$1,176.44–$1,247.55
Choose 58558 for hysteroscopic endometrial sampling or tissue removal. Choose 58563 when the operative service ablates the endometrial lining.
On this page
CMS RVU26D · Effective 2026-10-01
58563 Hysteroscopy Medicare reimbursement rates in Michigan
Hysteroscopic endometrial ablation destroys the uterine lining and is reported for an operative procedure to treat selected cases of abnormal uterine bleeding. Compare 58563 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 58563 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
$1852.57–$1962.63
2 of 2 localities have a supported rate.
Facility setting
$216.51–$233.39
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 procedure
About 58563: Hysteroscopic endometrial ablation
Hysteroscopic endometrial ablation destroys the uterine lining and is reported for an operative procedure to treat selected cases of abnormal uterine bleeding.
A gynecologic surgeon passes a hysteroscope through the cervix to inspect the uterine cavity and ablate the endometrium using an appropriate operative method. The procedure is commonly performed in a hospital or ambulatory surgery setting for patients with abnormal uterine bleeding after clinical evaluation. It treats the uterine lining; it is distinct from removing a fibroid or ablating a uterine fibroid.
Report the procedure when the operative record supports endometrial ablation, rather than diagnostic inspection or treatment of a separate intrauterine target. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS permits co-surgeons; assistant-at-surgery payment requires documented medical necessity, and team surgery is not permitted.
CMS billing rules for 58563
- 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 RVU4.36 · 7%
- Practice expense (office) RVU55.01 · 91%
- Malpractice RVU0.78 · 1%
1.2K
Medicare services in 2024 · #2875 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.
58563 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
58561 is for hysteroscopic removal of a uterine fibroid. This code treats the endometrium, not a fibroid.
$310.20–$330.37
58555 describes diagnostic hysteroscopy. This code requires an operative endometrial ablation, not inspection alone.
$2,419.57–$2,564.41
58580 is a transcervical radiofrequency procedure directed at uterine fibroids. This code is for hysteroscopic ablation of the endometrium.
Compare 58563 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
$1962.63
Facility
$233.39
Rest Of Michigan →
Office / nonfacility
$1852.57
Facility
$216.51
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58563 billing questions
How does this differ from hysteroscopy with biopsy?
This code represents operative ablation of the endometrium. Use 58558 when the documented service is hysteroscopic tissue sampling or removal of endometrial tissue, rather than ablation.
Can diagnostic hysteroscopy be reported separately?
When the surgeon performs diagnostic inspection as part of the operative ablation, it is integral to that service. The record should identify the ablation performed, not just visualization.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inapplicable for this code; modifier 50 is inappropriate.
What is the global-period treatment?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
When can an assistant-at-surgery be paid?
Only when documentation supports medical necessity. CMS permits co-surgeons, but not team surgery, for this code.
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.
6,56958560,,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
6,57458570,,Tlh uterus 250 g or less,A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57558571,,Tlh w/t/o 250 g or less,A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00