$293.12
Use this code for diagnostic hysteroscopy when no operative septum treatment is performed; septum resection is a therapeutic procedure.
On this page
CMS RVU26D · Effective 2026-10-01
58560 Hysteroscopy Medicare reimbursement rates in Alabama
Report this procedure when a gynecologist uses hysteroscopy to resect or divide a congenital uterine septum within the uterine cavity. Compare 58560 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 58560 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$253.63
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecology
About 58560: Hysteroscopic uterine septum resection
Report this procedure when a gynecologist uses hysteroscopy to resect or divide a congenital uterine septum within the uterine cavity.
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.
CMS billing rules for 58560
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.61 · 68%
- Practice expense (office) RVU1.62 · 20%
- Malpractice RVU1.00 · 12%
26
Medicare services in 2024 · #5768 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.
58560 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
This code addresses intrauterine adhesions or scar bands. The septum code applies when the structure treated is a uterine septum.
No office rate
This code is for hysteroscopic removal of a uterine fibroid. It does not describe treatment of a uterine septum.
Compare 58560 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$253.63
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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 58560 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,569
- Code
- 58560
- Physician work
- 5.61
- Practice expense
- 1.62
- Malpractice
- 1.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.61 | × 1.000 | 5.6100 |
| Practice expense | 1.62 | × 0.875 | 1.4175 |
| Malpractice | 1.00 | × 0.566 | 0.5660 |
| Total RVUs | 7.5935 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$253.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 1.62 | 0.875 |
| Malpractice | 1 | 0.566 |
(5.61 × 1 + 1.62 × 0.875 + 1 × 0.566) × $33.4009 = $253.63
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.
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 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.
6,56658555,,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
6,57258563,,Hysteroscopy ablation,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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515