CPT code 58263: Vaginal hysterectomy, adnexal removal and enterocele repair2026 Medicare rate & RVUs

Medicare pays $877.44 for 58263 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 58263 covers

This service covers removal of the uterus through the vagina when it weighs 250 g or less, removal of one or both fallopian tubes and/or ovaries, and repair of an enterocele. Gynecologic surgeons commonly perform it for patients undergoing vaginal surgery for uterine and pelvic support conditions. The operative report should establish the vaginal route and document the adnexal removal and enterocele repair; the specimen weight supports selection of the 250-g-or-less family.

Report this combination code when all of its included work is performed. Do not separately report the adnexal removal or enterocele repair as though they were separate services. Medicare’s 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon payment may be allowed; 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 58263 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

58263 rates by state

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

How the 58263 rate is calculated

Each of 58263’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 58263

58263 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

58263 compared with similar codes

How to choose

58262Vaginal hysterectomyUterus 250 g or less, with adnexa

Both include vaginal hysterectomy for a uterus of 250 g or less and adnexal removal. Choose 58263 when an enterocele is also repaired.

58270Vaginal hysterectomyWith enterocele repair

This code includes an enterocele repair but not adnexal removal. Use 58263 when tube(s) and/or ovary(s) are also removed.

58267Vaginal hysterectomyCystocele repair, uterus ≤250 g

This variant includes urinary repair rather than the enterocele repair included in 58263.

58292Vaginal hysterectomyLarge uterus, adnexal removal, enterocele repair

This is the related more complex, larger-uterus variant with adnexal removal and repair; 58263 is for a uterus weighing 250 g or less.

Codes related to 58263

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