CPT code 58263: Vaginal hysterectomy, adnexal removal and enterocele repair2026 Medicare rate & RVUs in Arizona
Reports vaginal removal of a uterus weighing 250 g or less with removal of one or both adnexa and repair of an enterocele.
In Arizona, Medicare pays $856.62 for 58263 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58263 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Arizona compares for 58263
Across 109 of 109 payment localities, the facility rate for 58263 runs from $799.29 in Arkansas to $1,128.44 in Alaska. Arizona pays $856.62. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$856.62
- Los Angeles, CA · California$907.71+$51.09
- Washington, DC area · District of Columbia$957.71+$101.09
- Miami, FL · Florida$1,035.54+$178.92
- Chicago, IL · Illinois$1,008.77+$152.15
- Manhattan, NY · New York$1,005.95+$149.33
- Alaska · Alaska$1,128.44+$271.82
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $807.77 |
| ArkansasArkansas | — | $799.29 |
| Bakersfield, CACalifornia | — | $870.97 |
| Chico, CACalifornia | — | $862.73 |
| El Centro, CACalifornia | — | $863.22 |
| Fresno, CACalifornia | — | $862.73 |
| Hanford, CACalifornia | — | $862.73 |
| Madera, CACalifornia | — | $862.73 |
| Merced, CACalifornia | — | $862.73 |
| Modesto, CACalifornia | — | $862.73 |
| Napa, CACalifornia | — | $934.38 |
| Oxnard, CACalifornia | — | $896.20 |
| Redding, CACalifornia | — | $862.73 |
| Rest of CaliforniaCalifornia | — | $862.73 |
| Riverside, CACalifornia | — | $894.21 |
| Sacramento, CACalifornia | — | $888.05 |
| Salinas, CACalifornia | — | $884.37 |
| San Diego, CACalifornia | — | $892.49 |
| Marin County, CACalifornia | — | $967.68 |
| San Francisco, CACalifornia | — | $964.37 |
| San Benito County, CACalifornia | — | $990.61 |
| Santa Clara County, CACalifornia | — | $977.05 |
| San Luis Obispo, CACalifornia | — | $872.14 |
| Santa Cruz, CACalifornia | — | $891.01 |
| Santa Maria, CACalifornia | — | $884.22 |
| Santa Rosa, CACalifornia | — | $898.90 |
| Stockton, CACalifornia | — | $862.73 |
| Vallejo, CACalifornia | — | $929.60 |
| Visalia, CACalifornia | — | $862.73 |
| Yuba City, CACalifornia | — | $862.73 |
| ColoradoColorado | — | $876.82 |
| ConnecticutConnecticut | — | $925.99 |
| DelawareDelaware | — | $867.77 |
| Fort Lauderdale, FLFlorida | — | $959.09 |
| Rest of FloridaFlorida | — | $916.87 |
| Atlanta, GAGeorgia | — | $902.23 |
| Rest of GeorgiaGeorgia | — | $872.54 |
| Hawaii, Guam, HIHawaii | — | $866.35 |
| IowaIowa | — | $800.03 |
| IdahoIdaho | — | $808.54 |
| East St. Louis, ILIllinois | — | $958.84 |
| Rest of IllinoisIllinois | — | $913.32 |
| Suburban Chicago, ILIllinois | — | $962.57 |
| IndianaIndiana | — | $811.34 |
| KansasKansas | — | $808.06 |
| KentuckyKentucky | — | $844.87 |
| New Orleans, LALouisiana | — | $877.80 |
| Rest of LouisianaLouisiana | — | $848.19 |
| Metropolitan Boston, MAMassachusetts | — | $932.16 |
| Rest of MassachusettsMassachusetts | — | $878.22 |
| Baltimore area, MDMaryland | — | $925.51 |
| Rest of MarylandMaryland | — | $877.68 |
| Rest of MaineMaine | — | $823.07 |
| Southern Maine, MEMaine | — | $839.48 |
| Detroit, MIMichigan | — | $936.69 |
| Rest of MichiganMichigan | — | $870.99 |
| MinnesotaMinnesota | — | $815.12 |
| Metropolitan Kansas City, MOMissouri | — | $861.85 |
| Metropolitan St. Louis, MOMissouri | — | $867.14 |
| Rest of MissouriMissouri | — | $844.71 |
| MississippiMississippi | — | $821.58 |
| MontanaMontana | — | $877.25 |
| North CarolinaNorth Carolina | — | $827.58 |
| North DakotaNorth Dakota | — | $819.51 |
| NebraskaNebraska | — | $799.93 |
| New HampshireNew Hampshire | — | $874.22 |
| Northern New JerseyNew Jersey | — | $954.43 |
| Rest of New JerseyNew Jersey | — | $929.47 |
| New MexicoNew Mexico | — | $878.89 |
| NevadaNevada | — | $861.37 |
| NYC suburbs and Long Island, NYNew York | — | $1,038.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $943.96 |
| Queens, NYNew York | — | $996.28 |
| Rest of New YorkNew York | — | $837.54 |
| OhioOhio | — | $859.19 |
| OklahomaOklahoma | — | $832.28 |
| Portland, OROregon | — | $885.74 |
| Rest of OregonOregon | — | $847.60 |
| Metropolitan Philadelphia, PAPennsylvania | — | $915.34 |
| Rest of PennsylvaniaPennsylvania | — | $854.14 |
| Puerto RicoPuerto Rico | — | $878.39 |
| Rhode IslandRhode Island | — | $884.79 |
| South CarolinaSouth Carolina | — | $846.19 |
| South DakotaSouth Dakota | — | $812.68 |
| TennesseeTennessee | — | $812.38 |
| Austin, TXTexas | — | $880.13 |
| Beaumont, TXTexas | — | $850.83 |
| Brazoria, TXTexas | — | $858.51 |
| Dallas, TXTexas | — | $867.77 |
| Fort Worth, TXTexas | — | $866.85 |
| Galveston, TXTexas | — | $863.62 |
| Houston, TXTexas | — | $917.07 |
| Rest of TexasTexas | — | $856.82 |
| UtahUtah | — | $854.37 |
| VirginiaVirginia | — | $845.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $878.39 |
| VermontVermont | — | $827.07 |
| Rest of WashingtonWashington | — | $873.02 |
| King County, WAWashington | — | $937.31 |
| WisconsinWisconsin | — | $800.76 |
| West VirginiaWest Virginia | — | $890.82 |
| WyomingWyoming | — | $852.08 |
58263 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 58263
RVUs × geographic indexes × conversion factor
Work16.80
16.80 RVUs× 1.000 GPCI
Practice expense6.55
6.55 RVUs× 1.000 GPCI
Malpractice2.92
2.92 RVUs× 1.000 GPCI
Adjusted RVUs
26.2700
Conversion factor
$33.4009
Medicare rate
$877.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,530
