$1,788.98
Choose 58353 for heat-based ablation without hysteroscopic guidance; 58356 identifies cryoablation.
On this page
CMS RVU26D · Effective 2026-10-01
58353 Thermal ablation Medicare reimbursement rates in Hawaii
Reports heat-based treatment of the uterine lining without hysteroscopic guidance, typically for patients with heavy menstrual bleeding who do not desire future pregnancy. Compare 58353 office and facility rates across CMS payment localities in Hawaii.
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 58353 in Hawaii?
Hawaii 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
$985.41
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$204.23
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 procedure
About 58353: Nonhysteroscopic thermal endometrial ablation
Reports heat-based treatment of the uterine lining without hysteroscopic guidance, typically for patients with heavy menstrual bleeding who do not desire future pregnancy.
A gynecologist uses a thermal device, often a balloon-based system, to treat the endometrial lining through the uterus without hysteroscopic guidance. The procedure is used for selected patients with heavy menstrual bleeding, commonly when future pregnancy is not desired. It is generally performed in a procedural or surgical setting rather than as an office service.
Report 58353 for nonhysteroscopic thermal treatment; use the method documented to distinguish it from cryoablation or hysteroscopic ablation. The record should identify the indication, treatment method, and procedure performed. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this uterine procedure. Medicare does not pay an assistant at surgery for this code; co-surgeons are permitted, but team surgery is not.
CMS billing rules for 58353
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- 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 RVU3.51 · 13%
- Practice expense (office) RVU22.55 · 85%
- Malpractice RVU0.61 · 2%
26
Medicare services in 2024 · #5767 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.
58353 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$2,249.82
Use 58563 when a hysteroscope guides the ablation. Code 58353 is for thermal treatment without that guidance.
$102.34
58100 reports endometrial sampling for diagnosis; it does not treat the uterine lining as 58353 does.
Compare 58353 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
Hawaii, Guam →
Office / nonfacility
$985.41
Facility
$204.23
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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 58353 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,549
- Code
- 58353
- Physician work
- 3.51
- Practice expense
- 22.55
- Malpractice
- 0.61
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.51 | × 1.000 | 3.5100 |
| Practice expense | 22.55 | × 1.137 | 25.6394 |
| Malpractice | 0.61 | × 0.579 | 0.3532 |
| Total RVUs | 29.5025 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$985.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.51 | 1 |
| Practice expense | 22.55 | 1.137 |
| Malpractice | 0.61 | 0.579 |
(3.51 × 1 + 22.55 × 1.137 + 0.61 × 0.579) × $33.4009 = $985.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.51 | 1 |
| Practice expense | 1.98 | 1.137 |
| Malpractice | 0.61 | 0.579 |
(3.51 × 1 + 1.98 × 1.137 + 0.61 × 0.579) × $33.4009 = $204.23
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.
58353 billing questions
How is 58353 different from hysteroscopic ablation?
58353 describes thermal treatment performed without hysteroscopic guidance. When a hysteroscope guides the ablation, consider 58563 instead.
How is this different from endometrial cryoablation?
58353 is for heat-based treatment. Use 58356 when the documented method is cryoablation.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in 58353.
Can modifier 50 be used?
No. The uterine anatomy and procedure descriptor make modifier 50 inappropriate for this code.
Can an assistant surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for 58353. Co-surgeons are permitted, while team surgery is not.
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.
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54758346,,Insert heyman uteri capsule,A,,7.37,4.62,NA,4.62,,0.58,12.57,12.57,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54858350,,Reopen fallopian tube,A,,1.03,3.08,,1.30,,0.18,4.29,2.51,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54958353,,Endometr ablate thermal,A,,3.51,22.55,,1.98,,0.61,26.67,6.10,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55058356,,Endometrial cryoablation,A,,6.25,41.05,,1.80,,1.10,48.40,9.15,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014