CPT code 58294: Vaginal hysterectomy, complex with enterocele repair2026 Medicare rate & RVUs in Washington, DC area
Reports vaginal removal of a uterus weighing more than 250 grams when the operation also includes repair of an enterocele.
In Washington, DC area, Medicare pays $1,164.86 for 58294 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58294 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 58294 covers
A gynecologic surgeon removes the uterus through the vagina and repairs an enterocele, a protrusion of peritoneal contents into the upper vaginal area. This combination may be performed for uterine enlargement with pelvic organ prolapse. The operative report should identify the vaginal route, uterine weight, and the enterocele repair performed; document any additional procedures separately according to their operative work.
Select this code when the documented uterine weight is greater than 250 grams and the operation includes the enterocele repair. The repair is part of the combined service described by the code. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Washington, DC area compares for 58294
Across 109 of 109 payment localities, the facility rate for 58294 runs from $974.16 in Wisconsin to $1,381.10 in Alaska. Washington, DC area pays $1,164.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,164.86
- Los Angeles, CA · California$1,101.77−$63.09
- Miami, FL · Florida$1,267.47+$102.61
- Chicago, IL · Illinois$1,234.81+$69.95
- Manhattan, NY · New York$1,226.10+$61.24
- Alaska · Alaska$1,381.10+$216.24
- Alabama · Alabama$985.55−$179.31
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $975.36 |
| ArizonaArizona | — | $1,044.21 |
| Bakersfield, CACalifornia | — | $1,058.27 |
| Chico, CACalifornia | — | $1,047.90 |
| El Centro, CACalifornia | — | $1,048.51 |
| Fresno, CACalifornia | — | $1,047.90 |
| Hanford, CACalifornia | — | $1,047.90 |
| Madera, CACalifornia | — | $1,047.90 |
| Merced, CACalifornia | — | $1,047.90 |
| Modesto, CACalifornia | — | $1,047.90 |
| Napa, CACalifornia | — | $1,131.09 |
| Oxnard, CACalifornia | — | $1,087.37 |
| Redding, CACalifornia | — | $1,047.90 |
| Rest of CaliforniaCalifornia | — | $1,047.90 |
| Riverside, CACalifornia | — | $1,087.56 |
| Sacramento, CACalifornia | — | $1,077.63 |
| Salinas, CACalifornia | — | $1,073.15 |
| San Diego, CACalifornia | — | $1,082.24 |
| Marin County, CACalifornia | — | $1,170.05 |
| San Francisco, CACalifornia | — | $1,165.87 |
| San Benito County, CACalifornia | — | $1,197.87 |
| Santa Clara County, CACalifornia | — | $1,180.79 |
| San Luis Obispo, CACalifornia | — | $1,058.43 |
| Santa Cruz, CACalifornia | — | $1,079.84 |
| Santa Maria, CACalifornia | — | $1,072.75 |
| Santa Rosa, CACalifornia | — | $1,089.34 |
| Stockton, CACalifornia | — | $1,047.90 |
| Vallejo, CACalifornia | — | $1,125.07 |
| Visalia, CACalifornia | — | $1,047.90 |
| Yuba City, CACalifornia | — | $1,047.90 |
| ColoradoColorado | — | $1,066.67 |
| ConnecticutConnecticut | — | $1,128.20 |
| DelawareDelaware | — | $1,057.65 |
| Fort Lauderdale, FLFlorida | — | $1,172.00 |
| Rest of FloridaFlorida | — | $1,120.55 |
| Atlanta, GAGeorgia | — | $1,100.23 |
| Rest of GeorgiaGeorgia | — | $1,066.66 |
| Hawaii, Guam, HIHawaii | — | $1,051.29 |
| IowaIowa | — | $974.57 |
| IdahoIdaho | — | $985.13 |
| East St. Louis, ILIllinois | — | $1,174.55 |
| Rest of IllinoisIllinois | — | $1,117.40 |
| Suburban Chicago, ILIllinois | — | $1,175.91 |
| IndianaIndiana | — | $988.45 |
| KansasKansas | — | $985.03 |
| KentuckyKentucky | — | $1,031.87 |
| New Orleans, LALouisiana | — | $1,071.77 |
| Rest of LouisianaLouisiana | — | $1,036.18 |
| Metropolitan Boston, MAMassachusetts | — | $1,132.24 |
| Rest of MassachusettsMassachusetts | — | $1,068.75 |
| Baltimore area, MDMaryland | — | $1,127.73 |
| Rest of MarylandMaryland | — | $1,069.37 |
| Rest of MaineMaine | — | $1,003.45 |
| Southern Maine, MEMaine | — | $1,021.94 |
| Detroit, MIMichigan | — | $1,145.25 |
| Rest of MichiganMichigan | — | $1,064.05 |
| MinnesotaMinnesota | — | $990.06 |
| Metropolitan Kansas City, MOMissouri | — | $1,051.74 |
| Metropolitan St. Louis, MOMissouri | — | $1,057.99 |
| Rest of MissouriMissouri | — | $1,032.51 |
| MississippiMississippi | — | $1,003.38 |
| MontanaMontana | — | $1,069.25 |
| North CarolinaNorth Carolina | — | $1,008.72 |
| North DakotaNorth Dakota | — | $996.49 |
| NebraskaNebraska | — | $974.19 |
| New HampshireNew Hampshire | — | $1,064.17 |
| Northern New JerseyNew Jersey | — | $1,161.24 |
| Rest of New JerseyNew Jersey | — | $1,132.01 |
| New MexicoNew Mexico | — | $1,073.88 |
| NevadaNevada | — | $1,049.21 |
| NYC suburbs and Long Island, NYNew York | — | $1,266.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,150.15 |
| Queens, NYNew York | — | $1,213.30 |
| Rest of New YorkNew York | — | $1,020.75 |
| OhioOhio | — | $1,049.18 |
| OklahomaOklahoma | — | $1,015.89 |
| Portland, OROregon | — | $1,076.43 |
| Rest of OregonOregon | — | $1,032.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,115.89 |
| Rest of PennsylvaniaPennsylvania | — | $1,042.66 |
| Puerto RicoPuerto Rico | — | $1,070.35 |
| Rhode IslandRhode Island | — | $1,077.63 |
| South CarolinaSouth Carolina | — | $1,032.45 |
| South DakotaSouth Dakota | — | $987.88 |
| TennesseeTennessee | — | $990.31 |
| Austin, TXTexas | — | $1,071.09 |
| Beaumont, TXTexas | — | $1,038.74 |
| Brazoria, TXTexas | — | $1,045.87 |
| Dallas, TXTexas | — | $1,057.38 |
| Fort Worth, TXTexas | — | $1,056.53 |
| Galveston, TXTexas | — | $1,052.26 |
| Houston, TXTexas | — | $1,119.61 |
| Rest of TexasTexas | — | $1,045.09 |
| UtahUtah | — | $1,042.27 |
| VirginiaVirginia | — | $1,029.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,070.35 |
| VermontVermont | — | $1,006.33 |
| Rest of WashingtonWashington | — | $1,062.22 |
| King County, WAWashington | — | $1,137.67 |
