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CPT code 58563: Hysteroscopy, endometrial ablation2026 Medicare rate & RVUs in Delaware

Hysteroscopic endometrial ablation destroys the uterine lining and is reported for an operative procedure to treat selected cases of abnormal uterine bleeding.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Delaware, Medicare pays $1,985.11 for 58563 in the office and $214.66 when it’s performed in a hospital or facility.

$1,985.11Office (non-facility)
$214.66Hospital or facility
−1.2%vs the national office rate ($2,009.06)

Check a contract rate as a % of Medicare · 58563 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 58563 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 58563 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 58563 covers

A gynecologic surgeon passes a hysteroscope through the cervix to inspect the uterine cavity and ablate the endometrium using an appropriate operative method. The procedure is commonly performed in a hospital or ambulatory surgery setting for patients with abnormal uterine bleeding after clinical evaluation. It treats the uterine lining; it is distinct from removing a fibroid or ablating a uterine fibroid.

Report the procedure when the operative record supports endometrial ablation, rather than diagnostic inspection or treatment of a separate intrauterine target. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS permits co-surgeons; assistant-at-surgery payment requires documented medical necessity, and 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 Delaware compares for 58563

Across 109 of 109 payment localities, the office rate for 58563 runs from $1,737.36 in Arkansas to $2,825.12 in San Benito County, CA. Delaware pays $1,985.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

58563 in Delaware vs other payment areas
  1. Delaware · this page$1,985.11
  2. Los Angeles, CA · California$2,342.52+$357.41
  3. Washington, DC area · District of Columbia$2,346.93+$361.82
  4. Miami, FL · Florida$2,124.23+$139.12
  5. Chicago, IL · Illinois$2,053.01+$67.90
  6. Manhattan, NY · New York$2,331.31+$346.20
  7. Alaska · Alaska$2,189.61+$204.50

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

Every other payment area

58563 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,768.08$200.12
ArkansasArkansas$1,737.36$198.07
ArizonaArizona$1,948.35$211.95
Bakersfield, CACalifornia$2,178.03$214.05
Chico, CACalifornia$2,175.84$211.85
El Centro, CACalifornia$2,175.97$211.98
Fresno, CACalifornia$2,175.84$211.85
Hanford, CACalifornia$2,175.84$211.85

58563 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.

$1,737.36

$2,500.48

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

View every state and territory as a table
58563 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,189.611
AL$1,768.081
AR$1,737.361
AZ$1,948.351
CA$2,175.84–$2,825.1229
CO$2,122.701
CT$2,158.931
DC$2,346.931
DE$1,985.111
FL$1,941.32–$2,124.233
GA$1,815.63–$2,044.142
GU$2,249.821
HI$2,249.821
IA$1,837.181
ID$1,848.341
IL$1,863.88–$2,079.814
IN$1,861.541
KS$1,819.751
KY$1,802.901
LA$1,796.67–$1,904.202
MA$2,103.49–$2,368.622
MD$2,030.43–$2,346.933
ME$1,852.23–$1,982.912
MI$1,852.57–$1,962.632
MN$2,044.011
MO$1,754.83–$1,920.923
MS$1,746.871
MT$2,009.011
NC$1,876.551
ND$1,993.591
NE$1,851.381
NH$2,081.141
NJ$2,186.46–$2,313.992
NM$1,861.801
NV$2,006.551
NY$1,909.46–$2,387.985
OH$1,849.421
OK$1,806.651
OR$1,993.98–$2,208.672
PA$1,856.97–$2,092.052
PR$2,028.881
RI$2,069.651
SC$1,865.521
SD$1,991.771
TN$1,829.801
TX$1,841.85–$2,112.958
UT$1,896.161
VA$1,970.17–$2,346.932
VI$2,028.881
VT$1,977.821
WA$2,102.11–$2,428.662
WI$1,913.871
WV$1,779.601
WY$2,002.291

