CPT code 58561: Myoma removal, hysteroscopic approach2026 Medicare rate & RVUs in New Mexico

Reports operative hysteroscopy to remove uterine leiomyomas, typically intracavitary fibroids treated through the cervix without abdominal access.

CMS RVU26DEffective Oct 1, 2026One payment locality2.4K Medicare services in 2024

In New Mexico, Medicare pays $316.67 for 58561 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$316.67Hospital or facility

Check a contract rate as a % of Medicare · 58561 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 58561 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 58561 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 58561 covers

The surgeon passes a hysteroscope through the cervix to visualize and remove uterine leiomyomas from the uterine cavity. This is commonly performed by a gynecologist in an operating room or ambulatory surgery setting for patients with intracavitary fibroids, including those associated with abnormal uterine bleeding or fertility concerns. The operative inspection is part of the removal service.

Report this code when the operative hysteroscopy removes leiomyoma tissue; document the fibroid findings and the removal performed. It has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; 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 New Mexico compares for 58561

Across 109 of 109 payment localities, the facility rate for 58561 runs from $284.85 in Wisconsin to $408.20 in Alaska. New Mexico pays $316.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

58561 in New Mexico vs other payment areas
  1. New Mexico · this page$316.67
  2. Los Angeles, CA · California$320.94+$4.27
  3. Washington, DC area · District of Columbia$340.69+$24.02
  4. Miami, FL · Florida$375.18+$58.51
  5. Chicago, IL · Illinois$365.52+$48.85
  6. Manhattan, NY · New York$360.04+$43.37
  7. Alaska · Alaska$408.20+$91.53

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

Every other payment area

58561 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$289.74
ArkansasArkansas—$286.81
ArizonaArizona—$306.56
Bakersfield, CACalifornia—$308.84
Chico, CACalifornia—$305.61
El Centro, CACalifornia—$305.80
Fresno, CACalifornia—$305.61
Hanford, CACalifornia—$305.61

58561 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
58561 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 58561 in every payment locality

How the 58561 rate is calculated

Each of 58561’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 · 58561

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.44

6.44 RVUs× 1.000 GPCI

Practice expense1.81

1.81 RVUs× 1.000 GPCI

Malpractice1.15

1.15 RVUs× 1.000 GPCI

Adjusted RVUs

9.4000

Conversion factor

$33.4009

Medicare rate

$313.97

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,570

Code
58561
Physician work
6.44
Practice expense
1.81
Malpractice
1.15

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 58561 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.44× 1.0006.4400
Practice expense1.81× 0.9171.6598
Malpractice1.15× 1.2011.3811
Total RVUs9.4809
Conversion factor× 33.4009

Facility rate, New Mexico$316.67

Facility: (6.44 × 1 + 1.81 × 0.917 + 1.15 × 1.201) × $33.4009 = $316.67

Open 58561 in the RVU calculator

Payment rules and modifiers for 58561

The CMS indicators that decide how 58561 is paid alongside other services.

CMS payment indicators · 58561

Myoma removal, hysteroscopic approach

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)0Not paid without supporting documentation.
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

58561 without 51 · national facility

$313.97

Myoma removal, hysteroscopic approach

58561-51 · Second procedure: 50%

$156.99

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 58561 has changed in New Mexico

58561 · 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$316.67RVU26D
2026-07-01Not available in this setting$316.67RVU26C
2026-04-01Not available in this setting$316.67RVU26B
2026-01-01Not available in this setting$316.67RVU26A
2025-10-01Not available in this setting$343.39RVU25D
2025-07-01Not available in this setting$343.39RVU25C
2025-04-01Not available in this setting$343.39RVU25B
2025-01-01Not available in this setting$343.39RVU25A
2024-10-01Not available in this setting$353.55RVU24D
2024-07-01Not available in this setting$353.55RVU24C
2024-04-01Not available in this setting$353.55RVU24B
2024-03-09Not available in this setting$353.55RVU24AR
2024-01-01Not available in this setting$347.78RVU24A
2023-10-01Not available in this setting$357.40RVU23D
2023-07-01Not available in this setting$357.40RVU23C
2023-04-01Not available in this setting$357.40RVU23B
2023-01-01Not available in this setting$357.40RVU23A
2022-10-01Not available in this setting$360.88RVU22D
2022-07-01Not available in this setting$360.88RVU22C
2022-04-01Not available in this setting$360.88RVU22B
2022-01-01Not available in this setting$360.88RVU22A
2021-10-01Not available in this setting$362.55RVU21D
2021-07-01Not available in this setting$362.55RVU21C
2021-04-01Not available in this setting$362.55RVU21B
2021-01-01Not available in this setting$362.55RVU21A
2020-10-01Not available in this setting$376.56RVU20D
2020-07-01Not available in this setting$376.56RVU20C
2020-04-01Not available in this setting$376.56RVU20B
2020-01-01Not available in this setting$376.56RVU20A
2019-10-01Not available in this setting$368.62RVU19D
2019-07-01Not available in this setting$368.62RVU19C
2019-04-01Not available in this setting$368.62RVU19B
2019-01-01Not available in this setting$368.62RVU19A
2018-10-01Not available in this setting$369.43RVU18D
2018-07-01Not available in this setting$369.43RVU18C
2018-04-01Not available in this setting$369.43RVU18B
2018-01-01Not available in this setting$369.43RVU18AR1
2017-10-01Not available in this setting$440.28RVU17D
2017-07-01Not available in this setting$440.28RVU17C
2017-04-01Not available in this setting$440.28RVU17B
2017-01-01Not available in this setting$440.28RVU17A
2016-10-01Not available in this setting$548.73RVU16D
2016-07-01Not available in this setting$548.73RVU16C
2016-04-01Not available in this setting$548.73RVU16B
2016-01-01Not available in this setting$548.73RVU16A
2015-10-01Not available in this setting$553.71RVU15D
2015-07-01Not available in this setting$553.71RVU15C
2015-04-01Not available in this setting$550.96RVU15B
2015-01-01Not available in this setting$550.96RVU15A
2014-10-01Not available in this setting$562.11RVU14D
2014-07-01Not available in this setting$562.11RVU14C
2014-04-01Not available in this setting$562.11RVU14B
2014-01-01Not available in this setting$562.11RVU14A
2013-10-01Not available in this setting$542.39RVU13D
2013-07-01Not available in this setting$542.39RVU13C
2013-04-01Not available in this setting$542.39RVU13B
2013-01-01Not available in this setting$542.39RVU13AR

Price 58561 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

58561 billing questions

When should this code be chosen over 58558?

Use 58561 when hysteroscopy removes uterine leiomyoma tissue. Code 58558 describes hysteroscopic sampling or polyp removal, rather than myoma removal.

Can diagnostic hysteroscopy be reported separately?

The inspection used to locate a myoma during the same session is part of the operative hysteroscopy. Do not separately report 58555 for that diagnostic inspection.

Is modifier 50 appropriate for multiple or bilateral myomas?

No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate.

When is an assistant at surgery payable?

CMS pays an assistant at surgery only when the record documents medical necessity.

How does this differ from laparoscopic myomectomy?

This code is for removal through a hysteroscope passed through the cervix. Code 58545 describes myomectomy performed laparoscopically.

What is included in the global period?

The global period is 0 days. 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 58561PPRRVU2026_Oct_nonQPP.csv, line 6,570 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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