CPT code 58552: Vaginal hysterectomy, uterus 250 g or less, adnexa removed2026 Medicare rate & RVUs in Missouri
Reports laparoscopic-assisted vaginal removal of a uterus weighing 250 grams or less when one or more fallopian tubes or ovaries are also removed.
CMS doesn’t publish an office rate for 58552 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $861.35 |
| Metropolitan St. Louis, MO | Unavailable | $866.81 |
| Rest of Missouri | Unavailable | $843.66 |
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.
How the rate is built · 58552
RVUs × geographic indexes × conversion factor
Work16.49
16.49 RVUs× 1.000 GPCI
Practice expense6.76
6.76 RVUs× 1.000 GPCI
Malpractice3.02
3.02 RVUs× 1.000 GPCI
Adjusted RVUs
26.2700
Conversion factor
$33.4009
Medicare rate
$877.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58552
58552 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58552
Vaginal hysterectomy, uterus 250 g or less, adnexa removed
| 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 · 58552
Vaginal hysterectomy, uterus 250 g or less, adnexa removed
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
58552 without 51 · national facility
$877.44
Vaginal hysterectomy, uterus 250 g or less, adnexa removed
58552-51 · Second procedure: 50%
$438.72
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%).
58552 compared with similar codes
Compare codes · National
4 codes, side by side
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.
58552 billing questions
When should this be selected instead of 58550?
Use 58552 when the laparoscopic-assisted vaginal hysterectomy also includes removal of one or more tubes or ovaries. Code 58550 describes the corresponding procedure without that adnexal removal.
How does uterine weight affect code selection?
This code is for a uterus weighing 250 grams or less. If the documented weight is greater than 250 grams, consider the corresponding higher-weight code, 58554, when adnexal tissue is removed.
Can removal of a tube or ovary be billed separately?
Removal of one or more fallopian tubes and/or ovaries is included in this code when performed with the hysterectomy. The code does not require removal of both tubes and both ovaries.
Should modifier 50 be appended for bilateral removal?
No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor and anatomy make modifier 50 inappropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this procedure. 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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