See 58563 in every payment locality

How the 58563 rate is calculated

Each of 58563’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 · 58563

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.36

4.36 RVUs× 1.000 GPCI

Practice expense55.01

55.01 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

60.1500

Conversion factor

$33.4009

Medicare rate

$2,009.06

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,572

Code
58563
Physician work
4.36
Practice expense
55.01
Malpractice
0.78

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 58563 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.36× 1.0054.3818
Practice expense55.01× 0.98854.3499
Malpractice0.78× 0.8990.7012
Total RVUs59.4329
Conversion factor× 33.4009

Office rate, Delaware$1985.11

Office: (4.36 × 1.005 + 55.01 × 0.988 + 0.78 × 0.899) × $33.4009 = $1985.11

Facility: (4.36 × 1.005 + 1.36 × 0.988 + 0.78 × 0.899) × $33.4009 = $214.66

Open 58563 in the RVU calculator

Payment rules and modifiers for 58563

The CMS indicators that decide how 58563 is paid alongside other services.

CMS payment indicators · 58563

Hysteroscopy, endometrial ablation

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

58563 without 51 · national office

$2,009.06

Hysteroscopy, endometrial ablation

58563-51 · Second procedure: 50%

$1,004.53

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 58563

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

Codes related to 58563
CodeHow it relatesOffice range, Delaware
Same family
58555Hysteroscopy, diagnostic onlyDiagnostic hysteroscopy without the operative endometrial ablation.$324.19
58558Hysteroscopy, biopsy or polyp removalHysteroscopy with endometrial sampling or tissue removal, rather than ablation.$1,254.83
58559Hysteroscopy, intrauterine adhesion lysisHysteroscopic treatment of intrauterine adhesions.No office rate
58561Myoma removal, hysteroscopic approachHysteroscopic removal of uterine fibroid tissue, not endometrial ablation.No office rate
58562Hysteroscopy, foreign-body removalHysteroscopic removal of a foreign body from the uterus.$393.88

How 58563 has changed in Delaware

58563 · Office / nonfacility

$1985.11

Effective 2026-10-01

The base rate is $89.54 higher than on 2025-10-01, moving from $1895.57 to $1985.11 (4.7%).

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

    $1895.57changed to$1985.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.47 changed to 4.36
    • Practice expense RVU 53.82 changed to 55.01
    • Malpractice RVU 0.74 changed to 0.78
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2070.56changed to$1895.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 57.44 changed to 53.82
    • Malpractice RVU 0.75 changed to 0.74

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2036.77changed to$2070.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2197.59changed to$2036.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 59.24 changed to 57.44
    • Malpractice RVU 0.74 changed to 0.75
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $2341.25changed to$2197.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 61.14 changed to 59.24
    • Malpractice RVU 0.73 changed to 0.74
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2302.96changed to$2341.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 59.54 changed to 61.14
    • Malpractice RVU 0.71 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2046.72changed to$2302.96

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 50.46 changed to 59.54
    • Malpractice RVU 0.68 changed to 0.71
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1843.85changed to$2046.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 45.22 changed to 50.46
    • Malpractice RVU 0.52 changed to 0.68
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1648.87changed to$1843.85

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 39.96 changed to 45.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1653.30changed to$1648.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 39.97 changed to 39.96
    • Malpractice RVU 0.53 changed to 0.52
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1732.51changed to$1653.30

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.16 changed to 4.47
    • Practice expense RVU 40.12 changed to 39.97
    • Malpractice RVU 0.73 changed to 0.53
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1732.92changed to$1732.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 39.91 changed to 40.12
    • Malpractice RVU 0.78 changed to 0.73

