CPT code 58263: Vaginal hysterectomy, adnexal removal and enterocele repair2026 Medicare rate & RVUs in Texas
Reports vaginal removal of a uterus weighing 250 g or less with removal of one or both adnexa and repair of an enterocele.
CMS doesn’t publish an office rate for 58263 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $880.13 |
| Beaumont, TX | Unavailable | $850.83 |
| Brazoria, TX | Unavailable | $858.51 |
| Dallas, TX | Unavailable | $867.77 |
| Fort Worth, TX | Unavailable | $866.85 |
| Galveston, TX | Unavailable | $863.62 |
| Houston, TX | Unavailable | $917.07 |
| Rest of Texas | Unavailable | $856.82 |
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.
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%).
58263 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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