# CPT 58565: Hysteroscopy Bi Tube Occlusion W/perm Implnts

Medicare CPT 58565 pays $1,582.53 in a non-facility setting and $404.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,378.06 in Arkansas to $1,832.83 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/58565-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,582.53 |
| National facility | $404.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $1,832.83 | $444.70 |
| California | $1,812.28 | $417.93 |
| Alaska | $1,765.29 | $510.31 |
| Washington | $1,764.64 | $421.28 |
| New Jersey | $1,762.90 | $436.03 |
| New York | $1,759.61 | $445.00 |
| Hawaii | $1,744.85 | $405.02 |
| Massachusetts | $1,744.55 | $420.63 |
| Connecticut | $1,696.60 | $427.48 |
| Colorado | $1,660.23 | $406.43 |
| Maryland | $1,644.38 | $415.92 |
| Oregon | $1,643.21 | $401.78 |
| New Hampshire | $1,631.15 | $404.45 |
| Rhode Island | $1,625.77 | $408.50 |
| Florida | $1,625.48 | $443.17 |
| Puerto Rico | $1,596.33 | $404.99 |
| Virgin Islands | $1,596.33 | $404.99 |
| Minnesota | $1,591.84 | $379.28 |
| Montana | $1,582.45 | $404.07 |
| Nevada | $1,577.04 | $397.48 |
| Illinois | $1,576.26 | $437.64 |
| Wyoming | $1,571.94 | $393.56 |
| Delaware | $1,563.86 | $399.62 |
| Texas | $1,560.60 | $400.49 |
| Pennsylvania | $1,560.57 | $406.35 |
| North Dakota | $1,558.33 | $379.95 |
| South Dakota | $1,555.48 | $377.09 |
| Vermont | $1,549.30 | $382.70 |
| Virginia | $1,548.28 | $389.93 |
| Arizona | $1,536.06 | $394.20 |
| Georgia | $1,530.63 | $406.45 |
| Michigan | $1,519.23 | $412.73 |
| Maine | $1,509.02 | $383.08 |
| Utah | $1,499.78 | $392.10 |
| Wisconsin | $1,499.32 | $370.43 |
| New Mexico | $1,482.00 | $401.42 |
| North Carolina | $1,480.06 | $380.62 |
| South Carolina | $1,476.86 | $388.04 |
| Missouri | $1,474.04 | $392.68 |
| Louisiana | $1,470.49 | $394.62 |
| Ohio | $1,468.89 | $393.03 |
| Indiana | $1,465.96 | $373.60 |
| Nebraska | $1,456.32 | $368.67 |
| Idaho | $1,456.26 | $372.15 |
| Iowa | $1,446.61 | $368.39 |
| Tennessee | $1,444.46 | $373.31 |
| Kansas | $1,436.56 | $371.31 |
| Kentucky | $1,433.66 | $386.08 |
| Oklahoma | $1,433.28 | $380.98 |
| West Virginia | $1,428.49 | $404.47 |
| Alabama | $1,401.10 | $370.02 |
| Mississippi | $1,389.81 | $375.22 |
| Arkansas | $1,378.06 | $365.83 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 58565 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules