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CPT code 58562: Hysteroscopy, foreign-body removal2026 Medicare rate & RVUs in Puerto Rico

Report this surgical hysteroscopy when the clinician uses a hysteroscope to remove a foreign body from the uterine cavity, such as a retained device.

CMS RVU26DEffective Oct 1, 2026One payment locality175 Medicare services in 2024

In Puerto Rico, Medicare pays $400.83 for 58562 in the office and $195.18 when it’s performed in a hospital or facility.

$400.83Office (non-facility)
$195.18Hospital or facility
+0.6%vs the national office rate ($398.47)

Check a contract rate as a % of Medicare · 58562 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 58562 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 58562 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 58562 covers

A gynecologist or other qualified clinician uses a hysteroscope passed through the cervix to locate and remove a foreign body from the uterine cavity. A typical situation is retrieving an intrauterine device that cannot be removed with a simple office traction attempt or whose strings are not accessible. The service may be performed in an office or a facility, depending on the case and resources needed.

Report 58562 when the operative work removes a foreign body; the operative note should identify the object, its location, the hysteroscopic approach, and the removal performed. A diagnostic examination that precedes the removal is part of the surgical service. The code 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. Bilateral adjustment is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Puerto Rico compares for 58562

Across 109 of 109 payment localities, the office rate for 58562 runs from $352.84 in Arkansas to $510.77 in San Benito County, CA. Puerto Rico pays $400.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

58562 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$400.83
  2. Los Angeles, CA · California$441.11+$40.28
  3. Washington, DC area · District of Columbia$451.77+$50.94
  4. Miami, FL · Florida$443.27+$42.44
  5. Chicago, IL · Illinois$430.02+$29.19
  6. Manhattan, NY · New York$459.89+$59.06
  7. Alaska · Alaska$469.36+$68.53

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

Every other payment area

58562 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$357.93$179.94
ArkansasArkansas$352.84$178.11
ArizonaArizona$387.59$190.49
Bakersfield, CACalifornia$415.63$192.70
Chico, CACalifornia$413.72$190.78
El Centro, CACalifornia$413.83$190.89
Fresno, CACalifornia$413.72$190.78
Hanford, CACalifornia$413.72$190.78

58562 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.

$352.84

$469.36

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

View every state and territory as a table
58562 office rate range by state
State / territoryOffice rate rangeLocalities
AK$469.361
AL$357.931
AR$352.841
AZ$387.591
CA$413.72–$510.7729
CO$410.771
CT$424.751
DC$451.771
DE$393.881
FL$399.10–$443.273
GA$376.32–$407.362
GU$422.541
HI$422.541
IA$363.911
ID$366.861
IL$389.90–$430.024
IN$368.881
KS$363.641
KY$369.291
LA$369.29–$387.082
MA$408.96–$448.942
MD$400.86–$451.773
ME$370.25–$387.882
MI$380.04–$405.462
MN$389.601
MO$364.00–$386.733
MS$358.421
MT$398.431
NC$373.831
ND$384.981
NE$365.441
NH$405.701
NJ$428.47–$447.502
NM$382.661
NV$394.931
NY$379.45–$472.675
OH$377.301
OK$367.141
OR$390.75–$421.992
PA$377.09–$415.272
PR$400.831
RI$406.601
SC$376.411
SD$383.391
TN$365.621
TX$374.77–$410.388
UT$381.431
VA$387.62–$451.772
VI$400.831
VT$384.801
WA$407.75–$456.562
WI$372.441
WV$376.101
WY$392.571

See 58562 in every payment locality

How the 58562 rate is calculated

Each of 58562’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 · 58562

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense7.35

7.35 RVUs× 1.000 GPCI

Malpractice0.68

0.68 RVUs× 1.000 GPCI

Adjusted RVUs

11.9300

Conversion factor

$33.4009

Medicare rate

$398.47

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,571

Code
58562
Physician work
3.90
Practice expense
7.35
Malpractice
0.68

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 58562 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense7.35× 1.0117.4308
Malpractice0.68× 0.9850.6698
Total RVUs12.0006
Conversion factor× 33.4009

Office rate, Puerto Rico$400.83

Office: (3.9 × 1 + 7.35 × 1.011 + 0.68 × 0.985) × $33.4009 = $400.83

Facility: (3.9 × 1 + 1.26 × 1.011 + 0.68 × 0.985) × $33.4009 = $195.18

Open 58562 in the RVU calculator

Payment rules and modifiers for 58562

The CMS indicators that decide how 58562 is paid alongside other services.

CMS payment indicators · 58562

Hysteroscopy, foreign-body 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

58562 without 51 · national office

$398.47

Hysteroscopy, foreign-body removal

58562-51 · Second procedure: 50%

$199.24

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 58562

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

Codes related to 58562
CodeHow it relatesOffice range, Puerto Rico
Used instead
58555Hysteroscopy, diagnostic onlyDiagnostic hysteroscopy when no operative foreign-body removal is performed.$330.27
58558Hysteroscopy, biopsy or polyp removalHysteroscopic biopsy or tissue removal when sampling, rather than foreign-body removal, is the operative work.$1,281.75
58559Hysteroscopy, intrauterine adhesion lysisHysteroscopic treatment of intrauterine adhesions rather than removal of a foreign body.No office rate
58560Hysteroscopy, uterine septum resectionHysteroscopic resection of a uterine septum rather than foreign-body removal.No office rate
58561Myoma removal, hysteroscopic approachHysteroscopic removal of a uterine myoma rather than a foreign body.No office rate
58563Hysteroscopy, endometrial ablationHysteroscopic endometrial ablation for a different operative purpose.$2,028.88

How 58562 has changed in Puerto Rico

58562 · Office / nonfacility

$400.83

Effective 2026-10-01

The base rate is $3.90 higher than on 2025-10-01, moving from $396.93 to $400.83 (1.0%).

