$324.09
Use 58555 for diagnostic cavity inspection without operative treatment. Adhesion division is reported with 58559, and the same-session inspection is not separately reported.
On this page
CMS RVU26D · Effective 2026-10-01
58559 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$241.44
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecologic surgery
About 58559: Hysteroscopic lysis of uterine adhesions
Report this operative hysteroscopy when the surgeon uses an instrument to divide adhesions inside the uterine cavity, such as those causing cavity distortion.
A gynecologist or other qualified surgeon uses a hysteroscope passed through the cervix to visualize and divide scar bands within the uterine cavity. This treatment may be performed for intrauterine adhesions that distort the cavity, including adhesions associated with Asherman syndrome. The procedure is commonly done in a hospital or ambulatory surgery center; it may also be performed in an appropriately equipped office setting.
Select this code when the operative work is lysis of intrauterine adhesions, not simply diagnostic inspection or treatment of a septum, myoma, polyp, or retained foreign body. The operative report should identify the adhesions and document the hysteroscopic treatment performed. 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. CMS does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is not.
CMS billing rules for 58559
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.07 · 68%
- Practice expense (office) RVU1.50 · 20%
- Malpractice RVU0.89 · 12%
183
Medicare services in 2024 · #4405 by national volume
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.
58559 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$1,263.65
Use 58558 when the hysteroscopic work is biopsy or polypectomy. Use 58559 when the operative target is intrauterine adhesions.
No office rate
Use 58560 for hysteroscopic treatment of a uterine septum; 58559 addresses adhesions within the cavity.
No office rate
Use 58561 when hysteroscopy removes a uterine myoma. Adhesion lysis, rather than myoma removal, supports 58559.
The same code, a different location
How does Wyoming** compare?
58559 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 58559
Office
Unavailable
Facility
$230.01
No comparable office rate is available.
Arkansas
Arkansas · 58559
Office
Unavailable
Facility
$227.69
No comparable office rate is available.
Arizona
Arizona · 58559
Office
Unavailable
Facility
$243.34
No comparable office rate is available.
Bakersfield
California · 58559
Office
Unavailable
Facility
$245.57
No comparable office rate is available.
Chico
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
El Centro
California · 58559
Office
Unavailable
Facility
$243.21
No comparable office rate is available.
Fresno
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Hanford-Corcoran
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Madera
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Merced
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Modesto
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Napa
California · 58559
Office
Unavailable
Facility
$261.15
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58559
Office
Unavailable
Facility
$251.82
No comparable office rate is available.
Redding
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Rest Of California
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58559
Office
Unavailable
Facility
$252.66
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58559
Office
Unavailable
Facility
$249.64
No comparable office rate is available.
Salinas
California · 58559
Office
Unavailable
Facility
$248.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58559
Office
Unavailable
Facility
$250.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58559
Office
Unavailable
Facility
$269.72
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58559
Office
Unavailable
Facility
$268.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58559
Office
Unavailable
Facility
$276.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58559
Office
Unavailable
Facility
$272.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58559
Office
Unavailable
Facility
$245.22
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58559
Office
Unavailable
Facility
$249.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58559
Office
Unavailable
Facility
$248.44
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58559
Office
Unavailable
Facility
$251.88
No comparable office rate is available.
Stockton
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Vallejo
California · 58559
Office
Unavailable
Facility
$259.69
No comparable office rate is available.
Visalia
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Yuba City
California · 58559
Office
Unavailable
Facility
$243.07
No comparable office rate is available.
Colorado
Colorado · 58559
Office
Unavailable
Facility
$247.90
No comparable office rate is available.
Connecticut
Connecticut · 58559
Office
Unavailable
Facility
$262.66
No comparable office rate is available.
Delaware
Delaware · 58559
Office
Unavailable
Facility
$246.41
No comparable office rate is available.
Fort Lauderdale
Florida · 58559
Office
Unavailable
Facility
$273.84
No comparable office rate is available.
Rest Of Florida
Florida · 58559
Office
Unavailable
Facility
$261.92
No comparable office rate is available.
Atlanta
Georgia · 58559
Office
Unavailable
Facility
$256.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 58559
Office
Unavailable
Facility
$249.47
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58559
Office
Unavailable
Facility
$243.52
No comparable office rate is available.
