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

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 Indiana, Medicare pays $1,465.96 for 58565 in the office and $373.60 when it’s performed in a hospital or facility.

$1,465.96Office (non-facility)
$373.60Hospital or facility
−7.4%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.

We’ll open 58565 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 58565 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 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 Indiana 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. Indiana pays $1,465.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

58565 in Indiana vs other payment areas
  1. Indiana · this page$1,465.96
  2. Los Angeles, CA · California$1,818.07+$352.11
  3. Washington, DC area · District of Columbia$1,832.83+$366.87
  4. Miami, FL · Florida$1,698.55+$232.59
  5. Chicago, IL · Illinois$1,643.48+$177.52
  6. Manhattan, NY · New York$1,833.47+$367.51
  7. Alaska · Alaska$1,765.29+$299.33

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

Every other payment area

58565 in every other Medicare payment locality
Payment localityOfficeFacility
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

58565 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.

$1,378.06

$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 / territoryOffice rate rangeLocalities
AK$1,765.291
AL$1,401.101
AR$1,378.061
AZ$1,536.061
CA$1,693.33–$2,168.1429
CO$1,660.231
CT$1,696.601
DC$1,832.831
DE$1,563.861
FL$1,545.39–$1,698.553
GA$1,448.88–$1,612.382
GU$1,744.851
HI$1,744.851
IA$1,446.611
ID$1,456.261
IL$1,491.51–$1,650.994
IN$1,465.961
KS$1,436.561
KY$1,433.661
LA$1,430.18–$1,510.792
MA$1,647.40–$1,841.692
MD$1,597.23–$1,832.833
ME$1,462.33–$1,555.712
MI$1,473.82–$1,564.642
MN$1,591.841
MO$1,400.70–$1,519.743
MS$1,389.811
MT$1,582.451
NC$1,480.061
ND$1,558.331
NE$1,456.321
NH$1,631.151
NJ$1,716.28–$1,809.512
NM$1,482.001
NV$1,577.041
NY$1,504.93–$1,879.885
OH$1,468.891
OK$1,433.281
OR$1,565.19–$1,721.222
PA$1,472.87–$1,648.282
PR$1,596.331
RI$1,625.771
SC$1,476.861
SD$1,555.481
TN$1,444.461
TX$1,461.74–$1,654.338
UT$1,499.781
VA$1,548.28–$1,832.832
VI$1,596.331
VT$1,549.301
WA$1,645.24–$1,884.032
WI$1,499.321
WV$1,428.491
WY$1,571.941

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?

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 Indiana 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

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 58565 in Indiana
ComponentRVULocality factorAdjusted
Physician work6.94× 1.0006.9400
Practice expense39.22× 0.92736.3569
Malpractice1.22× 0.4860.5929
Total RVUs43.8899
Conversion factor× 33.4009

Office rate, Indiana$1465.96

Office: (6.94 × 1 + 39.22 × 0.927 + 1.22 × 0.486) × $33.4009 = $1465.96

Facility: (6.94 × 1 + 3.94 × 0.927 + 1.22 × 0.486) × $33.4009 = $373.60

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
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.
Split (54/55/56)0.12/0.74/0.14Share 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.

  • 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
CodeHow it relatesOffice range, Indiana
Used instead
58671Tubal occlusion, laparoscopic device methodLaparoscopic tubal occlusion by device rather than hysteroscopic implant placement.No office rate
58670Tubal sterilization, laparoscopic cauteryLaparoscopic tubal fulguration, with or without transection.No office rate
58600Tubal division, abdominal or vaginal approachTubal ligation or transection by an abdominal or vaginal approach.No office rate

How 58565 has changed in Indiana

58565 · Office / nonfacility

$1465.96

Effective 2026-10-01

The base rate is $56.71 higher than on 2025-10-01, moving from $1409.25 to $1465.96 (4.0%).

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

    $1409.25changed to$1465.96

    • 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 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1526.54changed to$1409.25

    • 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.

