CPT code 58565: Hysteroscopic sterilization, bilateral tubal implants2026 Medicare rate & RVUs in Iowa

Reports permanent contraception performed by hysteroscopic placement of occlusive implants in both fallopian tubes through the uterine cavity.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Iowa, Medicare pays $1,446.61 for 58565 in the office and $368.39 when it’s performed in a hospital or facility.

$1,446.61Office (non-facility)

$368.39Hospital or facility

−8.6%vs the national office rate ($1,582.53)

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

Rate in Iowa
What 58565 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

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 Iowa 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. Iowa pays $1,446.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

58565 in Iowa vs other payment areas

Iowa · this page$1,446.61
Los Angeles, CA · California$1,818.07+$371.46
Washington, DC area · District of Columbia$1,832.83+$386.22
Miami, FL · Florida$1,698.55+$251.94
Chicago, IL · Illinois$1,643.48+$196.87
Manhattan, NY · New York$1,833.47+$386.86
Alaska · Alaska$1,765.29+$318.68

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

Every other payment area

58565 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$1,401.10	$370.02
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
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.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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

58565 office rate range by state
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

See 58565 in every payment locality

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

Office or facility?

Your ZIP

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 Iowa 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

Locality: Iowa
Physician work: 1.000
Practice expense: 0.915
Malpractice: 0.397

Office calculation for 58565 in Iowa
Component	RVU	Locality factor	Adjusted
Physician work	6.94	× 1.000	6.9400
Practice expense	39.22	× 0.915	35.8863
Malpractice	1.22	× 0.397	0.4843
Total RVUs			43.3106
Conversion factor			× 33.4009

Office rate, Iowa$1446.61

Office: (6.94 × 1 + 39.22 × 0.915 + 1.22 × 0.397) × $33.4009 = $1446.61

Facility: (6.94 × 1 + 3.94 × 0.915 + 1.22 × 0.397) × $33.4009 = $368.39

Open 58565 in the RVU calculator

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

Date of surgery

Date of a later visit

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.

24Unrelated E/M visit by the same physician
79Unrelated procedure (starts its own global period)
58Staged, more extensive, or therapy procedure that was planned
78Unplanned return to the operating room for a related complication

SurgeryVisit

Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

Codes related to 58565

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

Codes related to 58565
Code	How it relates	Office range, Iowa
Used instead
58671	Tubal occlusion, laparoscopic device methodLaparoscopic tubal occlusion by device rather than hysteroscopic implant placement.	No office rate
58670	Tubal sterilization, laparoscopic cauteryLaparoscopic tubal fulguration, with or without transection.	No office rate
58600	Tubal division, abdominal or vaginal approachTubal ligation or transection by an abdominal or vaginal approach.	No office rate

How 58565 has changed in Iowa

58565 · Office / nonfacility

$1446.61

Effective 2026-10-01

Compare with release effective

The base rate is $49.76 higher than on 2025-10-01, moving from $1396.85 to $1446.61 (3.6%).