- Code
- 58263
- Physician work
- 16.80
- Practice expense
- 6.55
- Malpractice
- 2.92
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.80 | × 1.000 | 16.8000 |
| Practice expense | 6.55 | × 0.969 | 6.3469 |
| Malpractice | 2.92 | × 0.856 | 2.4995 |
| Total RVUs | 25.6465 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$856.62
Facility: (16.8 × 1 + 6.55 × 0.969 + 2.92 × 0.856) × $33.4009 = $856.62
Payment rules and modifiers for 58263
58263 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58263
Vaginal hysterectomy, adnexal removal and enterocele repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58263
Vaginal hysterectomy, adnexal removal and enterocele repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58263 without 51 · national facility
$877.44
Vaginal hysterectomy, adnexal removal and enterocele repair
58263-51 · Second procedure: 50%
$438.72
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 58263 has changed in Arizona
58263 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $856.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $856.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $856.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $856.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $947.26 | RVU25D |
| 2025-07-01 | Not available in this setting | $947.26 | RVU25C |
| 2025-04-01 | Not available in this setting | $947.26 | RVU25B |
| 2025-01-01 | Not available in this setting | $947.26 | RVU25A |
| 2024-10-01 | Not available in this setting | $975.18 | RVU24D |
| 2024-07-01 | Not available in this setting | $975.18 | RVU24C |
| 2024-04-01 | Not available in this setting | $975.18 | RVU24B |
| 2024-03-09 | Not available in this setting | $975.18 | RVU24AR |
| 2024-01-01 | Not available in this setting | $959.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $984.81 | RVU23D |
| 2023-07-01 | Not available in this setting | $984.81 | RVU23C |
| 2023-04-01 | Not available in this setting | $984.81 | RVU23B |
| 2023-01-01 | Not available in this setting | $984.81 | RVU23A |
| 2022-10-01 | Not available in this setting | $994.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $994.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $994.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $994.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $994.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $994.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $994.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $994.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,014.28 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,014.28 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,014.28 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,014.28 | RVU20A |
| 2019-10-01 | Not available in this setting | $989.67 | RVU19D |
| 2019-07-01 | Not available in this setting | $989.67 | RVU19C |
| 2019-04-01 | Not available in this setting | $989.67 | RVU19B |
| 2019-01-01 | Not available in this setting | $989.67 | RVU19A |
| 2018-10-01 | Not available in this setting | $983.19 | RVU18D |
| 2018-07-01 | Not available in this setting | $983.19 | RVU18C |
| 2018-04-01 | Not available in this setting | $983.19 | RVU18B |
| 2018-01-01 | Not available in this setting | $983.19 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $993.09 | RVU17D |
| 2017-07-01 | Not available in this setting | $993.09 | RVU17C |
| 2017-04-01 | Not available in this setting | $993.09 | RVU17B |
| 2017-01-01 | Not available in this setting | $993.09 | RVU17A |
| 2016-10-01 | Not available in this setting | $993.76 | RVU16D |
| 2016-07-01 | Not available in this setting | $993.76 | RVU16C |
| 2016-04-01 | Not available in this setting | $993.76 | RVU16B |
| 2016-01-01 | Not available in this setting | $993.76 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,000.54 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,000.54 | RVU15C |
| 2015-04-01 | Not available in this setting | $995.57 | RVU15B |
| 2015-01-01 | Not available in this setting | $995.57 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,021.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,021.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,021.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,021.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,002.48 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,002.48 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,002.48 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,002.48 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
58263 billing questions
When should this code be selected instead of 58262?
Use 58263 when the vaginal hysterectomy is for a uterus weighing 250 g or less, adnexal tissue is removed, and an enterocele is repaired. Code 58262 does not include the enterocele repair.
Is the enterocele repair separately reported?
The repair is included in this combination service. The operative report should document that an enterocele was repaired.
Does this code include removal of both ovaries and tubes?
It includes removal of tube(s) and/or ovary(s), so removal may involve one or both adnexa. Document which structures were removed.
Should modifier 50 be appended for bilateral adnexal removal?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
Show the CMS file lines behind this rate
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