CPT code 58565: Hysteroscopic sterilization, bilateral tubal implants2026 Medicare rate & RVUs in Washington, DC area
Reports permanent contraception performed by hysteroscopic placement of occlusive implants in both fallopian tubes through the uterine cavity.
In Washington, DC area, Medicare pays $1,832.83 for 58565 in the office and $444.70 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 58565 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 58565 covers
A gynecologist passes a hysteroscope through the cervix to view the uterine cavity and place occlusive implants at both tubal openings, creating a transcervical method of permanent contraception. The procedure is typically performed in an operating or ambulatory surgery setting. It is distinct from tubal occlusion performed through abdominal incisions or laparoscopy because access is through the uterus and cervix.
Report 58565 when the documented service includes hysteroscopic implant placement for both tubes. The code is priced as bilateral, so modifier 50 does not increase payment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. CMS permits co-surgeons; team surgery is not permitted, and an assistant at surgery is not paid under the statutory restriction.
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 Washington, DC area compares for 58565
Across 109 of 109 payment localities, the office rate for 58565 runs from $1,378.06 in Arkansas to $2,168.14 in San Benito County, CA. Washington, DC area pays $1,832.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,832.83
- Los Angeles, CA · California$1,818.07−$14.76
- Miami, FL · Florida$1,698.55−$134.28
- Chicago, IL · Illinois$1,643.48−$189.35
- Manhattan, NY · New York$1,833.47+$0.64
- Alaska · Alaska$1,765.29−$67.54
- Alabama · Alabama$1,401.10−$431.73
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $1,378.06 | $365.83 |
| ArizonaArizona | $1,536.06 | $394.20 |
| Bakersfield, CACalifornia | $1,696.76 | $405.26 |
| Chico, CACalifornia | $1,693.33 | $401.82 |
| El Centro, CACalifornia | $1,693.53 | $402.02 |
| Fresno, CACalifornia | $1,693.33 | $401.82 |
| Hanford, CACalifornia | $1,693.33 | $401.82 |
| Madera, CACalifornia | $1,693.33 | $401.82 |
| Merced, CACalifornia | $1,693.33 | $401.82 |
| Modesto, CACalifornia | $1,693.33 | $401.82 |
| Napa, CACalifornia | $1,993.66 | $440.55 |
| Oxnard, CACalifornia | $1,812.08 | $419.23 |
| Redding, CACalifornia | $1,693.33 | $401.82 |
| Rest of CaliforniaCalifornia | $1,693.33 | $401.82 |
| Riverside, CACalifornia | $1,706.48 | $414.97 |
| Sacramento, CACalifornia | $1,785.50 | $415.04 |
| Salinas, CACalifornia | $1,779.10 | $413.35 |
| San Diego, CACalifornia | $1,827.58 | $418.24 |
| Marin County, CACalifornia | $2,119.60 | $458.08 |
| San Francisco, CACalifornia | $2,118.22 | $456.70 |
| San Benito County, CACalifornia | $2,168.14 | $468.91 |
| Santa Clara County, CACalifornia | $2,162.47 | $463.24 |
| San Luis Obispo, CACalifornia | $1,749.66 | $407.48 |
| Santa Cruz, CACalifornia | $1,850.14 | $418.41 |
| Santa Maria, CACalifornia | $1,787.57 | $413.58 |
| Santa Rosa, CACalifornia | $1,869.26 | $422.20 |
| Stockton, CACalifornia | $1,693.33 | $401.82 |
| Vallejo, CACalifornia | $1,991.67 | $438.56 |
| Visalia, CACalifornia | $1,693.33 | $401.82 |
| Yuba City, CACalifornia | $1,693.33 | $401.82 |
| ColoradoColorado | $1,660.23 | $406.43 |
| ConnecticutConnecticut | $1,696.60 | $427.48 |
| DelawareDelaware | $1,563.86 | $399.62 |
| Fort Lauderdale, FLFlorida | $1,632.49 | $438.79 |
| Rest of FloridaFlorida | $1,545.39 | $418.86 |
| Atlanta, GAGeorgia | $1,612.38 | $415.14 |
| Rest of GeorgiaGeorgia | $1,448.88 | $397.76 |
| Hawaii, Guam, HIHawaii | $1,744.85 | $405.02 |
| IowaIowa | $1,446.61 | $368.39 |
| IdahoIdaho | $1,456.26 | $372.15 |
| East St. Louis, ILIllinois | $1,519.06 | $434.94 |
| Rest of IllinoisIllinois | $1,491.51 | $415.64 |
| Suburban Chicago, ILIllinois | $1,650.99 | $440.78 |
| IndianaIndiana | $1,465.96 | $373.60 |
| KansasKansas | $1,436.56 | $371.31 |
| KentuckyKentucky | $1,433.66 | $386.08 |
| New Orleans, LALouisiana | $1,510.79 | $401.93 |
| Rest of LouisianaLouisiana | $1,430.18 | $387.31 |
| Metropolitan Boston, MAMassachusetts | $1,841.69 | $434.70 |
| Rest of MassachusettsMassachusetts | $1,647.40 | $406.56 |
| Baltimore area, MDMaryland | $1,691.53 | $427.12 |
| Rest of MarylandMaryland | $1,597.23 | $404.71 |
| Rest of MaineMaine | $1,462.33 | $378.22 |
| Southern Maine, MEMaine | $1,555.71 | $387.93 |
| Detroit, MIMichigan | $1,564.64 | $427.50 |
| Rest of MichiganMichigan | $1,473.82 | $397.96 |
| MinnesotaMinnesota | $1,591.84 | $379.28 |
| Metropolitan Kansas City, MOMissouri | $1,501.69 | $395.19 |
| Metropolitan St. Louis, MOMissouri | $1,519.74 | $397.92 |
| Rest of MissouriMissouri | $1,400.70 | $384.93 |
| MississippiMississippi | $1,389.81 | $375.22 |
| MontanaMontana | $1,582.45 | $404.07 |
| North CarolinaNorth Carolina | $1,480.06 | $380.62 |
| North DakotaNorth Dakota | $1,558.33 | $379.95 |
| NebraskaNebraska | $1,456.32 | $368.67 |
| New HampshireNew Hampshire | $1,631.15 | $404.45 |
| Northern New JerseyNew Jersey | $1,809.51 | $442.58 |
| Rest of New JerseyNew Jersey | $1,716.28 | $429.48 |
| New MexicoNew Mexico | $1,482.00 | $401.42 |
| NevadaNevada | $1,577.04 | $397.48 |
| NYC suburbs and Long Island, NYNew York | $1,879.88 | $478.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,725.97 | $435.64 |
| Queens, NYNew York | $1,853.80 | $460.95 |
| Rest of New YorkNew York | $1,504.93 | $385.47 |
| OhioOhio | $1,468.89 | $393.03 |
| OklahomaOklahoma | $1,433.28 | $380.98 |
| Portland, OROregon | $1,721.22 | $412.04 |
| Rest of OregonOregon | $1,565.19 | $391.52 |
| Metropolitan Philadelphia, PAPennsylvania | $1,648.28 | $421.58 |
| Rest of PennsylvaniaPennsylvania | $1,472.87 | $391.12 |
| Puerto RicoPuerto Rico | $1,596.33 | $404.99 |
| Rhode IslandRhode Island | $1,625.77 | $408.50 |
| South CarolinaSouth Carolina | $1,476.86 | $388.04 |
| South DakotaSouth Dakota | $1,555.48 | $377.09 |
| TennesseeTennessee | $1,444.46 | $373.31 |
| Austin, TXTexas | $1,654.33 | $407.60 |
| Beaumont, TXTexas | $1,461.74 | $389.41 |
| Brazoria, TXTexas | $1,563.63 | $395.86 |
| Dallas, TXTexas | $1,573.59 | $399.92 |
| Fort Worth, TXTexas | $1,561.02 | $399.14 |
| Galveston, TXTexas | $1,568.21 | $398.08 |
| Houston, TXTexas | $1,590.54 | $420.41 |
| Rest of TexasTexas | $1,511.77 | $393.49 |
| UtahUtah | $1,499.78 | $392.10 |
| VirginiaVirginia | $1,548.28 | $389.93 |
| Virgin Islands, VIUnited States Virgin Islands | $1,596.33 | $404.99 |
| VermontVermont | $1,549.30 | $382.70 |
| Rest of WashingtonWashington | $1,645.24 | $404.40 |
| King County, WAWashington | $1,884.03 | $438.16 |
| WisconsinWisconsin | $1,499.32 | $370.43 |
| West VirginiaWest Virginia | $1,428.49 | $404.47 |
| WyomingWyoming | $1,571.94 | $393.56 |
58565 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$1,378.06
$1,930.74
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,765.29 | 1 |
| AL | $1,401.10 | 1 |
| AR | $1,378.06 | 1 |
| AZ | $1,536.06 | 1 |
| CA | $1,693.33–$2,168.14 | 29 |
| CO | $1,660.23 | 1 |
| CT | $1,696.60 | 1 |
| DC | $1,832.83 | 1 |
| DE | $1,563.86 | 1 |
| FL | $1,545.39–$1,698.55 | 3 |
| GA | $1,448.88–$1,612.38 | 2 |
| GU | $1,744.85 | 1 |
| HI | $1,744.85 | 1 |
| IA | $1,446.61 | 1 |
| ID | $1,456.26 | 1 |
| IL | $1,491.51–$1,650.99 | 4 |
| IN | $1,465.96 | 1 |
| KS | $1,436.56 | 1 |
| KY | $1,433.66 | 1 |
| LA | $1,430.18–$1,510.79 | 2 |
| MA | $1,647.40–$1,841.69 | 2 |
| MD | $1,597.23–$1,832.83 | 3 |
| ME | $1,462.33–$1,555.71 | 2 |
| MI | $1,473.82–$1,564.64 | 2 |
| MN | $1,591.84 | 1 |
| MO | $1,400.70–$1,519.74 | 3 |
| MS | $1,389.81 | 1 |
| MT | $1,582.45 | 1 |
| NC | $1,480.06 | 1 |
| ND | $1,558.33 | 1 |
| NE | $1,456.32 | 1 |
| NH | $1,631.15 | 1 |
| NJ | $1,716.28–$1,809.51 | 2 |
| NM | $1,482.00 | 1 |
| NV | $1,577.04 | 1 |
| NY | $1,504.93–$1,879.88 | 5 |
| OH | $1,468.89 | 1 |
| OK | $1,433.28 | 1 |
| OR | $1,565.19–$1,721.22 | 2 |
| PA | $1,472.87–$1,648.28 | 2 |
| PR | $1,596.33 | 1 |
| RI | $1,625.77 | 1 |
| SC | $1,476.86 | 1 |
| SD | $1,555.48 | 1 |
| TN | $1,444.46 | 1 |
| TX | $1,461.74–$1,654.33 | 8 |
| UT | $1,499.78 | 1 |
| VA | $1,548.28–$1,832.83 | 2 |
| VI | $1,596.33 | 1 |
| VT | $1,549.30 | 1 |
| WA | $1,645.24–$1,884.03 | 2 |
| WI | $1,499.32 | 1 |
| WV | $1,428.49 | 1 |
| WY | $1,571.94 | 1 |
How the 58565 rate is calculated
Each of 58565’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 · 58565
RVUs × geographic indexes × conversion factor
Work6.94
6.94 RVUs× 1.000 GPCI
Practice expense39.22
39.22 RVUs× 1.000 GPCI
Malpractice1.22
1.22 RVUs× 1.000 GPCI
Adjusted RVUs
47.3800
Conversion factor
$33.4009
Medicare rate
$1,582.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,573
- Code
- 58565
- Physician work
- 6.94
- Practice expense
- 39.22
- Malpractice
- 1.22
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.94 | × 1.054 | 7.3148 |
| Practice expense | 39.22 | × 1.178 | 46.2012 |
| Malpractice | 1.22 | × 1.113 | 1.3579 |
| Total RVUs | 54.8738 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$1832.83
Office: (6.94 × 1.054 + 39.22 × 1.178 + 1.22 × 1.113) × $33.4009 = $1832.83
Facility: (6.94 × 1.054 + 3.94 × 1.178 + 1.22 × 1.113) × $33.4009 = $444.70
Payment rules and modifiers for 58565
58565 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58565
Hysteroscopic sterilization, bilateral tubal implants
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58565
Hysteroscopic sterilization, bilateral tubal implants
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58565 without 51 · national office
$1,582.53
Hysteroscopic sterilization, bilateral tubal implants
58565-51 · Second procedure: 50%
$791.27
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%).
How 58565 has changed in Washington, DC area
58565 · Office / nonfacility
$1832.83
Effective 2026-10-01
The base rate is $44.56 higher than on 2025-10-01, moving from $1788.27 to $1832.83 (2.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1788.27changed to$1832.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.12 changed to 6.94
- Practice expense RVU 38.91 changed to 39.22
- Malpractice RVU 1.18 changed to 1.22
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1939.47changed to$1788.27
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 41.38 changed to 38.91
- Malpractice RVU 1.21 changed to 1.18
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1907.81changed to$1939.47
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2050.37changed to$1907.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 42.45 changed to 41.38
- Malpractice RVU 1.18 changed to 1.21
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$2176.15changed to$2050.37
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 43.58 changed to 42.45
- Malpractice RVU 1.17 changed to 1.18
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$2300.23changed to$2176.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 46.07 changed to 43.58
- Malpractice RVU 1.14 changed to 1.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2234.06changed to$2300.23
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 43.40 changed to 46.07
- Malpractice RVU 1.13 changed to 1.14
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$2210.12changed to$2234.06
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 43.86 changed to 43.40
- Malpractice RVU 0.82 changed to 1.13
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2245.88changed to$2210.12
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 44.74 changed to 43.86
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2260.82changed to$2245.88
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 45.20 changed to 44.74
- Malpractice RVU 0.84 changed to 0.82
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$2231.95changed to$2260.82
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 44.63 changed to 45.20
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$2243.58changed to$2231.95
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 44.67 changed to 44.63
- Malpractice RVU 0.88 changed to 0.84
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$2232.41changed to$2243.58
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$2214.63changed to$2232.41
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 44.06 changed to 44.67
- Malpractice RVU 1.15 changed to 0.88
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$2314.18changed to$2214.63
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 49.41 changed to 44.06
- Malpractice RVU 1.20 changed to 1.15
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $2314.18
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,832.83 | $444.70 | RVU26D |
| 2026-07-01 | $1,832.83 | $444.70 | RVU26C |
| 2026-04-01 | $1,832.83 | $444.70 | RVU26B |
| 2026-01-01 | $1,832.83 | $444.70 | RVU26A |
| 2025-10-01 | $1,788.27 | $498.92 | RVU25D |
| 2025-07-01 | $1,788.27 | $498.92 | RVU25C |
| 2025-04-01 | $1,788.27 | $498.92 | RVU25B |
| 2025-01-01 | $1,788.27 | $498.92 | RVU25A |
| 2024-10-01 | $1,939.47 | $516.19 | RVU24D |
| 2024-07-01 | $1,939.47 | $516.19 | RVU24C |
| 2024-04-01 | $1,939.47 | $516.19 | RVU24B |
| 2024-03-09 | $1,939.47 | $516.19 | RVU24AR |
| 2024-01-01 | $1,907.81 | $507.77 | RVU24A |
| 2023-10-01 | $2,050.37 | $529.45 | RVU23D |
| 2023-07-01 | $2,050.37 | $529.45 | RVU23C |
| 2023-04-01 | $2,050.37 | $529.45 | RVU23B |
| 2023-01-01 | $2,050.37 | $529.45 | RVU23A |
| 2022-10-01 | $2,176.15 | $542.21 | RVU22D |
| 2022-07-01 | $2,176.15 | $542.21 | RVU22C |
| 2022-04-01 | $2,176.15 | $542.21 | RVU22B |
| 2022-01-01 | $2,176.15 | $542.21 | RVU22A |
| 2021-10-01 | $2,300.23 | $536.30 | RVU21D |
| 2021-07-01 | $2,300.23 | $536.30 | RVU21C |
| 2021-04-01 | $2,300.23 | $536.30 | RVU21B |
| 2021-01-01 | $2,300.23 | $536.30 | RVU21A |
| 2020-10-01 | $2,234.06 | $529.62 | RVU20D |
| 2020-07-01 | $2,234.06 | $529.62 | RVU20C |
| 2020-04-01 | $2,234.06 | $529.62 | RVU20B |
| 2020-01-01 | $2,234.06 | $529.62 | RVU20A |
| 2019-10-01 | $2,210.12 | $499.53 | RVU19D |
| 2019-07-01 | $2,210.12 | $499.53 | RVU19C |
| 2019-04-01 | $2,210.12 | $499.53 | RVU19B |
| 2019-01-01 | $2,210.12 | $499.53 | RVU19A |
| 2018-10-01 | $2,245.88 | $489.44 | RVU18D |
| 2018-07-01 | $2,245.88 | $489.44 | RVU18C |
| 2018-04-01 | $2,245.88 | $489.44 | RVU18B |
| 2018-01-01 | $2,245.88 | $489.44 | RVU18AR1 |
| 2017-10-01 | $2,260.82 | $494.66 | RVU17D |
| 2017-07-01 | $2,260.82 | $494.66 | RVU17C |
| 2017-04-01 | $2,260.82 | $494.66 | RVU17B |
| 2017-01-01 | $2,260.82 | $494.66 | RVU17A |
| 2016-10-01 | $2,231.95 | $491.51 | RVU16D |
| 2016-07-01 | $2,231.95 | $491.51 | RVU16C |
| 2016-04-01 | $2,231.95 | $491.51 | RVU16B |
| 2016-01-01 | $2,231.95 | $491.51 | RVU16A |
| 2015-10-01 | $2,243.58 | $494.26 | RVU15D |
| 2015-07-01 | $2,243.58 | $494.26 | RVU15C |
| 2015-04-01 | $2,232.41 | $491.80 | RVU15B |
| 2015-01-01 | $2,232.41 | $491.80 | RVU15A |
| 2014-10-01 | $2,214.63 | $502.61 | RVU14D |
| 2014-07-01 | $2,214.63 | $502.61 | RVU14C |
| 2014-04-01 | $2,214.63 | $502.61 | RVU14B |
| 2014-01-01 | $2,214.63 | $502.61 | RVU14A |
| 2013-10-01 | $2,314.18 | $491.82 | RVU13D |
| 2013-07-01 | $2,314.18 | $491.82 | RVU13C |
| 2013-04-01 | $2,314.18 | $491.82 | RVU13B |
| 2013-01-01 | $2,314.18 | $491.82 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
58565 billing questions
When should 58565 be chosen over laparoscopic sterilization?
Use 58565 for transcervical hysteroscopic placement of occlusive implants in both tubes. Laparoscopic tubal occlusion or fulguration is reported with a different code based on the method.
Should modifier 50 be appended?
The code is already priced as bilateral. Modifier 50 does not increase payment.
How does CMS price another endoscopy performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Separate reporting depends on the distinct service and applicable coding edits.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits co-surgeons for this code, but team surgery is not permitted. An assistant at surgery is not paid under the statutory restriction.
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
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