$1,367.61–$1,764.28
Choose 58561 for removal of uterine leiomyoma tissue. Choose 58558 for hysteroscopic endometrial sampling or polyp removal.
On this page
CMS RVU26D · Effective 2026-10-01
58561 Myoma removal Medicare reimbursement rates in California
Reports operative hysteroscopy to remove uterine leiomyomas, typically intracavitary fibroids treated through the cervix without abdominal access. Compare 58561 office and facility rates across CMS payment localities in California.
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 58561 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$305.61–$346.53
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $40.92 per service.
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.
Where 58561 pays more and less in California
Hysteroscopy
About 58561: Hysteroscopic myoma removal
Reports operative hysteroscopy to remove uterine leiomyomas, typically intracavitary fibroids treated through the cervix without abdominal access.
The surgeon passes a hysteroscope through the cervix to visualize and remove uterine leiomyomas from the uterine cavity. This is commonly performed by a gynecologist in an operating room or ambulatory surgery setting for patients with intracavitary fibroids, including those associated with abnormal uterine bleeding or fertility concerns. The operative inspection is part of the removal service.
Report this code when the operative hysteroscopy removes leiomyoma tissue; document the fibroid findings and the removal performed. It has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58561
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.44 · 69%
- Practice expense (office) RVU1.81 · 19%
- Malpractice RVU1.15 · 12%
2.4K
Medicare services in 2024 · #2325 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.
58561 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Both address myomas, but 58561 uses a hysteroscope through the cervix; 58545 describes laparoscopic myomectomy.
$344.26–$430.74
Code 58555 is for diagnostic hysteroscopy alone. When the same session proceeds to myoma removal, the diagnostic inspection is part of the operative service.
No office rate
Code 58560 treats a uterine septum hysteroscopically; 58561 removes uterine leiomyoma tissue.
Compare 58561 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $308.84 |
| Chico | Office Unavailable | Facility $305.61 |
| El Centro | Office Unavailable | Facility $305.80 |
| Fresno | Office Unavailable | Facility $305.61 |
| Hanford-Corcoran | Office Unavailable | Facility $305.61 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $320.94 |
| Madera | Office Unavailable | Facility $305.61 |
| Merced | Office Unavailable | Facility $305.61 |
| Modesto | Office Unavailable | Facility $305.61 |
| Napa | Office Unavailable | Facility $327.85 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $316.51 |
| Redding | Office Unavailable | Facility $305.61 |
| Rest Of California | Office Unavailable | Facility $305.61 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $318.00 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $313.74 |
| Salinas | Office Unavailable | Facility $312.43 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $314.68 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $338.41 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $337.10 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $346.53 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $341.19 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $308.21 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $313.66 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $312.20 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $316.38 |
| Stockton | Office Unavailable | Facility $305.61 |
| Vallejo | Office Unavailable | Facility $325.96 |
| Visalia | Office Unavailable | Facility $305.61 |
| Yuba City | Office Unavailable | Facility $305.61 |
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58561 billing questions
When should this code be chosen over 58558?
Use 58561 when hysteroscopy removes uterine leiomyoma tissue. Code 58558 describes hysteroscopic sampling or polyp removal, rather than myoma removal.
Can diagnostic hysteroscopy be reported separately?
The inspection used to locate a myoma during the same session is part of the operative hysteroscopy. Do not separately report 58555 for that diagnostic inspection.
Is modifier 50 appropriate for multiple or bilateral myomas?
No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate.
When is an assistant at surgery payable?
CMS pays an assistant at surgery only when the record documents medical necessity.
How does this differ from laparoscopic myomectomy?
This code is for removal through a hysteroscope passed through the cervix. Code 58545 describes myomectomy performed laparoscopically.
What is included in the global period?
The global period is 0 days. 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.
6,56758558,,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
6,57358565,,Hysteroscopy sterilization,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