| WisconsinWisconsin | — | $974.16 |
| West VirginiaWest Virginia | — | $1,090.40 |
| WyomingWyoming | — | $1,037.54 |
58294 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 58294 rate is calculated
Each of 58294’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 · 58294
RVUs × geographic indexes × conversion factor
Work21.01
21.01 RVUs× 1.000 GPCI
Practice expense7.33
7.33 RVUs× 1.000 GPCI
Malpractice3.68
3.68 RVUs× 1.000 GPCI
Adjusted RVUs
32.0200
Conversion factor
$33.4009
Medicare rate
$1,069.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,539
- Code
- 58294
- Physician work
- 21.01
- Practice expense
- 7.33
- Malpractice
- 3.68
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.01 | × 1.054 | 22.1445 |
| Practice expense | 7.33 | × 1.178 | 8.6347 |
| Malpractice | 3.68 | × 1.113 | 4.0958 |
| Total RVUs | 34.8751 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1164.86
Facility: (21.01 × 1.054 + 7.33 × 1.178 + 3.68 × 1.113) × $33.4009 = $1164.86
Payment rules and modifiers for 58294
58294 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58294
Vaginal hysterectomy, complex with 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) | 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 · 58294
Vaginal hysterectomy, complex with 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
58294 without 51 · national facility
$1,069.50
Vaginal hysterectomy, complex with enterocele repair
58294-51 · Second procedure: 50%
$534.75
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 58294 has changed in Washington, DC area
58294 · 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 | $1,164.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,164.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,164.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,164.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,312.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,312.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,312.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,312.35 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,352.89 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,352.89 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,352.89 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,352.89 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,330.81 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,389.07 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,389.07 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,389.07 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,389.07 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,422.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,422.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,422.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,422.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,422.67 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,422.67 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,422.67 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,422.67 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,434.76 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,434.76 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,434.76 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,434.76 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,373.85 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,373.85 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,373.85 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,373.85 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,365.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,365.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,365.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,365.32 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,376.07 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,376.07 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,376.07 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,376.07 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,377.95 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,377.95 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,377.95 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,377.95 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,384.01 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,384.01 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,377.12 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,377.12 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,408.18 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,408.18 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,408.18 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,408.18 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,368.79 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,368.79 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,368.79 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,368.79 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
58294 billing questions
How does this differ from 58270?
Both include vaginal hysterectomy with enterocele repair. Code 58270 is for a uterus weighing 250 grams or less; this code is for a uterus weighing more than 250 grams.
Can the enterocele repair be reported separately?
The enterocele repair is included in this combined service. Do not separately report that same repair as an additional procedure.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports selecting this code?
The operative report should establish the vaginal approach, uterine weight greater than 250 grams, and the enterocele repair performed.
How is assistant or co-surgeon involvement handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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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