CPT code 58262: Vaginal hysterectomy, uterus 250 g or less, with adnexa2026 Medicare rate & RVUs

Medicare pays $818.66 for 58262 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 58262 covers

A gynecologic surgeon removes the uterus through the vagina and also removes one or both fallopian tubes and/or ovaries. The code applies when the uterus weighs 250 g or less; it does not describe a hysterectomy with an additional vaginal repair. These procedures are commonly performed in a hospital or ambulatory surgical setting for conditions requiring hysterectomy, with the adnexal removal determined by the patient’s clinical and operative plan.

Select the code based on the documented uterine weight and whether tube(s) and/or ovary(s) were removed. The operative report should support the vaginal route, uterine weight, and adnexal work; pathology documentation can support specimen weight. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available, co-surgeons are permitted, 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 58262 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

58262 rates by state

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

How the 58262 rate is calculated

Each of 58262’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 58262

58262 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

58262 compared with similar codes

How to choose

58260Vaginal hysterectomyUterus 250 grams or less

Choose 58260 for vaginal hysterectomy with a uterus 250 g or less when tube(s) and ovary(s) are not removed. This code includes the specified adnexal removal.

58263Vaginal hysterectomyAdnexal removal and enterocele repair

This code covers the small-uterus vaginal hysterectomy with adnexal removal. Choose 58263 when an enterocele repair is also performed.

58291Vaginal hysterectomyComplex, with tube or ovary removal

This code is for the same general hysterectomy and adnexal-removal combination when the uterus weighs more than 250 g.

Codes related to 58262

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