CPT code 58550: Vaginal hysterectomy, uterus 250 g or less2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $859.95 for 58550 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58550 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 58550 covers

A gynecologic surgeon uses laparoscopy to assist with a vaginal hysterectomy, removing the uterus through the vagina. This approach may be selected for conditions such as symptomatic fibroids, adenomyosis, or persistent abnormal uterine bleeding when the clinical plan and anatomy support vaginal removal. The code applies to a uterus weighing 250 g or less; the laparoscopic assistance is part of the hysterectomy service, not a separate procedure.

Select the code using the documented operative approach and uterine weight, supported by the operative report and specimen or pathology record. When removal of one or both tubes or ovaries is performed, the related code 58552 is the family option for a uterus of this size. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons are permitted; 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 58550

Across 109 of 109 payment localities, the facility rate for 58550 runs from $714.90 in Arkansas to $1,006.61 in Alaska. Washington, DC area pays $859.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58550 rates by state

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

See 58550 in every payment locality

How the 58550 rate is calculated

Each of 58550’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 58550

58550 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 58550

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

How 58550 has changed in Washington, DC area

Price 58550 for an earlier date of service

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

Browse all communities in District of Columbia

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