Iowa
Iowa · 58559
Office
Unavailable
Facility
$226.99
No comparable office rate is available.
Idaho
Idaho · 58559
Office
Unavailable
Facility
$229.50
No comparable office rate is available.
East St. Louis
Illinois · 58559
Office
Unavailable
Facility
$275.31
No comparable office rate is available.
Rest Of Illinois
Illinois · 58559
Office
Unavailable
Facility
$261.55
No comparable office rate is available.
Suburban Chicago
Illinois · 58559
Office
Unavailable
Facility
$274.66
No comparable office rate is available.
Indiana
Indiana · 58559
Office
Unavailable
Facility
$230.23
No comparable office rate is available.
Kansas
Kansas · 58559
Office
Unavailable
Facility
$229.62
No comparable office rate is available.
Kentucky
Kentucky · 58559
Office
Unavailable
Facility
$241.08
No comparable office rate is available.
New Orleans
Louisiana · 58559
Office
Unavailable
Facility
$250.26
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58559
Office
Unavailable
Facility
$242.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58559
Office
Unavailable
Facility
$262.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58559
Office
Unavailable
Facility
$248.50
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58559
Office
Unavailable
Facility
$262.58
No comparable office rate is available.
Rest Of Maryland
Maryland · 58559
Office
Unavailable
Facility
$249.03
No comparable office rate is available.
Rest Of Maine
Maine · 58559
Office
Unavailable
Facility
$233.93
No comparable office rate is available.
Southern Maine
Maine · 58559
Office
Unavailable
Facility
$237.75
No comparable office rate is available.
Detroit
Michigan · 58559
Office
Unavailable
Facility
$267.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 58559
Office
Unavailable
Facility
$248.65
No comparable office rate is available.
Minnesota
Minnesota · 58559
Office
Unavailable
Facility
$229.70
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58559
Office
Unavailable
Facility
$245.43
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58559
Office
Unavailable
Facility
$246.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 58559
Office
Unavailable
Facility
$241.48
No comparable office rate is available.
Mississippi
Mississippi · 58559
Office
Unavailable
Facility
$234.45
No comparable office rate is available.
Montana**
Montana · 58559
Office
Unavailable
Facility
$249.11
No comparable office rate is available.
North Carolina
North Carolina · 58559
Office
Unavailable
Facility
$235.08
No comparable office rate is available.
North Dakota**
North Dakota · 58559
Office
Unavailable
Facility
$231.51
No comparable office rate is available.
Nebraska
Nebraska · 58559
Office
Unavailable
Facility
$226.82
No comparable office rate is available.
New Hampshire
New Hampshire · 58559
Office
Unavailable
Facility
$247.51
No comparable office rate is available.
Northern Nj
New Jersey · 58559
Office
Unavailable
Facility
$269.88
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58559
Office
Unavailable
Facility
$263.44
No comparable office rate is available.
New Mexico
New Mexico · 58559
Office
Unavailable
Facility
$250.99
No comparable office rate is available.
Nevada**
Nevada · 58559
Office
Unavailable
Facility
$244.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58559
Office
Unavailable
Facility
$294.95
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58559
Office
Unavailable
Facility
$267.79
No comparable office rate is available.
Queens
New York · 58559
Office
Unavailable
Facility
$282.27
No comparable office rate is available.
Rest Of New York
New York · 58559
Office
Unavailable
Facility
$237.84
No comparable office rate is available.
Ohio
Ohio · 58559
Office
Unavailable
Facility
$245.05
No comparable office rate is available.
Oklahoma
Oklahoma · 58559
Office
Unavailable
Facility
$237.18
No comparable office rate is available.
Portland
Oregon · 58559
Office
Unavailable
Facility
$249.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 58559
Office
Unavailable
Facility
$240.14
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58559
Office
Unavailable
Facility
$260.01
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58559
Office
Unavailable
Facility
$243.43
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58559
Office
Unavailable
Facility
$249.28
No comparable office rate is available.
Rhode Island
Rhode Island · 58559
Office
Unavailable
Facility
$250.83
No comparable office rate is available.
South Carolina
South Carolina · 58559
Office
Unavailable
Facility
$240.90
No comparable office rate is available.