  3. March 9, 2024

    RVU24AR

    $1501.62changed to$1526.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1570.75changed to$1501.62

    • 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 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485

  5. January 1, 2023

    RVU23A

    $1622.55changed to$1570.75

    • 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 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1713.71changed to$1622.55

    • 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.

  7. January 1, 2021

    RVU21A

    $1699.49changed to$1713.71

    • 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
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1720.44changed to$1699.49

    • 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
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1747.67changed to$1720.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 44.74 changed to 43.86

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1762.94changed to$1747.67

    • 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 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1745.19changed to$1762.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 44.63 changed to 45.20
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1753.70changed to$1745.19

    • 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.

  13. July 1, 2015

    RVU15C

    $1744.97changed to$1753.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1735.64changed to$1744.97

    • 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 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1818.90changed to$1735.64

    • 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 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1818.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,465.96$373.60RVU26D
2026-07-01$1,465.96$373.60RVU26C
2026-04-01$1,465.96$373.60RVU26B
2026-01-01$1,465.96$373.60RVU26A
2025-10-01$1,409.25$411.95RVU25D
2025-07-01$1,409.25$411.95RVU25C
2025-04-01$1,409.25$411.95RVU25B
2025-01-01$1,409.25$411.95RVU25A
2024-10-01$1,526.54$425.65RVU24D
2024-07-01$1,526.54$425.65RVU24C
2024-04-01$1,526.54$425.65RVU24B
2024-03-09$1,526.54$425.65RVU24AR
2024-01-01$1,501.62$418.70RVU24A
2023-10-01$1,570.75$429.45RVU23D
2023-07-01$1,570.75$429.45RVU23C
2023-04-01$1,570.75$429.45RVU23B
2023-01-01$1,570.75$429.45RVU23A
2022-10-01$1,622.55$432.79RVU22D
2022-07-01$1,622.55$432.79RVU22C
2022-04-01$1,622.55$432.79RVU22B
2022-01-01$1,622.55$432.79RVU22A
2021-10-01$1,713.71$429.29RVU21D
2021-07-01$1,713.71$429.29RVU21C
2021-04-01$1,713.71$429.29RVU21B
2021-01-01$1,713.71$429.29RVU21A
2020-10-01$1,699.49$429.18RVU20D
2020-07-01$1,699.49$429.18RVU20C
2020-04-01$1,699.49$429.18RVU20B
2020-01-01$1,699.49$429.18RVU20A
2019-10-01$1,720.44$415.84RVU19D
2019-07-01$1,720.44$415.84RVU19C
2019-04-01$1,720.44$415.84RVU19B
2019-01-01$1,720.44$415.84RVU19A
2018-10-01$1,747.67$408.11RVU18D
2018-07-01$1,747.67$408.11RVU18C
2018-04-01$1,747.67$408.11RVU18B
2018-01-01$1,747.67$408.11RVU18AR1
2017-10-01$1,762.94$414.50RVU17D
2017-07-01$1,762.94$414.50RVU17C
2017-04-01$1,762.94$414.50RVU17B
2017-01-01$1,762.94$414.50RVU17A
2016-10-01$1,745.19$414.95RVU16D
2016-07-01$1,745.19$414.95RVU16C
2016-04-01$1,745.19$414.95RVU16B
2016-01-01$1,745.19$414.95RVU16A
2015-10-01$1,753.70$416.67RVU15D
2015-07-01$1,753.70$416.67RVU15C
2015-04-01$1,744.97$414.60RVU15B
2015-01-01$1,744.97$414.60RVU15A
2014-10-01$1,735.64$422.42RVU14D
2014-07-01$1,735.64$422.42RVU14C
2014-04-01$1,735.64$422.42RVU14B
2014-01-01$1,735.64$422.42RVU14A
2013-10-01$1,818.90$414.87RVU13D
2013-07-01$1,818.90$414.87RVU13C
2013-04-01$1,818.90$414.87RVU13B
2013-01-01$1,818.90$414.87RVU13AR

Price 58565 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

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)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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