CPT code 58552: Vaginal hysterectomy, uterus 250 g or less, adnexa removed2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 58552 in California.

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

What 58552 covers

A gynecologic surgeon uses laparoscopy to assist the operation, then removes the uterus through the vagina. The code includes removal of one or more fallopian tubes and/or ovaries during the same operation. It is used for conditions such as symptomatic fibroids or abnormal uterine bleeding when hysterectomy is selected and the operative approach is laparoscopic-assisted vaginal rather than entirely laparoscopic.

Select this code when the documented approach is laparoscopic-assisted vaginal, adnexal tissue is removed, and the uterus weighs 250 grams or less. The operative report should support the surgical route and removal performed; the specimen or pathology record can support uterine weight. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be allowed, co-surgeons are permitted, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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 58552 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 58552 rate is calculated

Each of 58552’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 58552

58552 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

58552 compared with similar codes

How to choose

58550Vaginal hysterectomyUterus 250 g or less

Both describe laparoscopic-assisted vaginal hysterectomy for a uterus weighing 250 grams or less. Choose 58552 when tubes and/or ovaries are removed; 58550 is for the procedure without that removal.

58554Vaginal hysterectomyOver 250 g, with tube or ovary removal

This is the corresponding laparoscopic-assisted vaginal procedure with adnexal removal when the uterus weighs more than 250 grams.

58571Laparoscopic hysterectomyUterus 250 g or less, adnexa removed

Both include adnexal removal with a uterus weighing 250 grams or less, but 58571 uses a total laparoscopic approach rather than laparoscopic assistance with vaginal removal.

Codes related to 58552

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

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