Billing code 58561: Myoma removalMedicare rate & RVUs in Texas
Reports operative hysteroscopy to remove uterine leiomyomas, typically intracavitary fibroids treated through the cervix without abdominal access.
CMS doesn’t publish an office rate for 58561 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58561 covers
The surgeon passes a hysteroscope through the cervix to visualize and remove uterine leiomyomas from the uterine cavity. This is commonly performed by a gynecologist in an operating room or ambulatory surgery setting for patients with intracavitary fibroids, including those associated with abnormal uterine bleeding or fertility concerns. The operative inspection is part of the removal service.
Report this code when the operative hysteroscopy removes leiomyoma tissue; document the fibroid findings and the removal performed. It has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery is not permitted.
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.
Where 58561 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $313.53 |
| Beaumont | Unavailable | $305.80 |
| Brazoria | Unavailable | $306.69 |
| Dallas | Unavailable | $310.21 |
| Fort Worth | Unavailable | $310.10 |
| Galveston | Unavailable | $308.66 |
| Houston | Unavailable | $329.71 |
| Rest Of Texas | Unavailable | $307.16 |
How the 58561 rate is calculated
Each of 58561’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58561
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.44Practice expense 1.81Malpractice 1.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58561
The CMS indicators that decide how 58561 is paid alongside other services.
CMS payment indicators · 58561
Myoma removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58561 without 51 · national facility
$313.97
Myoma removal
58561-51 · Second procedure: 50%
$156.99
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58561 compared with similar codes
Compare codes
58561 vs 58558 vs 58545 vs 58555 vs 58560: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58558Hysteroscopy
- Choose 58561 for removal of uterine leiomyoma tissue. Choose 58558 for hysteroscopic endometrial sampling or polyp removal.
- 58545Laparoscopic myomectomy
- Both address myomas, but 58561 uses a hysteroscope through the cervix; 58545 describes laparoscopic myomectomy.
- 58555Hysteroscopy
- Code 58555 is for diagnostic hysteroscopy alone. When the same session proceeds to myoma removal, the diagnostic inspection is part of the operative service.
- 58560Hysteroscopy
- Code 58560 treats a uterine septum hysteroscopically; 58561 removes uterine leiomyoma tissue.
58561 billing questions
When should this code be chosen over 58558?
Use 58561 when hysteroscopy removes uterine leiomyoma tissue. Code 58558 describes hysteroscopic sampling or polyp removal, rather than myoma removal.
Can diagnostic hysteroscopy be reported separately?
The inspection used to locate a myoma during the same session is part of the operative hysteroscopy. Do not separately report 58555 for that diagnostic inspection.
Is modifier 50 appropriate for multiple or bilateral myomas?
No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate.
When is an assistant at surgery payable?
CMS pays an assistant at surgery only when the record documents medical necessity.
How does this differ from laparoscopic myomectomy?
This code is for removal through a hysteroscope passed through the cervix. Code 58545 describes myomectomy performed laparoscopically.
What is included in the global period?
The global period is 0 days. Same-day preoperative and postoperative care is included.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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