$308.39
Use 58555 for diagnostic hysteroscopy alone. Use 58558 when the hysteroscopy includes endometrial sampling or polyp removal.
On this page
CMS RVU26D · Effective 2026-10-01
58558 Hysteroscopy Medicare reimbursement rates in Ohio
Report this service when a clinician uses hysteroscopy to sample the endometrium or remove an endometrial polyp, with or without curettage. Compare 58558 office and facility rates across CMS payment localities in Ohio.
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 58558 in Ohio?
Ohio 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
$1173.53
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$200.74
1 of 1 localities have a supported rate.
Payment area: Ohio
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 58558: Hysteroscopic endometrial sampling or polypectomy
Report this service when a clinician uses hysteroscopy to sample the endometrium or remove an endometrial polyp, with or without curettage.
A gynecologist passes a hysteroscope through the cervix to inspect the uterine cavity and obtain endometrial tissue or remove a polyp under direct visualization. The procedure is commonly performed in an operating room or ambulatory surgery center for abnormal uterine bleeding, a suspected endometrial lesion, or a polyp identified on imaging or earlier evaluation. Tissue is typically sent for pathology. The code also covers curettage performed with the hysteroscopic service.
Choose this code when the operative hysteroscopy includes endometrial sampling or polypectomy, rather than diagnostic inspection alone or removal of a submucosal fibroid. Document the indication, hysteroscopic findings, tissue sampling or polyp removal, and any curettage performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 58558
- 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
- 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 RVU4.07 · 11%
- Practice expense (office) RVU33.23 · 87%
- Malpractice RVU0.72 · 2%
48.1K
Medicare services in 2024 · #797 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.
58558 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Use 58561 for hysteroscopic removal of a submucosal fibroid. Code 58558 addresses endometrial sampling or polypectomy.
$93.75
Use 58100 for endometrial sampling without hysteroscopic visualization. Choose 58558 when sampling is performed through a hysteroscope.
Compare 58558 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
Ohio →
Office / nonfacility
$1173.53
Facility
$200.74
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 58558 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,567
- Code
- 58558
- Physician work
- 4.07
- Practice expense
- 33.23
- Malpractice
- 0.72
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.07 | × 1.000 | 4.0700 |
| Practice expense | 33.23 | × 0.913 | 30.3390 |
| Malpractice | 0.72 | × 1.008 | 0.7258 |
| Total RVUs | 35.1348 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$1173.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.07 | 1 |
| Practice expense | 33.23 | 0.913 |
| Malpractice | 0.72 | 1.008 |
(4.07 × 1 + 33.23 × 0.913 + 0.72 × 1.008) × $33.4009 = $1173.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.07 | 1 |
| Practice expense | 1.33 | 0.913 |
| Malpractice | 0.72 | 1.008 |
(4.07 × 1 + 1.33 × 0.913 + 0.72 × 1.008) × $33.4009 = $200.74
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.
58558 billing questions
When should I report this instead of diagnostic hysteroscopy?
Report 58558 when the hysteroscopy includes endometrial sampling or polyp removal. Diagnostic inspection alone is represented by 58555.
Can curettage be reported separately?
Curettage performed with this hysteroscopic service is included in the code. The descriptor covers the service with or without curettage.
Can I report a separate diagnostic hysteroscopy during the same session?
Do not report diagnostic hysteroscopy as a separate service when it is part of the operative hysteroscopy. CMS endoscopy family pricing applies when related endoscopies are performed together.
Should modifier 50 be used for bilateral findings?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What should the operative note support?
Document the clinical indication, hysteroscopic findings, whether endometrial tissue was sampled or a polyp was removed, and any curettage performed.
Are assistant or co-surgeon services payable?
CMS does not pay an assistant at surgery for this service. Co-surgeons are permitted; 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.
6,56458553,,Laparo-vag hyst complex,A,,19.56,6.52,NA,6.52,,3.43,29.51,29.51,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56558554,,Laparo-vag hyst w/t/o compl,A,,22.53,8.13,NA,8.13,,4.12,34.78,34.78,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56658555,,Hysteroscopy dx sep proc,A,,2.58,6.79,,1.00,,0.45,9.82,4.03,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703