$308.07
58555 describes diagnostic hysteroscopy without operative removal. Choose 58562 when the hysteroscope is used to remove a foreign body.
On this page
CMS RVU26D · Effective 2026-10-01
58562 Hysteroscopy Medicare reimbursement rates in Wisconsin
Report this surgical hysteroscopy when the clinician uses a hysteroscope to remove a foreign body from the uterine cavity, such as a retained device. Compare 58562 office and facility rates across CMS payment localities in Wisconsin.
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 58562 in Wisconsin?
Wisconsin 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
$372.44
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$177.58
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 procedure
About 58562: Hysteroscopic foreign-body removal
Report this surgical hysteroscopy when the clinician uses a hysteroscope to remove a foreign body from the uterine cavity, such as a retained device.
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.
CMS billing rules for 58562
- 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 RVU3.90 · 33%
- Practice expense (office) RVU7.35 · 62%
- Malpractice RVU0.68 · 6%
175
Medicare services in 2024 · #4444 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.
58562 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$1,206.64
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.
No office rate
58559 addresses hysteroscopic lysis of intrauterine adhesions. It is not the code for removing a foreign body from the cavity.
No office rate
58561 applies to hysteroscopic removal of a uterine myoma. Use 58562 for removal of a foreign body instead.
Compare 58562 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
Wisconsin →
Office / nonfacility
$372.44
Facility
$177.58
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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 58562 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,571
- Code
- 58562
- Physician work
- 3.90
- Practice expense
- 7.35
- Malpractice
- 0.68
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.000 | 3.9000 |
| Practice expense | 7.35 | × 0.958 | 7.0413 |
| Malpractice | 0.68 | × 0.308 | 0.2094 |
| Total RVUs | 11.1507 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$372.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 7.35 | 0.958 |
| Malpractice | 0.68 | 0.308 |
(3.9 × 1 + 7.35 × 0.958 + 0.68 × 0.308) × $33.4009 = $372.44
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 1.26 | 0.958 |
| Malpractice | 0.68 | 0.308 |
(3.9 × 1 + 1.26 × 0.958 + 0.68 × 0.308) × $33.4009 = $177.58
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.
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 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.
6,56858559,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,