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1724.30changed to$1732.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1717.96changed to$1724.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 39.35 changed to 39.91
    • Malpractice RVU 1.00 changed to 0.78
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1791.88changed to$1717.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 43.80 changed to 39.35
    • Malpractice RVU 1.05 changed to 1.00
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1791.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,985.11$214.66RVU26D
2026-07-01$1,985.11$214.66RVU26C
2026-04-01$1,985.11$214.66RVU26B
2026-01-01$1,985.11$214.66RVU26A
2025-10-01$1,895.57$237.59RVU25D
2025-07-01$1,895.57$237.59RVU25C
2025-04-01$1,895.57$237.59RVU25B
2025-01-01$1,895.57$237.59RVU25A
2024-10-01$2,070.56$244.16RVU24D
2024-07-01$2,070.56$244.16RVU24C
2024-04-01$2,070.56$244.16RVU24B
2024-03-09$2,070.56$244.16RVU24AR
2024-01-01$2,036.77$240.18RVU24A
2023-10-01$2,197.59$248.40RVU23D
2023-07-01$2,197.59$248.40RVU23C
2023-04-01$2,197.59$248.40RVU23B
2023-01-01$2,197.59$248.40RVU23A
2022-10-01$2,341.25$251.38RVU22D
2022-07-01$2,341.25$251.38RVU22C
2022-04-01$2,341.25$251.38RVU22B
2022-01-01$2,341.25$251.38RVU22A
2021-10-01$2,302.96$253.18RVU21D
2021-07-01$2,302.96$253.18RVU21C
2021-04-01$2,302.96$253.18RVU21B
2021-01-01$2,302.96$253.18RVU21A
2020-10-01$2,046.72$262.19RVU20D
2020-07-01$2,046.72$262.19RVU20C
2020-04-01$2,046.72$262.19RVU20B
2020-01-01$2,046.72$262.19RVU20A
2019-10-01$1,843.85$258.84RVU19D
2019-07-01$1,843.85$258.84RVU19C
2019-04-01$1,843.85$258.84RVU19B
2019-01-01$1,843.85$258.84RVU19A
2018-10-01$1,648.87$260.03RVU18D
2018-07-01$1,648.87$260.03RVU18C
2018-04-01$1,648.87$260.03RVU18B
2018-01-01$1,648.87$260.03RVU18AR1
2017-10-01$1,653.30$286.71RVU17D
2017-07-01$1,653.30$286.71RVU17C
2017-04-01$1,653.30$286.71RVU17B
2017-01-01$1,653.30$286.71RVU17A
2016-10-01$1,732.51$354.13RVU16D
2016-07-01$1,732.51$354.13RVU16C
2016-04-01$1,732.51$354.13RVU16B
2016-01-01$1,732.51$354.13RVU16A
2015-10-01$1,732.92$357.72RVU15D
2015-07-01$1,732.92$357.72RVU15C
2015-04-01$1,724.30$355.94RVU15B
2015-01-01$1,724.30$355.94RVU15A
2014-10-01$1,717.96$358.88RVU14D
2014-07-01$1,717.96$358.88RVU14C
2014-04-01$1,717.96$358.88RVU14B
2014-01-01$1,717.96$358.88RVU14A
2013-10-01$1,791.88$343.73RVU13D
2013-07-01$1,791.88$343.73RVU13C
2013-04-01$1,791.88$343.73RVU13B
2013-01-01$1,791.88$343.73RVU13AR

Price 58563 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

58563 billing questions

How does this differ from hysteroscopy with biopsy?

This code represents operative ablation of the endometrium. Use 58558 when the documented service is hysteroscopic tissue sampling or removal of endometrial tissue, rather than ablation.

Can diagnostic hysteroscopy be reported separately?

When the surgeon performs diagnostic inspection as part of the operative ablation, it is integral to that service. The record should identify the ablation performed, not just visualization.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inapplicable for this code; modifier 50 is inappropriate.

What is the global-period treatment?

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

When can an assistant-at-surgery be paid?

Only when documentation supports medical necessity. CMS permits co-surgeons, but not team surgery, for this code.

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 58563PPRRVU2026_Oct_nonQPP.csv, line 6,572 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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