$1,263.65
Choose 58555 when the hysteroscope is used for diagnostic inspection only. Choose 58558 when the hysteroscopic service includes endometrial sampling or biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
58555 Hysteroscopy Medicare reimbursement rates in Wyoming
Reports hysteroscopic inspection of the uterine cavity for diagnostic evaluation when no biopsy, tissue removal, or other operative hysteroscopic service is performed. Compare 58555 office and facility rates across CMS payment localities in Wyoming.
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 58555 in Wyoming?
Wyoming 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
$324.09
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$130.70
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 58555: Diagnostic hysteroscopic uterine cavity inspection
Reports hysteroscopic inspection of the uterine cavity for diagnostic evaluation when no biopsy, tissue removal, or other operative hysteroscopic service is performed.
A gynecologist passes a hysteroscope through the cervix to inspect the endometrial cavity, for example when evaluating abnormal uterine bleeding or a suspected intracavitary abnormality. The procedure may be performed in an office or outpatient surgical setting. This code represents diagnostic visualization, not hysteroscopic sampling or treatment of a finding.
Report it when diagnostic inspection is the hysteroscopic service performed; document the indication, findings, and whether any operative work was done. Because it is a separate procedure, diagnostic inspection is generally not separately reported when it is part of a hysteroscopic biopsy or treatment. The 0-day global period includes same-day preoperative and postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced by 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 58555
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.58 · 26%
- Practice expense (office) RVU6.79 · 69%
- Malpractice RVU0.45 · 5%
1.2K
Medicare services in 2024 · #2854 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.
58555 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
58559 describes operative hysteroscopic lysis of intrauterine adhesions; 58555 describes inspection without that treatment.
No office rate
Use 58561 for hysteroscopic removal of a uterine myoma. Diagnostic visualization without myoma removal is represented by 58555.
Compare 58555 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
Wyoming** →
Office / nonfacility
$324.09
Facility
$130.70
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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 58555 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,566
- Code
- 58555
- Physician work
- 2.58
- Practice expense
- 6.79
- Malpractice
- 0.45
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.58 | × 1.000 | 2.5800 |
| Practice expense | 6.79 | × 1.000 | 6.7900 |
| Malpractice | 0.45 | × 0.740 | 0.3330 |
| Total RVUs | 9.7030 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$324.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.58 | 1 |
| Practice expense | 6.79 | 1 |
| Malpractice | 0.45 | 0.74 |
(2.58 × 1 + 6.79 × 1 + 0.45 × 0.74) × $33.4009 = $324.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.58 | 1 |
| Practice expense | 1 | 1 |
| Malpractice | 0.45 | 0.74 |
(2.58 × 1 + 1 × 1 + 0.45 × 0.74) × $33.4009 = $130.70
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.
58555 billing questions
When should 58555 be chosen instead of 58558?
Use 58555 for diagnostic cavity inspection without sampling or tissue removal. When hysteroscopy includes endometrial sampling or biopsy, 58558 describes the operative service.
Can 58555 be reported with an operative hysteroscopy code?
The diagnostic inspection is generally integral to hysteroscopic biopsy or treatment and is not separately reported for the same procedure. Report the code describing the operative work performed.
What documentation supports 58555?
Document the clinical reason for evaluating the cavity, the hysteroscopic findings, and that no biopsy or therapeutic work was performed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery requires documentation of medical necessity. CMS permits co-surgeons but does not permit team surgery for this code.
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.
6,56358552,,Laparo-vag hyst incl t/o,A,,16.49,6.76,NA,6.76,,3.02,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56458553,,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
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,