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

    $396.93changed to$400.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 7.57 changed to 7.35
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $432.93changed to$396.93

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.28 changed to 7.57
    • Malpractice RVU 0.68 changed to 0.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $425.86changed to$432.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $445.17changed to$425.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.42 changed to 8.28
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $443.24changed to$445.17

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $458.51changed to$443.24

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.54 changed to 8.42
    • Malpractice RVU 0.65 changed to 0.66
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $445.43changed to$458.51

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.07 changed to 8.54
    • Malpractice RVU 0.64 changed to 0.65

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $409.84changed to$445.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.69 changed to 8.07
    • Malpractice RVU 0.62 changed to 0.64
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $375.77changed to$409.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.92 changed to 6.69
    • Malpractice RVU 0.47 changed to 0.62
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $347.44changed to$375.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.14 changed to 5.92
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $313.06changed to$347.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.15 changed to 5.14
    • Malpractice RVU 0.49 changed to 0.48
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $344.24changed to$313.06

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.20 changed to 4.00
    • Practice expense RVU 6.00 changed to 5.15
    • Malpractice RVU 0.63 changed to 0.49
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $340.44changed to$344.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.78 changed to 6.00
    • Malpractice RVU 0.68 changed to 0.63

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $338.75changed to$340.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $335.39changed to$338.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.69 changed to 5.78
    • Malpractice RVU 0.83 changed to 0.68
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $328.92changed to$335.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.27 changed to 5.69
    • Malpractice RVU 0.87 changed to 0.83
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $328.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$400.83$195.18RVU26D
2026-07-01$400.83$195.18RVU26C
2026-04-01$400.83$195.18RVU26B
2026-01-01$400.83$195.18RVU26A
2025-10-01$396.93$214.52RVU25D
2025-07-01$396.93$214.52RVU25C
2025-04-01$396.93$214.52RVU25B
2025-01-01$396.93$214.52RVU25A
2024-10-01$432.93$220.74RVU24D
2024-07-01$432.93$220.74RVU24C
2024-04-01$432.93$220.74RVU24B
2024-03-09$432.93$220.74RVU24AR
2024-01-01$425.86$217.14RVU24A
2023-10-01$445.17$223.82RVU23D
2023-07-01$443.24$223.66RVU23C
2023-04-01$443.24$223.66RVU23B
2023-01-01$443.24$223.66RVU23A
2022-10-01$458.51$226.18RVU22D
2022-07-01$458.51$226.18RVU22C
2022-04-01$458.51$226.18RVU22B
2022-01-01$458.51$226.18RVU22A
2021-10-01$445.43$227.72RVU21D
2021-07-01$445.43$227.72RVU21C
2021-04-01$445.43$227.72RVU21B
2021-01-01$445.43$227.72RVU21A
2020-10-01$409.84$233.77RVU20D
2020-07-01$409.84$233.77RVU20C
2020-04-01$409.84$233.77RVU20B
2020-01-01$409.84$233.77RVU20A
2019-10-01$375.77$228.79RVU19D
2019-07-01$375.77$228.79RVU19C
2019-04-01$375.77$228.79RVU19B
2019-01-01$375.77$228.79RVU19A
2018-10-01$347.44$230.71RVU18D
2018-07-01$347.44$230.71RVU18C
2018-04-01$347.44$230.71RVU18B
2018-01-01$347.44$230.71RVU18AR1
2017-10-01$313.06$220.89RVU17D
2017-07-01$313.06$220.89RVU17C
2017-04-01$313.06$220.89RVU17B
2017-01-01$313.06$220.89RVU17A
2016-10-01$344.24$252.87RVU16D
2016-07-01$344.24$252.87RVU16C
2016-04-01$344.24$252.87RVU16B
2016-01-01$344.24$252.87RVU16A
2015-10-01$340.44$254.56RVU15D
2015-07-01$340.44$254.56RVU15C
2015-04-01$338.75$253.29RVU15B
2015-01-01$338.75$253.29RVU15A
2014-10-01$335.39$253.58RVU14D
2014-07-01$335.39$253.58RVU14C
2014-04-01$335.39$253.58RVU14B
2014-01-01$335.39$253.58RVU14A
2013-10-01$328.92$244.04RVU13D
2013-07-01$328.92$244.04RVU13C
2013-04-01$328.92$244.04RVU13B
2013-01-01$328.92$244.04RVU13AR

Price 58562 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

58562 billing questions

When should 58562 be chosen over diagnostic hysteroscopy?

Use 58562 when hysteroscopic operative work removes a foreign body from the uterine cavity. A diagnostic examination without removal is a different service.

Is the diagnostic examination separately reported with 58562?

The diagnostic look that guides the foreign-body removal is included in the surgical hysteroscopy. Do not report a separate diagnostic hysteroscopy for that same operative session.

What documentation supports 58562?

Document the foreign body, its intrauterine location, the hysteroscopic technique, and the work performed to remove it. If removal was unsuccessful or only attempted, the note should clearly describe what occurred.

Can modifier 50 be used for bilateral removal?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.

How does the 0-day global period affect same-day care?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 58562. Co-surgeons are permitted, but 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 58562PPRRVU2026_Oct_nonQPP.csv, line 6,571 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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