CPT code 58267: Vaginal hysterectomy, cystocele repair, uterus ≤250 g2026 Medicare rate & RVUs

Medicare pays $939.90 for 58267 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 58267 covers

This service combines vaginal hysterectomy for a uterus weighing 250 g or less with repair of a cystocele, a bladder-support defect that causes the anterior vaginal wall to bulge. It is typically performed by a gynecologic surgeon in a hospital or ambulatory surgery setting for uterine disease or prolapse accompanied by anterior vaginal wall prolapse. The operative record should support the vaginal route, uterine weight, and cystocele repair performed.

Select this code when the hysterectomy and cystocele repair are performed together; a hysterectomy without that repair or with a different prolapse repair may fall under a neighboring code. The cystocele repair is included in this combined service, rather than reported again as a separate line for the same work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment 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 58267 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

58267 rates by state

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

How the 58267 rate is calculated

Each of 58267’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 58267

58267 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

58267 compared with similar codes

How to choose

58260Vaginal hysterectomyUterus 250 grams or less

Use 58260 for the vaginal hysterectomy without cystocele repair. This code includes the anterior vaginal wall repair with the hysterectomy.

58270Vaginal hysterectomyWith enterocele repair

Use 58270 when the included prolapse repair is for an enterocele. This code is for cystocele repair.

58262Vaginal hysterectomyUterus 250 g or less, with adnexa

Use 58262 when tube(s) and/or ovary(s) are removed with the vaginal hysterectomy, without the cystocele repair specified here.

58290Vaginal hysterectomyUterus over 250 grams

The uterine-weight distinction is key: 58290 is for a uterus weighing more than 250 g, while this code is for 250 g or less with cystocele repair.

Codes related to 58267

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