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

January 1, 2026
RVU26A
$1396.85changed to$1446.61
- 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
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1513.01changed to$1396.85
- 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
$1488.32changed to$1513.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1567.96changed to$1488.32
- 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
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$1631.49changed to$1567.96
- 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
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1723.37changed to$1631.49
- 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
$1694.87changed to$1723.37
- 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
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1702.77changed to$1694.87
- 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
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1729.64changed to$1702.77
- 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
$1732.53changed to$1729.64
- 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
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1701.51changed to$1732.53
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 44.63 changed to 45.20
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1709.65changed to$1701.51
- 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
$1701.14changed to$1709.65
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1682.52changed to$1701.14
- 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
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$1751.98changed to$1682.52
- 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
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1751.98
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,446.61	$368.39	RVU26D
2026-07-01	$1,446.61	$368.39	RVU26C
2026-04-01	$1,446.61	$368.39	RVU26B
2026-01-01	$1,446.61	$368.39	RVU26A
2025-10-01	$1,396.85	$409.29	RVU25D
2025-07-01	$1,396.85	$409.29	RVU25C
2025-04-01	$1,396.85	$409.29	RVU25B
2025-01-01	$1,396.85	$409.29	RVU25A
2024-10-01	$1,513.01	$422.87	RVU24D
2024-07-01	$1,513.01	$422.87	RVU24C
2024-04-01	$1,513.01	$422.87	RVU24B
2024-03-09	$1,513.01	$422.87	RVU24AR
2024-01-01	$1,488.32	$415.97	RVU24A
2023-10-01	$1,567.96	$427.90	RVU23D
2023-07-01	$1,567.96	$427.90	RVU23C
2023-04-01	$1,567.96	$427.90	RVU23B
2023-01-01	$1,567.96	$427.90	RVU23A
2022-10-01	$1,631.49	$432.47	RVU22D
2022-07-01	$1,631.49	$432.47	RVU22C
2022-04-01	$1,631.49	$432.47	RVU22B
2022-01-01	$1,631.49	$432.47	RVU22A
2021-10-01	$1,723.37	$428.96	RVU21D
2021-07-01	$1,723.37	$428.96	RVU21C
2021-04-01	$1,723.37	$428.96	RVU21B
2021-01-01	$1,723.37	$428.96	RVU21A
2020-10-01	$1,694.87	$428.75	RVU20D
2020-07-01	$1,694.87	$428.75	RVU20C
2020-04-01	$1,694.87	$428.75	RVU20B
2020-01-01	$1,694.87	$428.75	RVU20A
2019-10-01	$1,702.77	$415.21	RVU19D
2019-07-01	$1,702.77	$415.21	RVU19C
2019-04-01	$1,702.77	$415.21	RVU19B
2019-01-01	$1,702.77	$415.21	RVU19A
2018-10-01	$1,729.64	$407.57	RVU18D
2018-07-01	$1,729.64	$407.57	RVU18C
2018-04-01	$1,729.64	$407.57	RVU18B
2018-01-01	$1,729.64	$407.57	RVU18AR1
2017-10-01	$1,732.53	$410.47	RVU17D
2017-07-01	$1,732.53	$410.47	RVU17C
2017-04-01	$1,732.53	$410.47	RVU17B
2017-01-01	$1,732.53	$410.47	RVU17A
2016-10-01	$1,701.51	$407.38	RVU16D
2016-07-01	$1,701.51	$407.38	RVU16C
2016-04-01	$1,701.51	$407.38	RVU16B
2016-01-01	$1,701.51	$407.38	RVU16A
2015-10-01	$1,709.65	$408.91	RVU15D
2015-07-01	$1,709.65	$408.91	RVU15C
2015-04-01	$1,701.14	$406.88	RVU15B
2015-01-01	$1,701.14	$406.88	RVU15A
2014-10-01	$1,682.52	$412.03	RVU14D
2014-07-01	$1,682.52	$412.03	RVU14C
2014-04-01	$1,682.52	$412.03	RVU14B
2014-01-01	$1,682.52	$412.03	RVU14A
2013-10-01	$1,751.98	$402.70	RVU13D
2013-07-01	$1,751.98	$402.70	RVU13C
2013-04-01	$1,751.98	$402.70	RVU13B
2013-01-01	$1,751.98	$402.70	RVU13AR

Price 58565 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

Ackley
Ackworth
Adair
Adel
Afton
Agency
Ainsworth
Akron

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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

Show the CMS file lines behind this rate

RVUs for 58565PPRRVU2026_Oct_nonQPP.csv, line 6,573 (RVU26D)

6,57058561,,[CPT descriptor omitted],A,,6.44,1.81,NA,1.81,,1.15,9.40,9.40,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00

6,57158562,,[CPT descriptor omitted],A,,3.90,7.35,,1.26,,0.68,11.93,5.84,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00

6,57258563,,[CPT descriptor omitted],A,,4.36,55.01,,1.36,,0.78,60.15,6.50,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00

6,57358565,,[CPT descriptor omitted],A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00

6,57458570,,[CPT descriptor omitted],A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00

6,57558571,,[CPT descriptor omitted],A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00

6,57658572,,[CPT descriptor omitted],A,,17.27,7.57,NA,7.57,,3.47,28.31,28.31,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772

5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563

5208102,IN,00,INDIANA,1.000,0.927,0.486

5305102,IA,00,IOWA,1.000,0.915,0.397

5405202,KS,00,KANSAS,1.000,0.904,0.504

5515102,KY,00,KENTUCKY,1.000,0.889,0.915

5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136

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58565 billing questions

When should 58565 be chosen over laparoscopic sterilization?

Should modifier 50 be appended?

How does CMS price another endoscopy performed in the same session?

What postoperative care is included in the global period?

Can an assistant or co-surgeon be reported?

Where these rates come from

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Put 58565 and the rest of your codes on one sheet