CPT code 58562: Hysteroscopy2026 Medicare rate & RVUs in Virginia
Report this surgical hysteroscopy when the clinician uses a hysteroscope to remove a foreign body from the uterine cavity, such as a retained device.
Medicare pays $387.62–$451.77 for 58562 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.
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 58562 covers
A gynecologist or other qualified clinician uses a hysteroscope passed through the cervix to locate and remove a foreign body from the uterine cavity. A typical situation is retrieving an intrauterine device that cannot be removed with a simple office traction attempt or whose strings are not accessible. The service may be performed in an office or a facility, depending on the case and resources needed.
Report 58562 when the operative work removes a foreign body; the operative note should identify the object, its location, the hysteroscopic approach, and the removal performed. A diagnostic examination that precedes the removal is part of the surgical service. The code 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. Bilateral adjustment is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons are permitted, while 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 58562 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $451.77 | $212.15 |
| Virginia | $387.62 | $187.67 |
How the 58562 rate is calculated
Each of 58562’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 · 58562
RVUs × geographic indexes × conversion factor
Work3.90
3.90 RVUs× 1.000 GPCI
Practice expense7.35
7.35 RVUs× 1.000 GPCI
Malpractice0.68
0.68 RVUs× 1.000 GPCI
Adjusted RVUs
11.9300
Conversion factor
$33.4009
Medicare rate
$398.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58562
The CMS indicators that decide how 58562 is paid alongside other services.
CMS payment indicators · 58562
Hysteroscopy
| 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) | 1 | Not paid (statutory restriction). |
| 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
58562 without 51 · national office
$398.47
Hysteroscopy
58562-51 · Second procedure: 50%
$199.24
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%).
58562 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58555Hysteroscopy
- 58555 describes diagnostic hysteroscopy without operative removal. Choose 58562 when the hysteroscope is used to remove a foreign body.
- 58558Hysteroscopy
- 58558 is for hysteroscopic biopsy or tissue removal. Use 58562 when the target is a foreign body rather than tissue sampled or removed for pathology.
- 58559Hysteroscopy
- 58559 addresses hysteroscopic lysis of intrauterine adhesions. It is not the code for removing a foreign body from the cavity.
- 58561Myoma removal
- 58561 applies to hysteroscopic removal of a uterine myoma. Use 58562 for removal of a foreign body instead.
58562 billing questions
When should 58562 be chosen over diagnostic hysteroscopy?
Use 58562 when hysteroscopic operative work removes a foreign body from the uterine cavity. A diagnostic examination without removal is a different service.
Is the diagnostic examination separately reported with 58562?
The diagnostic look that guides the foreign-body removal is included in the surgical hysteroscopy. Do not report a separate diagnostic hysteroscopy for that same operative session.
What documentation supports 58562?
Document the foreign body, its intrauterine location, the hysteroscopic technique, and the work performed to remove it. If removal was unsuccessful or only attempted, the note should clearly describe what occurred.
Can modifier 50 be used for bilateral removal?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The code has a 0-day global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 58562. Co-surgeons are permitted, but 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 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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