58559 Hysteroscopy lysis
Also known as: hysteroscopic adhesiolysis, synechiae lysis, Asherman syndrome treatment
Hysteroscopy with lysis of intrauterine adhesions involves endoscopic division of synechiae (scar tissue) to restore uterine cavity patency and function.
In Plain Language
Scar tissue cutting in uterus; Intrauterine adhesion removal
Clinical Context
Treatment for Asherman syndrome (intrauterine adhesions) causing amenorrhea or infertility. Visualization critical to avoid uterine perforation while lysing adhesions.
RVU Breakdown
| Work RVU | 5.07 |
| Total RVU | 5.07 |
Est. Medicare Payment
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 5.07, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58559?
CPT 58559 (Hysteroscopy lysis) is a Surgery code. Hysteroscopy with lysis of intrauterine adhesions involves endoscopic division of synechiae (scar tissue) to restore uterine cavity patency and function.
What is the wRVU value for CPT 58559?
The work RVU for CPT 58559 is 5.07. This code is primarily used by Gynecology, Fertility.
When is CPT 58559 used?
Treatment for Asherman syndrome (intrauterine adhesions) causing amenorrhea or infertility. Visualization critical to avoid uterine perforation while lysing adhesions.
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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.