No office rate
Use 58580 for transcervical radiofrequency ablation with intraoperative ultrasound. Use 58561 when hysteroscopy is used to remove myomas.
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CMS RVU26D · Effective 2026-10-01
58580 Fibroid ablation Medicare reimbursement rates in Wisconsin
Report transcervical radiofrequency ablation when a gynecologist treats uterine fibroids through the cervix with intraoperative ultrasound guidance and monitoring. Compare 58580 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 58580 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
$2490.95
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$328.52
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 58580: Transcervical radiofrequency fibroid ablation
Report transcervical radiofrequency ablation when a gynecologist treats uterine fibroids through the cervix with intraoperative ultrasound guidance and monitoring.
This procedure treats uterine leiomyomas by delivering radiofrequency energy through an instrument passed through the cervix. Intraoperative ultrasound guides placement and monitors treatment of the targeted fibroids. Gynecologists typically perform it as a uterine-sparing treatment in a surgical setting. Unlike myomectomy, the technique ablates fibroid tissue rather than excising it.
Report the code for the transcervical radiofrequency procedure; it covers treatment of one or more fibroids and includes the intraoperative ultrasound guidance and monitoring. Documentation should identify the radiofrequency technique and support treatment of uterine fibroids. The procedure has a 10-day global period, including related postoperative visits during that period. When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this uterine procedure. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 58580
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.03 · 9%
- Practice expense (office) RVU70.11 · 89%
- Malpractice RVU1.24 · 2%
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.
58580 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
Code 58545 is for laparoscopic myomectomy, which excises fibroids. Code 58580 is for transcervical radiofrequency ablation.
$1,913.87
Code 58563 treats the endometrium by hysteroscopic ablation. Code 58580 targets uterine fibroids with transcervical radiofrequency.
Compare 58580 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
$2490.95
Facility
$328.52
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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 58580 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,581
- Code
- 58580
- Physician work
- 7.03
- Practice expense
- 70.11
- Malpractice
- 1.24
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.03 | × 1.000 | 7.0300 |
| Practice expense | 70.11 | × 0.958 | 67.1654 |
| Malpractice | 1.24 | × 0.308 | 0.3819 |
| Total RVUs | 74.5773 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$2490.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.03 | 1 |
| Practice expense | 70.11 | 0.958 |
| Malpractice | 1.24 | 0.308 |
(7.03 × 1 + 70.11 × 0.958 + 1.24 × 0.308) × $33.4009 = $2490.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.03 | 1 |
| Practice expense | 2.53 | 0.958 |
| Malpractice | 1.24 | 0.308 |
(7.03 × 1 + 2.53 × 0.958 + 1.24 × 0.308) × $33.4009 = $328.52
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.
58580 billing questions
How is this different from hysteroscopic myomectomy code 58561?
Code 58580 describes transcervical radiofrequency ablation of fibroids. Code 58561 describes hysteroscopic removal of myomas; choose based on the technique actually performed.
Does this code include intraoperative ultrasound?
Yes. Intraoperative ultrasound guidance and monitoring are included in the procedure described by 58580.
Is the code reported once per fibroid?
The code covers ablation of one or more fibroids. Do not select units based on the number of fibroids treated.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this uterine procedure.
How does the global period affect postoperative visits?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.
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.
6,57858575,,Laps tot hyst resj mal,A,,31.79,14.52,NA,14.52,,6.85,53.16,53.16,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57958578,,Unlisted laps px uterus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58058579,,Unlisted hystsc px uterus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58158580,,Transcrv abltj utrn fibrd rf,A,,7.03,70.11,,2.53,,1.24,78.38,10.80,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58258600,,Division of fallopian tube,A,,5.76,3.17,NA,3.17,,1.02,9.95,9.95,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58358605,,Division of fallopian tube,A,,5.15,2.99,NA,2.99,,0.91,9.05,9.05,0,090,0.12,0.74,0.14,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58458611,,Ligate oviduct(s) add-on,A,,1.41,0.30,NA,0.30,,0.24,1.95,1.95,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,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,,,,,,