2020 Hysteroscopy CPT Code Reimbursement Guide

Gynecology Procedures

2020 Coding and Reimbursement Guide

Hysteroscopy reimbursement varies by geographical location and the individual rules of the

payer. KARL STORZ provides this coding and payment guide for information purposes only.

KARL STORZ does not guarantee or warrant that the use of this information will result in payment

or coverage. Actual codes used are at the sole discretion of the treating physicians and facility.

You should consult the individual payers to determine the current reimbursement profiles and their

rules for capturing additional costs associated with performing a procedure.

2020 Gynecology Procedures ¨C

Global and Physician Professional Payment

National Average

Medicare Rate

RVU

CPT/

HCPCS

Description

Office

(Global)

Facility

(Professional)

Office

(Global)

Facility

(Professional)

58340

Catheterization and introduction of

saline or contrast material for saline

infusion sonohysterography (SIS) or

hysterosalpingography

5.53

1.65

$199.58

$59.55

58353

Endometrial ablation, thermal, without

hysteroscopic guidance

28.51

6.54

$1,028.91

$236.03

58555

Hysteroscopy, diagnostic (separate procedure)

9.26

4.42

$334.19

$159.52

58558

Hysteroscopy, surgical; with sampling (biopsy)

of endometrium and/or polypectomy, with or

without D & C

39.61

6.74

$1,429.51

$243.24

58559

Hysteroscopy, surgical with lysis of intrauterine

adhesions (any method)

8.33

8.33

$300.63

$300.63

58560

Hysteroscopy, surgical with division or

resection of intrauterine septum (any method)

9.16

9.16

$330.58

$330.58

58561

Hysteroscopy; surgical; with removal of

leiomyomata

10.48

10.48

$378.22

$378.22

58562

Hysteroscopy, surgical with removal of

impacted foreign body

11.31

6.47

$408.17

$233.50

58563

Hysteroscopy; surgical; with endometrial

ablation (eg, endometrial resection,

electrosurgical ablation, thermoablation)

55.61

7.18

$2,006.94

$259.12

58565

Hysteroscopy, surgical with bilateral fallopian

tube cannulation to induce occlusion by

placement of permanent implants

51.65

12.97

$1,864.03

$468.08

58579

Unlisted hysteroscopy procedure, uterus

0.00

0.00

N/A

N/A

Additional Procedure Codes

58300

Insertion of intrauterine device (IUD)

2.60

1.49

$93.83

$53.77

58301

Removal of intrauterine device (IUD)

2.91

1.95

$105.02

$70.37

Ultrasound Procedure Codes

74740

Hysterosalpingography, radiological

supervision and interpretation

2.54

2.54

$91.67

$91.67

76830

Ultrasound; transvaginal

3.47

3.47

$125.23

$125.23

76831

Saline infusion sonohysterography (SIS),

including color flow Doppler, when performed

3.36

3.36

$121.26

$121.26

The national average 2020 Medicare rates to physicians shown are based on the 2020 conversion factor of $36.0896. Medicare payment for

a specific procedure and specific geographical location should be available in the Medicare Physician Fee Schedule file accessible through

the CMS website. Payment rates listed may be subject to change without notice.

2020 Gynecology Procedures ¨C Facility Payment

CPT/

HCPCS

Description

Site of Service

National Average

Medicare Rate

58340

Catheterization and introduction of saline or contrast

material for saline infusion sonohysterography (SIS)

or hysterosalpingography

Hospital

no info available

ASC

no info available

58353

Endometrial ablation, thermal, without

hysteroscopic guidance

Hospital

$4,271.07

ASC

$1,816.36

58555

Hysteroscopy, diagnostic (separate procedure)

Hospital

$2,497.83

ASC

$1,235.31

58558

Hysteroscopy, surgical; with sampling (biopsy) of

endometrium and/or polypectomy, with or without D & C

Hospital

$2,497.83

ASC

$1,235.31

58559

Hysteroscopy, surgical with lysis of intrauterine adhesions

(any method)

Hospital

$4,271.07

ASC

$1,816.36

58560

Hysteroscopy, surgical with division or resection of

intrauterine septum (any method)

Hospital

$4,271.07

ASC

$1,816.36

58561

Hysteroscopy; surgical; with removal of leiomyomata

Hospital

$4,271.07

ASC

$1,816.36

58562

Hysteroscopy, surgical with removal of impacted

foreign body

Hospital

$2,497.83

ASC

$1,235.31

58563

Hysteroscopy; surgical; with endometrial ablation

(eg, endometrial resection, electrosurgical

ablation, thermoablation)

Hospital

$4,271.07

ASC

$1,816.36

58565

Hysteroscopy, surgical with bilateral fallopian tube

cannulation to induce occlusion by placement of

permanent implants

Hospital

$4,271.07

ASC

$1,816.36

58579

Unlisted hysteroscopy procedure, uterus

Hospital

$166.03

ASC

N/A

Hospital

N/A

ASC

N/A

Hospital

$270.69

ASC

$52.33

Hospital

$233.01

ASC

packaged

Hospital

$112.07

ASC

$56.63

Hospital

$233.01

ASC

$84.09

Additional Procedure Codes

58300

Insertion of intrauterine device (IUD)

58301

Removal of intrauterine device (IUD)

Ultrasound Procedure Codes

74740

Hysterosalpingography, radiological supervision

and interpretation

76830

Ultrasound; transvaginal

76831

Saline infusion sonohysterography (SIS), including color flow

Doppler, when performed

The national average 2020 Medicare rates to physicians shown are based on the 2020 conversion factor of $36.0896. Medicare payment for

a specific procedure and specific geographical location should be available in the Medicare Physician Fee Schedule file accessible through

the CMS website. Payment rates listed may be subject to change without notice.

KARL STORZ SE & Co. KG

Dr.-Karl-Storz-Stra?e 34, 78532 Tuttlingen/Germany

Postfach 230, 78503 Tuttlingen/Germany

Telefon: +49 7461 708-0

Telefax: +49 7461 708-105

E-Mail: info@



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2151 East Grand Avenue

El Segundo, CA 90245-5017, USA

Phone: +1 424 218-8100

Phone toll free: 800 421-0837 (US only)

Fax: +1 424 218-8525

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