CPT code 58561: Myoma removal, hysteroscopic approach2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $314.06 for 58561 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $314.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58561 rates by state

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

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.

Payment rules and modifiers for 58561

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

What modifiers do to the payment

When to use modifier 51

Codes related to 58561

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

How 58561 has changed in Puerto Rico

Price 58561 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates