CPT code 58292: Vaginal hysterectomy, large uterus, adnexal removal, enterocele repair2026 Medicare rate & RVUs in Montana
Reports vaginal removal of a uterus weighing more than 250 grams with removal of tube(s) and/or ovary(s) and repair of an enterocele.
In Montana, Medicare pays $1,150.39 for 58292 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58292 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 58292 covers
A gynecologic surgeon reports this service when removing a uterus weighing more than 250 grams through the vagina, removing one or both fallopian tubes and/or ovaries, and repairing an enterocele during the same operation. It is used for a combined operation addressing uterine disease or prolapse, adnexal removal, and an enterocele; the operative report should make clear that each component was performed.
Select this code based on the documented uterine weight and the procedures actually completed. The record should support the vaginal approach, the tube(s) and/or ovary(s) removed, and the enterocele repair. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. A bilateral adjustment is inappropriate for this service.
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 Montana compares for 58292
Across 109 of 109 payment localities, the facility rate for 58292 runs from $1,047.65 in Wisconsin to $1,487.79 in Alaska. Montana pays $1,150.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,150.39
- Los Angeles, CA · California$1,184.07+$33.68
- Washington, DC area · District of Columbia$1,252.51+$102.12
- Miami, FL · Florida$1,364.96+$214.57
- Chicago, IL · Illinois$1,329.85+$179.46
- Manhattan, NY · New York$1,319.04+$168.65
- Alaska · Alaska$1,487.79+$337.40
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,060.72 |
| ArkansasArkansas | — | $1,049.81 |
| ArizonaArizona | — | $1,123.51 |
| Bakersfield, CACalifornia | — | $1,137.66 |
| Chico, CACalifornia | — | $1,126.41 |
| El Centro, CACalifornia | — | $1,127.08 |
| Fresno, CACalifornia | — | $1,126.41 |
| Hanford, CACalifornia | — | $1,126.41 |
| Madera, CACalifornia | — | $1,126.41 |
| Merced, CACalifornia | — | $1,126.41 |
| Modesto, CACalifornia | — | $1,126.41 |
| Napa, CACalifornia | — | $1,214.69 |
| Oxnard, CACalifornia | — | $1,168.46 |
| Redding, CACalifornia | — | $1,126.41 |
| Rest of CaliforniaCalifornia | — | $1,126.41 |
| Riverside, CACalifornia | — | $1,169.42 |
| Sacramento, CACalifornia | — | $1,158.07 |
| Salinas, CACalifornia | — | $1,153.24 |
| San Diego, CACalifornia | — | $1,162.78 |
| Marin County, CACalifornia | — | $1,256.12 |
| San Francisco, CACalifornia | — | $1,251.59 |
| San Benito County, CACalifornia | — | $1,286.01 |
| Santa Clara County, CACalifornia | — | $1,267.49 |
| San Luis Obispo, CACalifornia | — | $1,137.46 |
| Santa Cruz, CACalifornia | — | $1,160.02 |
| Santa Maria, CACalifornia | — | $1,152.76 |
| Santa Rosa, CACalifornia | — | $1,170.20 |
| Stockton, CACalifornia | — | $1,126.41 |
| Vallejo, CACalifornia | — | $1,208.16 |
| Visalia, CACalifornia | — | $1,126.41 |
| Yuba City, CACalifornia | — | $1,126.41 |
| ColoradoColorado | — | $1,147.04 |
| ConnecticutConnecticut | — | $1,213.64 |
| DelawareDelaware | — | $1,137.92 |
| Fort Lauderdale, FLFlorida | — | $1,261.68 |
| Rest of FloridaFlorida | — | $1,206.39 |
| Atlanta, GAGeorgia | — | $1,183.84 |
| Rest of GeorgiaGeorgia | — | $1,148.51 |
| Hawaii, Guam, HIHawaii | — | $1,129.74 |
| IowaIowa | — | $1,048.47 |
| IdahoIdaho | — | $1,059.88 |
| East St. Louis, ILIllinois | — | $1,265.25 |
| Rest of IllinoisIllinois | — | $1,203.35 |
| Suburban Chicago, ILIllinois | — | $1,265.80 |
| IndianaIndiana | — | $1,063.41 |
| KansasKansas | — | $1,059.90 |
| KentuckyKentucky | — | $1,110.82 |
| New Orleans, LALouisiana | — | $1,153.63 |
| Rest of LouisianaLouisiana | — | $1,115.53 |
| Metropolitan Boston, MAMassachusetts | — | $1,217.01 |
| Rest of MassachusettsMassachusetts | — | $1,149.39 |
| Baltimore area, MDMaryland | — | $1,213.16 |
| Rest of MarylandMaryland | — | $1,150.42 |
| Rest of MaineMaine | — | $1,079.74 |
| Southern Maine, MEMaine | — | $1,099.17 |
| Detroit, MIMichigan | — | $1,233.09 |
| Rest of MichiganMichigan | — | $1,145.51 |
| MinnesotaMinnesota | — | $1,064.29 |
| Metropolitan Kansas City, MOMissouri | — | $1,131.93 |
| Metropolitan St. Louis, MOMissouri | — | $1,138.60 |
| Rest of MissouriMissouri | — | $1,111.75 |
| MississippiMississippi | — | $1,080.18 |
| North CarolinaNorth Carolina | — | $1,085.34 |
| North DakotaNorth Dakota | — | $1,071.50 |
| NebraskaNebraska | — | $1,047.99 |
| New HampshireNew Hampshire | — | $1,144.53 |
| Northern New JerseyNew Jersey | — | $1,248.73 |
| Rest of New JerseyNew Jersey | — | $1,217.64 |
| New MexicoNew Mexico | — | $1,156.13 |
| NevadaNevada | — | $1,128.66 |
| NYC suburbs and Long Island, NYNew York | — | $1,362.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,237.27 |
| Queens, NYNew York | — | $1,304.99 |
| Rest of New YorkNew York | — | $1,098.24 |
| OhioOhio | — | $1,129.38 |
| OklahomaOklahoma | — | $1,093.46 |
| Portland, OROregon | — | $1,157.22 |
| Rest of OregonOregon | — | $1,110.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,200.60 |
| Rest of PennsylvaniaPennsylvania | — | $1,122.27 |
| Puerto RicoPuerto Rico | — | $1,151.49 |
| Rhode IslandRhode Island | — | $1,159.19 |
| South CarolinaSouth Carolina | — | $1,111.15 |
| South DakotaSouth Dakota | — | $1,062.17 |
| TennesseeTennessee | — | $1,065.58 |
| Austin, TXTexas | — | $1,151.89 |
| Beaumont, TXTexas | — | $1,118.08 |
| Brazoria, TXTexas | — | $1,125.11 |
| Dallas, TXTexas | — | $1,137.55 |
| Fort Worth, TXTexas | — | $1,136.72 |
| Galveston, TXTexas | — | $1,132.02 |
| Houston, TXTexas | — | $1,205.06 |
| Rest of TexasTexas | — | $1,124.63 |
| UtahUtah | — | $1,121.66 |
| VirginiaVirginia | — | $1,107.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,151.49 |
| VermontVermont | — | $1,082.26 |
| Rest of WashingtonWashington | — | $1,142.31 |
| King County, WAWashington | — | $1,222.61 |
| WisconsinWisconsin | — | $1,047.65 |
| West VirginiaWest Virginia | — | $1,174.45 |
| WyomingWyoming | — | $1,116.01 |
58292 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 58292 rate is calculated
Each of 58292’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 · 58292
RVUs × geographic indexes × conversion factor
Work22.77
22.77 RVUs× 1.000 GPCI
Practice expense7.69
7.69 RVUs× 1.000 GPCI
Malpractice3.99
3.99 RVUs× 1.000 GPCI
Adjusted RVUs
34.4500
Conversion factor
$33.4009
Medicare rate
$1,150.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,538
- Code
- 58292
- Physician work
- 22.77
- Practice expense
- 7.69
- Malpractice
- 3.99
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.77 | × 1.000 | 22.7700 |
| Practice expense | 7.69 | × 1.000 | 7.6900 |
| Malpractice | 3.99 | × 0.998 | 3.9820 |
| Total RVUs | 34.4420 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1150.39
Facility: (22.77 × 1 + 7.69 × 1 + 3.99 × 0.998) × $33.4009 = $1150.39
Payment rules and modifiers for 58292
58292 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58292
Vaginal hysterectomy, large uterus, adnexal removal, 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 · 58292
Vaginal hysterectomy, large uterus, adnexal removal, 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
58292 without 51 · national facility
$1,150.66
Vaginal hysterectomy, large uterus, adnexal removal, enterocele repair
58292-51 · Second procedure: 50%
$575.33
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 58292 has changed in Montana
58292 · 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 | $1,150.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,150.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,150.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,150.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,269.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,269.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,269.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,269.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,309.30 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,309.30 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,309.30 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,309.30 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,287.93 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,329.56 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,329.56 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,329.56 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,329.56 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,347.64 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,347.64 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,347.64 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,347.64 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,350.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,350.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,350.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,350.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,419.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,419.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,419.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,419.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,398.28 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,398.28 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,394.75 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,394.75 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,390.80 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,390.80 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,390.80 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,390.80 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,375.40 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,375.40 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,375.40 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,375.40 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,351.75 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,351.75 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,351.75 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,351.75 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,363.31 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,363.31 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,356.53 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,356.53 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,390.66 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,390.66 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,390.66 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,390.66 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,351.22 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,351.22 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,351.22 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,351.22 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
58292 billing questions
What distinguishes this code from a vaginal hysterectomy without enterocele repair?
This code includes repair of an enterocele along with removal of adnexal tissue. Choose a code without that repair when an enterocele repair was not performed.
Does the code include removal of the tubes or ovaries?
Yes. It includes removal of one or both tubes and/or ovaries performed with the vaginal hysterectomy; those components are not separately reported as though they were independent procedures.
Should modifier 50 be used when both sides are treated?
No. A bilateral adjustment is inappropriate for this code; its descriptor already allows removal of tube(s) and/or ovary(s).
What documentation supports selection of this code?
Document the vaginal approach, uterine weight greater than 250 grams, which tube(s) and/or ovary(s) were removed, and the enterocele repair performed.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. The service has a 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery 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
Show the CMS file lines behind this rate
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