CPT code 58180: Hysterectomy, abdominal, cervix retained2026 Medicare rate & RVUs

Medicare pays $866.75 for 58180 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 58180 covers

Code 58180 reports an abdominal supracervical hysterectomy: the surgeon removes the uterine body while leaving the cervix in place. Gynecologic surgeons perform it in an operating room when hysterectomy is selected for conditions such as symptomatic fibroids or abnormal uterine bleeding and the operative plan retains the cervix. Removal of fallopian tubes or ovaries may accompany the procedure without changing the hysterectomy code.

Select 58180 when the operative report supports an abdominal approach and confirms that the cervix remains; use a total hysterectomy code when the cervix is removed. Document the indication, approach, structures removed, and operative findings. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is not appropriate for this operation. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 58180 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58180 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 58180 rate is calculated

Each of 58180’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 58180

58180 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

58180 compared with similar codes

How to choose

58150HysterectomyAbdominal, cervix removed

Use 58180 when the cervix is retained after abdominal removal of the uterine body. Use 58150 when the cervix is also removed.

58152HysterectomyWith bladder-neck suspension

This code describes total abdominal hysterectomy with colpo-urethrocystopexy. It is not the cervix-retaining procedure reported with 58180.

58542Supracervical hysterectomyAdnexal removal, uterus 250 g or less

Both procedures retain the cervix, but 58542 uses a laparoscopic approach and applies to a uterus weighing 250 g or less; 58180 is the abdominal approach.

58140MyomectomyAbdominal, limited burden

58140 removes fibroids while preserving the uterus. Choose 58180 when the operative plan is to remove the uterine body and retain the cervix.

Codes related to 58180

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates