$94.60–$101.20
58100 describes endometrial sampling without cervical dilation. Use 58120 when the documented service includes dilation and curettage.
On this page
CMS RVU26D · Effective 2026-10-01
58120 Dilation and curettage Medicare reimbursement rates in Michigan
Reports cervical dilation and uterine curettage to obtain endometrial tissue or treat nonobstetric uterine conditions, such as abnormal bleeding. Compare 58120 office and facility rates across CMS payment localities in Michigan.
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 58120 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$287.18–$307.58
2 of 2 localities have a supported rate.
Facility setting
$206.37–$222.16
2 of 2 localities have a supported rate.
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 58120: Nonobstetric uterine dilation and curettage
Reports cervical dilation and uterine curettage to obtain endometrial tissue or treat nonobstetric uterine conditions, such as abnormal bleeding.
A gynecologist dilates the cervix and uses a curette to sample or remove tissue from the uterine cavity. The procedure may be diagnostic, such as evaluating abnormal uterine bleeding when office sampling is inadequate or not feasible, or therapeutic when curettage is performed to address bleeding. It is performed in settings such as an operating room, ambulatory surgery center, or, in selected cases, an office.
Report the service when the documented procedure includes cervical dilation and uterine curettage; a biopsy without dilation is a different service. The record should identify the indication, the work performed, and relevant findings or specimens. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 58120
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.50 · 39%
- Practice expense (office) RVU4.78 · 54%
- Malpractice RVU0.65 · 7%
4.3K
Medicare services in 2024 · #1971 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.
58120 compared with similar codes
Office rates for Michigan, from the same CMS release.
$1,176.44–$1,247.55
58558 involves operative hysteroscopy for sampling or polyp removal. 58120 describes curettage without that hysteroscopic service.
No office rate
58150 is total abdominal hysterectomy, removing the uterus. 58120 is a uterine-cavity curettage and does not describe removal of the uterus.
Compare 58120 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$307.58
Facility
$222.16
Rest Of Michigan →
Office / nonfacility
$287.18
Facility
$206.37
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58120 billing questions
How is this different from 58100?
58120 includes cervical dilation and curettage of the uterine cavity. 58100 is endometrial sampling without cervical dilation.
When would 58558 be a better fit?
Use 58558 when the physician performs operative hysteroscopy with endometrial sampling or polyp removal. Do not separately report a D&C that is part of that hysteroscopic service.
Can the pathology examination be reported separately?
The laboratory may separately report its examination of submitted tissue. The physician's D&C service and the laboratory's pathology service are distinct services.
Should modifier 50 be appended?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure rule affect payment?
For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Are assistant or co-surgeon services payable?
Medicare does not pay an assistant at surgery for 58120. Co-surgeons and team surgery are 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.
6,51557800,,Dilation of cervical canal,A,,0.75,1.33,,0.41,,0.14,2.22,1.30,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51658100,,Biopsy of uterus lining,A,,1.18,1.55,,0.26,,0.21,2.94,1.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51758110,,Bx done w/colposcopy add-on,A,,0.75,0.64,,0.17,,0.14,1.53,1.06,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51858120,,Dilation and curettage,A,,3.50,4.78,,2.13,,0.65,8.93,6.28,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51958140,,Myomectomy abdom method,A,,15.40,6.24,NA,6.24,,2.70,24.34,24.34,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52058145,,Myomectomy vag method,A,,8.69,4.74,NA,4.74,,1.51,14.94,14.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52158146,,Myomectomy abdom complex,A,,19.83,7.08,NA,7.08,,3.47,30.38,30.38,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00