South Dakota**
South Dakota · 58559
Office
Unavailable
Facility
$229.43
No comparable office rate is available.
Tennessee
Tennessee · 58559
Office
Unavailable
Facility
$230.85
No comparable office rate is available.
Austin
Texas · 58559
Office
Unavailable
Facility
$249.03
No comparable office rate is available.
Beaumont
Texas · 58559
Office
Unavailable
Facility
$242.55
No comparable office rate is available.
Brazoria
Texas · 58559
Office
Unavailable
Facility
$243.53
No comparable office rate is available.
Dallas
Texas · 58559
Office
Unavailable
Facility
$246.27
No comparable office rate is available.
Fort Worth
Texas · 58559
Office
Unavailable
Facility
$246.16
No comparable office rate is available.
Galveston
Texas · 58559
Office
Unavailable
Facility
$245.06
No comparable office rate is available.
Houston
Texas · 58559
Office
Unavailable
Facility
$261.35
No comparable office rate is available.
Rest Of Texas
Texas · 58559
Office
Unavailable
Facility
$243.73
No comparable office rate is available.
Utah
Utah · 58559
Office
Unavailable
Facility
$243.13
No comparable office rate is available.
Virginia
Virginia · 58559
Office
Unavailable
Facility
$239.58
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58559
Office
Unavailable
Facility
$249.28
No comparable office rate is available.
Vermont
Vermont · 58559
Office
Unavailable
Facility
$233.98
No comparable office rate is available.
Rest Of Washington
Washington · 58559
Office
Unavailable
Facility
$246.92
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58559
Office
Unavailable
Facility
$263.57
No comparable office rate is available.
Wisconsin
Wisconsin · 58559
Office
Unavailable
Facility
$226.50
No comparable office rate is available.
West Virginia
West Virginia · 58559
Office
Unavailable
Facility
$255.42
No comparable office rate is available.
See how rates vary across the country
58559 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58559 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$265.58
$241.44 × 110% = $265.58
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58559 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,568
- Code
- 58559
- Physician work
- 5.07
- Practice expense
- 1.50
- Malpractice
- 0.89
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.07 | × 1.000 | 5.0700 |
| Practice expense | 1.50 | × 1.000 | 1.5000 |
| Malpractice | 0.89 | × 0.740 | 0.6586 |
| Total RVUs | 7.2286 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$241.44
Open 58559 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.07 | 1 |
| Practice expense | 1.5 | 1 |
| Malpractice | 0.89 | 0.74 |
(5.07 × 1 + 1.5 × 1 + 0.89 × 0.74) × $33.4009 = $241.44
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
58559 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $241.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $241.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $241.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $241.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $267.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $267.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $267.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $267.28 | RVU25A |
58559 billing questions
How is this different from diagnostic hysteroscopy?
This code is for operative division of adhesions inside the uterine cavity. Diagnostic hysteroscopy alone is reported with 58555; same-session diagnostic inspection is generally part of the operative hysteroscopy.
Can diagnostic hysteroscopy be billed separately on the same date?
Do not separately report 58555 for the inspection that guides the same-session adhesion treatment. The operative service includes visualization of the cavity.
Is the code reported per adhesion?
The code represents the hysteroscopic lysis service, not a unit for each adhesion or scar band. Document the findings and the treatment performed.
Should modifier 50 be used for adhesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
What are the assistant and co-surgeon rules?
CMS does not pay an assistant at surgery for this service. Co-surgeons are permitted, but team surgery is not.
What global-period care is included?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,56558554,,Laparo-vag hyst w/t/o compl,A,,22.53,8.13,NA,8.13,,4.12,34.78,34.78,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56658555,,Hysteroscopy dx sep proc,A,,2.58,6.79,,1.00,,0.45,9.82,4.03,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56758558,,Hysteroscopy biopsy,A,,4.07,33.23,,1.33,,0.72,38.02,6.12,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,56858559,,Hysteroscopy lysis,A,,5.07,1.50,NA,1.50,,0.89,7.46,7.46,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,56958560,,Hysteroscopy resect septum,A,,5.61,1.62,NA,1.62,,1.00,8.23,8.23,0,000,0.00,0.00,0.00,3,0,2,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57058561,,Hysteroscopy remove myoma,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,,Hysteroscopy remove fb,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,