58300
No office rateInsert intrauterine device
58300 reports insertion of an IUD; 58301 reports removal of an existing device. Both may be reported when the clinician removes and replaces an IUD in one session.
On this page
CMS RVU26D · Effective 2026-10-01
58301 IUD service Medicare reimbursement rates in Iowa
Report this service when a clinician removes an intrauterine device, such as for discontinuation, expiration, or replacement with another contraceptive method. Compare 58301 office and facility rates across CMS payment localities in Iowa.
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 58301 in Iowa?
Iowa 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
$101.96
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$52.76
1 of 1 localities have a supported rate.
Payment area: Iowa
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 58301: Intrauterine device removal
Report this service when a clinician removes an intrauterine device, such as for discontinuation, expiration, or replacement with another contraceptive method.
A clinician commonly removes an intrauterine device during an office visit when a patient wants to discontinue it, its use period has ended, or the patient is changing contraceptive methods. For routine removal, the clinician visualizes the cervix with a speculum and applies gentle traction to the device strings. Gynecologists and other clinicians who provide contraceptive care perform this service in office or facility settings. Removal under hysteroscopic guidance for an impacted device is a different service pathway.
Report 58301 for the removal itself, and document the reason for removal and the procedure performed. If a new device is inserted during the same session, report the insertion separately. The 0-day global period includes same-day preoperative and postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are paid at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 58301
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.24 · 37%
- Practice expense (office) RVU1.89 · 57%
- Malpractice RVU0.21 · 6%
1.6K
Medicare services in 2024 · #2615 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.
58301 compared with similar codes
Office rates for Iowa, from the same CMS release.
$363.91
Use 58562 for hysteroscopic removal of an impacted intrauterine device. Routine removal by traction on visible strings is reported with 58301.
$55.35
99212 describes a separately supported established-patient office E/M service, not the IUD removal. Report it only when evaluation beyond routine removal work is documented.
Compare 58301 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
Iowa →
Office / nonfacility
$101.96
Facility
$52.76
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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 58301 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,541
- Code
- 58301
- Physician work
- 1.24
- Practice expense
- 1.89
- Malpractice
- 0.21
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 1.89 | × 0.915 | 1.7293 |
| Malpractice | 0.21 | × 0.397 | 0.0834 |
| Total RVUs | 3.0527 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$101.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 1.89 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.24 × 1 + 1.89 × 0.915 + 0.21 × 0.397) × $33.4009 = $101.96
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 0.28 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.24 × 1 + 0.28 × 0.915 + 0.21 × 0.397) × $33.4009 = $52.76
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.
58301 billing questions
How is removal different from 58300?
Use 58301 for taking out an existing IUD and 58300 for placing a new one. When the clinician removes and replaces the device in the same session, report both services.
Is removal included when a new IUD is inserted?
Report removal and insertion separately when both are performed. The same-session multiple procedure reduction may affect payment for the services.
Does 58301 cover hysteroscopic removal of an impacted IUD?
For removal of an impacted device under hysteroscopic guidance, consider 58562 rather than routine removal by traction on visible strings.
Can an office E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the clinician performs and documents evaluation beyond the routine work of removal. The procedure's same-day care is included in its 0-day global period.
What documentation supports 58301?
Document the indication, the removal performed, and relevant findings such as whether the strings were visualized and the device was removed.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for IUD removal.
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.
6,53858292,,Vag hyst t/o & repair compl,A,,22.77,7.69,NA,7.69,,3.99,34.45,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53958294,,Vag hyst w/enterocele compl,A,,21.01,7.33,NA,7.33,,3.68,32.02,32.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54058300,,Insert intrauterine device,N,+,0.98,2.07,,0.22,,0.11,3.16,1.31,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54158301,,Remove intrauterine device,A,,1.24,1.89,,0.28,,0.21,3.34,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54258321,,Artificial insemination,A,,0.90,1.45,,0.19,,0.16,2.51,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54358322,,Artificial insemination,A,,1.07,1.52,,0.23,,0.19,2.78,1.49,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54458323,,Sperm washing,A,,0.22,0.18,,0.05,,0.04,0.44,0.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136