CPT code 58270: Vaginal hysterectomy, with enterocele repair2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $784.68 for 58270 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58270 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 58270 covers

This service combines removal of the uterus through the vagina with repair of an enterocele, a herniation of peritoneal tissue into the upper vagina. A gynecologic surgeon may perform it for uterovaginal prolapse when an enterocele also requires repair. The procedure is typically performed in a hospital or ambulatory surgery setting, rather than an office.

Report the code when the operative service includes both vaginal hysterectomy for a uterus weighing 250 g or less and enterocele repair. The operative report should document the vaginal route, the repair performed, and the uterine weight, supported by the pathology record when available. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and 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 Delaware compares for 58270

Across 109 of 109 payment localities, the facility rate for 58270 runs from $721.52 in Arkansas to $1,016.47 in Alaska. Delaware pays $784.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58270 rates by state

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

See 58270 in every payment locality

How the 58270 rate is calculated

Each of 58270’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 58270

58270 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

Codes related to 58270

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 58270 has changed in Delaware

Price 58270 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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