CPT code 58559: Hysteroscopy, intrauterine adhesion lysis2026 Medicare rate & RVUs in Mississippi

Report this operative hysteroscopy when the surgeon uses an instrument to divide adhesions inside the uterine cavity, such as those causing cavity distortion.

CMS RVU26DEffective Oct 1, 2026One payment locality183 Medicare services in 2024

In Mississippi, Medicare pays $234.45 for 58559 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$234.45Hospital or facility

Check a contract rate as a % of Medicare · 58559 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 58559 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 58559 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 58559 covers

A gynecologist or other qualified surgeon uses a hysteroscope passed through the cervix to visualize and divide scar bands within the uterine cavity. This treatment may be performed for intrauterine adhesions that distort the cavity, including adhesions associated with Asherman syndrome. The procedure is commonly done in a hospital or ambulatory surgery center; it may also be performed in an appropriately equipped office setting.

Select this code when the operative work is lysis of intrauterine adhesions, not simply diagnostic inspection or treatment of a septum, myoma, polyp, or retained foreign body. The operative report should identify the adhesions and document the hysteroscopic treatment 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. CMS does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is not.

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 Mississippi compares for 58559

Across 109 of 109 payment localities, the facility rate for 58559 runs from $226.50 in Wisconsin to $323.75 in Alaska. Mississippi pays $234.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

58559 in Mississippi vs other payment areas
  1. Mississippi · this page$234.45
  2. Los Angeles, CA · California$255.29+$20.84
  3. Washington, DC area · District of Columbia$270.59+$36.14
  4. Miami, FL · Florida$296.68+$62.23
  5. Chicago, IL · Illinois$289.10+$54.65
  6. Manhattan, NY · New York$285.54+$51.09
  7. Alaska · Alaska$323.75+$89.30

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

Every other payment area

58559 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$230.01
ArkansasArkansas—$227.69
ArizonaArizona—$243.34
Bakersfield, CACalifornia—$245.57
Chico, CACalifornia—$243.07
El Centro, CACalifornia—$243.21
Fresno, CACalifornia—$243.07
Hanford, CACalifornia—$243.07

58559 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
58559 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 58559 in every payment locality

How the 58559 rate is calculated

Each of 58559’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 · 58559

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.07

5.07 RVUs× 1.000 GPCI

Practice expense1.50

1.50 RVUs× 1.000 GPCI

Malpractice0.89

0.89 RVUs× 1.000 GPCI

Adjusted RVUs

7.4600

Conversion factor

$33.4009

Medicare rate

$249.17

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,568

Code
58559
Physician work
5.07
Practice expense
1.50
Malpractice
0.89

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 58559 in Mississippi
ComponentRVULocality factorAdjusted
Physician work5.07× 1.0005.0700
Practice expense1.50× 0.8611.2915
Malpractice0.89× 0.7390.6577
Total RVUs7.0192
Conversion factor× 33.4009

Facility rate, Mississippi$234.45

Facility: (5.07 × 1 + 1.5 × 0.861 + 0.89 × 0.739) × $33.4009 = $234.45

Open 58559 in the RVU calculator

Payment rules and modifiers for 58559

The CMS indicators that decide how 58559 is paid alongside other services.

CMS payment indicators · 58559

Hysteroscopy, intrauterine adhesion lysis

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

58559 without 51 · national facility

$249.17

Hysteroscopy, intrauterine adhesion lysis

58559-51 · Second procedure: 50%

$124.59

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

How 58559 has changed in Mississippi

58559 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$234.45RVU26D
2026-07-01Not available in this setting$234.45RVU26C
2026-04-01Not available in this setting$234.45RVU26B
2026-01-01Not available in this setting$234.45RVU26A
2025-10-01Not available in this setting$256.51RVU25D
2025-07-01Not available in this setting$256.51RVU25C
2025-04-01Not available in this setting$256.51RVU25B
2025-01-01Not available in this setting$256.51RVU25A
2024-10-01Not available in this setting$263.94RVU24D
2024-07-01Not available in this setting$263.94RVU24C
2024-04-01Not available in this setting$263.94RVU24B
2024-03-09Not available in this setting$263.94RVU24AR
2024-01-01Not available in this setting$259.63RVU24A
2023-10-01Not available in this setting$265.88RVU23D
2023-07-01Not available in this setting$265.88RVU23C
2023-04-01Not available in this setting$265.88RVU23B
2023-01-01Not available in this setting$265.88RVU23A
2022-10-01Not available in this setting$268.11RVU22D
2022-07-01Not available in this setting$268.11RVU22C
2022-04-01Not available in this setting$268.11RVU22B
2022-01-01Not available in this setting$268.11RVU22A
2021-10-01Not available in this setting$269.45RVU21D
2021-07-01Not available in this setting$269.45RVU21C
2021-04-01Not available in this setting$269.45RVU21B
2021-01-01Not available in this setting$269.45RVU21A
2020-10-01Not available in this setting$274.57RVU20D
2020-07-01Not available in this setting$274.57RVU20C
2020-04-01Not available in this setting$274.57RVU20B
2020-01-01Not available in this setting$274.57RVU20A
2019-10-01Not available in this setting$269.75RVU19D
2019-07-01Not available in this setting$269.75RVU19C
2019-04-01Not available in this setting$269.75RVU19B
2019-01-01Not available in this setting$269.75RVU19A
2018-10-01Not available in this setting$271.16RVU18D
2018-07-01Not available in this setting$271.16RVU18C
2018-04-01Not available in this setting$271.16RVU18B
2018-01-01Not available in this setting$271.16RVU18AR1
2017-10-01Not available in this setting$273.84RVU17D
2017-07-01Not available in this setting$273.84RVU17C
2017-04-01Not available in this setting$273.84RVU17B
2017-01-01Not available in this setting$273.84RVU17A
2016-10-01Not available in this setting$322.71RVU16D
2016-07-01Not available in this setting$322.71RVU16C
2016-04-01Not available in this setting$322.71RVU16B
2016-01-01Not available in this setting$322.71RVU16A
2015-10-01Not available in this setting$324.53RVU15D
2015-07-01Not available in this setting$324.53RVU15C
2015-04-01Not available in this setting$322.92RVU15B
2015-01-01Not available in this setting$322.92RVU15A
2014-10-01Not available in this setting$331.73RVU14D
2014-07-01Not available in this setting$331.73RVU14C
2014-04-01Not available in this setting$331.73RVU14B
2014-01-01Not available in this setting$331.73RVU14A
2013-10-01Not available in this setting$326.34RVU13D
2013-07-01Not available in this setting$326.34RVU13C
2013-04-01Not available in this setting$326.34RVU13B
2013-01-01Not available in this setting$326.34RVU13AR

Price 58559 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

58559 billing questions

How is this different from diagnostic hysteroscopy?

This code is for operative division of adhesions inside the uterine cavity. Diagnostic hysteroscopy alone is reported with 58555; same-session diagnostic inspection is generally part of the operative hysteroscopy.

Can diagnostic hysteroscopy be billed separately on the same date?

Do not separately report 58555 for the inspection that guides the same-session adhesion treatment. The operative service includes visualization of the cavity.

Is the code reported per adhesion?

The code represents the hysteroscopic lysis service, not a unit for each adhesion or scar band. Document the findings and the treatment performed.

Should modifier 50 be used for adhesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.

What are the assistant and co-surgeon rules?

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

What global-period care is included?

The code has a 0-day global period. Same-day preoperative and postoperative care is included.

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 58559PPRRVU2026_Oct_nonQPP.csv, line 6,568 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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