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58555 Hysteroscopy diagnosis separate procedure

Surgery Global 0d

Also known as: diagnostic hysteroscopy, hysterosc DX

Hysteroscopy with diagnostic evaluation as separate procedure is visualization of uterine cavity under direct endoscopic view for diagnostic purposes only.

In Plain Language

Camera inspection of uterus; Uterus camera examination

Clinical Context

Office or operative procedure to evaluate abnormal uterine bleeding, polyps, fibroids, septum, synechiae, or recurrent pregnancy loss. No operative intervention performed.

RVU Breakdown

Work RVU2.58
Total RVU2.58

Est. Medicare Payment

$86.17

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 2.58, this code ranks in the 18th percentile among Surgery codes — 3.1x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

GynecologyFertility

Frequently Asked Questions

What is CPT code 58555?

CPT 58555 (Hysteroscopy diagnosis separate procedure) is a Surgery code. Hysteroscopy with diagnostic evaluation as separate procedure is visualization of uterine cavity under direct endoscopic view for diagnostic purposes only.

What is the wRVU value for CPT 58555?

The work RVU for CPT 58555 is 2.58. This code is primarily used by Gynecology, Fertility.

When is CPT 58555 used?

Office or operative procedure to evaluate abnormal uterine bleeding, polyps, fibroids, septum, synechiae, or recurrent pregnancy loss. No operative intervention performed.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.