CPT code 58267: Vaginal hysterectomy, cystocele repair, uterus ≤250 g2026 Medicare rate & RVUs in Texas
Reports vaginal removal of a uterus weighing 250 g or less together with surgical repair of a cystocele during the same operative session.
CMS doesn’t publish an office rate for 58267 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 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 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 | $942.95 |
| Beaumont, TX | Unavailable | $911.11 |
| Brazoria, TX | Unavailable | $919.55 |
| Dallas, TX | Unavailable | $929.49 |
| Fort Worth, TX | Unavailable | $928.47 |
| Galveston, TX | Unavailable | $925.04 |
| Houston, TX | Unavailable | $982.33 |
| Rest of Texas | Unavailable | $917.65 |
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.
How the rate is built · 58267
RVUs × geographic indexes × conversion factor
Work17.90
17.90 RVUs× 1.000 GPCI
Practice expense7.11
7.11 RVUs× 1.000 GPCI
Malpractice3.13
3.13 RVUs× 1.000 GPCI
Adjusted RVUs
28.1400
Conversion factor
$33.4009
Medicare rate
$939.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58267
58267 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58267
Vaginal hysterectomy, cystocele repair, uterus ≤250 g
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 58267
Vaginal hysterectomy, cystocele repair, uterus ≤250 g
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
58267 without 51 · national facility
$939.90
Vaginal hysterectomy, cystocele repair, uterus ≤250 g
58267-51 · Second procedure: 50%
$469.95
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%).
58267 compared with similar codes
Compare codes · National
5 codes, side by side
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.
58267 billing questions
When should this code be selected instead of 58260?
Use this code when a vaginal hysterectomy for a uterus weighing 250 g or less is performed with cystocele repair. Code 58260 describes the hysterectomy without that repair.
How does this differ from 58270?
This code includes cystocele repair, addressing the anterior vaginal wall. Code 58270 is the neighboring option for vaginal hysterectomy with repair of an enterocele.
Does this code include removal of the tubes or ovaries?
No. It identifies the hysterectomy with cystocele repair; use the appropriate neighboring code when removal of tube(s) or ovary(s) is part of the service.
What documentation supports code selection?
The operative report should document the vaginal approach, cystocele repair, and uterine weight of 250 g or less. The record should also describe any adnexal removal or other prolapse repair that may affect code selection.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and others at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
Medicare may pay an assistant at surgery for this code. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
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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