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Billing code 58560: HysteroscopyMedicare rate & RVUs

Report this procedure when a gynecologist uses hysteroscopy to resect or divide a congenital uterine septum within the uterine cavity.

CMS RVU26DEffective Oct 1, 2026109 payment localities26 Medicare services in 2024

Medicare pays $274.89 for 58560 nationally in a facility.

Medicare rate · 58560

Hysteroscopy

Work RVUs
5.61
Total RVUs
8.23
Global days
000

National rate · 2026

$274.89

Facility setting, before claim adjustments.

See every locality for 58560 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 58560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58560 covers

A gynecologist passes a hysteroscope through the cervix to visualize and surgically divide or resect a septum that partially separates the uterine cavity. The procedure is commonly performed in an operating room for a patient with a diagnosed uterine septum; it is distinct from removing an intracavitary fibroid or releasing intrauterine adhesions. The operative report should identify the septum and describe the hysteroscopic treatment performed.

Report the code for the septum procedure rather than a diagnostic-only examination or treatment directed at a different uterine finding. Documentation should support the septum diagnosis, the hysteroscopic approach, and the work completed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this service. CMS permits payment for an assistant at surgery and co-surgeons; team-surgery payment 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.

Where 58560 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58560 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$253.63
Alaska*Unavailable$357.10
ArizonaUnavailable$268.40
ArkansasUnavailable$251.06
AtlantaUnavailable$283.03
AustinUnavailable$274.59
BakersfieldUnavailable$270.58
Baltimore/Surr. CntysUnavailable$289.75
BeaumontUnavailable$267.65
BrazoriaUnavailable$268.55

58560 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
58560 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 58560 rate is calculated

Each of 58560’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 · 58560

RVUs × geographic indexes × conversion factor

Work5.61

5.61 RVUs× 1.000 GPCI

Practice expense1.62

1.62 RVUs× 1.000 GPCI

Malpractice1.00

1.00 RVUs× 1.000 GPCI

Adjusted RVUs

8.2300

Conversion factor

$33.4009

Medicare rate

$274.89

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

Payment rules and modifiers for 58560

The CMS indicators that decide how 58560 is paid alongside other services.

CMS payment indicators · 58560

Hysteroscopy

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)2Paid.
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

58560 without 51 · national facility

$274.89

Hysteroscopy

58560-51 · Second procedure: 50%

$137.45

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

58560 compared with similar codes

Compare codes · National

4 codes, side by side

  • 58560

    Hysteroscopy5.61 wRVU

    Not priced

  • 58555

    Hysteroscopy2.58 wRVU

    $328.00

  • 58559

    Hysteroscopy5.07 wRVU

    Not priced

  • 58561

    Myoma removal6.44 wRVU

    Not priced

How to choose

58555Hysteroscopy
Use this code for diagnostic hysteroscopy when no operative septum treatment is performed; septum resection is a therapeutic procedure.
58559Hysteroscopy
This code addresses intrauterine adhesions or scar bands. The septum code applies when the structure treated is a uterine septum.
58561Myoma removal
This code is for hysteroscopic removal of a uterine fibroid. It does not describe treatment of a uterine septum.

Codes related to 58560

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

Codes related to 58560
CodeHow it relatesNational office range
Same family
58555HysteroscopyDiagnostic hysteroscopy without the septum-directed operative treatment.$288.73–$430.74
58558HysteroscopyHysteroscopic sampling or removal of endometrial tissue, rather than septum resection.$1,101.74–$1,764.28
58559HysteroscopyHysteroscopic treatment of intrauterine adhesions.No office rate
58561Myoma removalHysteroscopic removal of a uterine fibroid.No office rate

58560 billing questions

How is septum resection different from hysteroscopic lysis of adhesions?

This code is for surgically treating a uterine septum. Use the adhesiolysis code when the procedure releases intrauterine scar bands rather than treating a septum.

Can diagnostic hysteroscopy be reported with this procedure?

When a diagnostic examination is part of the septum procedure, it should not be treated as a separate diagnostic service. If related endoscopies are performed together, CMS endoscopy family pricing applies.

Should modifier 50 be appended for a septum involving both sides of the cavity?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What documentation supports reporting this code?

Document the uterine septum, the hysteroscopic approach, and the operative steps used to divide or resect it. The record should distinguish septum treatment from work directed at a fibroid or adhesions.

What care is included in the 0-day global period?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can an assistant or co-surgeon be paid for this procedure?

CMS permits payment for an assistant at surgery and for co-surgeons. Team-surgery payment is not permitted.

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 58560PPRRVU2026_Oct_nonQPP.csv, line 6,569 (RVU26D)

Open CMS sourceHow we calculate rates

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