,381.90$236.26RVU19C
2019-04-01$1,381.90$236.26RVU19B
2019-01-01$1,381.90$236.26RVU19A
2018-10-01$1,367.96$237.43RVU18D
2018-07-01$1,367.96$237.43RVU18C
2018-04-01$1,367.96$237.43RVU18B
2018-01-01$1,367.96$237.43RVU18AR1
2017-10-01$1,361.37$237.58RVU17D
2017-07-01$1,361.37$237.58RVU17C
2017-04-01$1,361.37$237.58RVU17B
2017-01-01$1,361.37$237.58RVU17A
2016-10-01$402.16$265.61RVU16D
2016-07-01$402.16$265.61RVU16C
2016-04-01$402.16$265.61RVU16B
2016-01-01$402.16$265.61RVU16A
2015-10-01$396.38$267.81RVU15D
2015-07-01$396.38$267.81RVU15C
2015-04-01$394.41$266.47RVU15B
2015-01-01$394.41$266.47RVU15A
2014-10-01$394.88$269.90RVU14D
2014-07-01$394.88$269.90RVU14C
2014-04-01$394.88$269.90RVU14B
2014-01-01$394.88$269.90RVU14A
2013-10-01$393.57$261.94RVU13D
2013-07-01$393.57$261.94RVU13C
2013-04-01$393.57$261.94RVU13B
2013-01-01$393.57$261.94RVU13AR

Price 58558 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

58558 billing questions

When should I report this instead of diagnostic hysteroscopy?

Report 58558 when the hysteroscopy includes endometrial sampling or polyp removal. Diagnostic inspection alone is represented by 58555.

Can curettage be reported separately?

Curettage performed with this hysteroscopic service is included in the code. The descriptor covers the service with or without curettage.

Can I report a separate diagnostic hysteroscopy during the same session?

Do not report diagnostic hysteroscopy as a separate service when it is part of the operative hysteroscopy. CMS endoscopy family pricing applies when related endoscopies are performed together.

Should modifier 50 be used for bilateral findings?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What should the operative note support?

Document the clinical indication, hysteroscopic findings, whether endometrial tissue was sampled or a polyp was removed, and any curettage performed.

Are assistant or co-surgeon services payable?

CMS does not pay an assistant at surgery for this service. Co-surgeons are permitted; team surgery is not.

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 58558PPRRVU2026_Oct_nonQPP.csv, line 6,567 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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