CPT code 58552: Vaginal hysterectomy, uterus 250 g or less, adnexa removed2026 Medicare rate & RVUs in Vermont
Reports laparoscopic-assisted vaginal removal of a uterus weighing 250 grams or less when one or more fallopian tubes or ovaries are also removed.
In Vermont, Medicare pays $825.35 for 58552 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58552 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 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.
How Vermont compares for 58552
Across 109 of 109 payment localities, the facility rate for 58552 runs from $796.68 in Arkansas to $1,122.22 in Alaska. Vermont pays $825.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$825.35
- Los Angeles, CA · California$907.45+$82.10
- Washington, DC area · District of Columbia$958.77+$133.42
- Miami, FL · Florida$1,040.93+$215.58
- Chicago, IL · Illinois$1,013.05+$187.70
- Manhattan, NY · New York$1,008.38+$183.03
- Alaska · Alaska$1,122.22+$296.87
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $805.44 |
| ArkansasArkansas | — | $796.68 |
| ArizonaArizona | — | $855.92 |
| Bakersfield, CACalifornia | — | $870.14 |
| Chico, CACalifornia | — | $861.68 |
| El Centro, CACalifornia | — | $862.18 |
| Fresno, CACalifornia | — | $861.68 |
| Hanford, CACalifornia | — | $861.68 |
| Madera, CACalifornia | — | $861.68 |
| Merced, CACalifornia | — | $861.68 |
| Modesto, CACalifornia | — | $861.68 |
| Napa, CACalifornia | — | $934.31 |
| Oxnard, CACalifornia | — | $895.93 |
| Redding, CACalifornia | — | $861.68 |
| Rest of CaliforniaCalifornia | — | $861.68 |
| Riverside, CACalifornia | — | $894.20 |
| Sacramento, CACalifornia | — | $887.27 |
| Salinas, CACalifornia | — | $883.61 |
| San Diego, CACalifornia | — | $892.02 |
| Marin County, CACalifornia | — | $967.77 |
| San Francisco, CACalifornia | — | $964.34 |
| San Benito County, CACalifornia | — | $991.02 |
| Santa Clara County, CACalifornia | — | $977.00 |
| San Luis Obispo, CACalifornia | — | $871.39 |
| Santa Cruz, CACalifornia | — | $890.75 |
| Santa Maria, CACalifornia | — | $883.54 |
| Santa Rosa, CACalifornia | — | $898.64 |
| Stockton, CACalifornia | — | $861.68 |
| Vallejo, CACalifornia | — | $929.37 |
| Visalia, CACalifornia | — | $861.68 |
| Yuba City, CACalifornia | — | $861.68 |
| ColoradoColorado | — | $876.41 |
| ConnecticutConnecticut | — | $927.03 |
| DelawareDelaware | — | $867.30 |
| Fort Lauderdale, FLFlorida | — | $961.88 |
| Rest of FloridaFlorida | — | $918.24 |
| Atlanta, GAGeorgia | — | $902.98 |
| Rest of GeorgiaGeorgia | — | $872.42 |
| Hawaii, Guam, HIHawaii | — | $865.91 |
| IowaIowa | — | $797.42 |
| IdahoIdaho | — | $806.22 |
| East St. Louis, ILIllinois | — | $961.66 |
| Rest of IllinoisIllinois | — | $914.59 |
| Suburban Chicago, ILIllinois | — | $965.27 |
| IndianaIndiana | — | $809.11 |
| KansasKansas | — | $805.73 |
| KentuckyKentucky | — | $843.80 |
| New Orleans, LALouisiana | — | $877.84 |
| Rest of LouisianaLouisiana | — | $847.24 |
| Metropolitan Boston, MAMassachusetts | — | $932.73 |
| Rest of MassachusettsMassachusetts | — | $877.74 |
| Baltimore area, MDMaryland | — | $926.64 |
| Rest of MarylandMaryland | — | $877.39 |
| Rest of MaineMaine | — | $821.25 |
| Southern Maine, MEMaine | — | $838.19 |
| Detroit, MIMichigan | — | $938.74 |
| Rest of MichiganMichigan | — | $870.81 |
| MinnesotaMinnesota | — | $812.98 |
| Metropolitan Kansas City, MOMissouri | — | $861.35 |
| Metropolitan St. Louis, MOMissouri | — | $866.81 |
| Rest of MissouriMissouri | — | $843.66 |
| MississippiMississippi | — | $819.73 |
| MontanaMontana | — | $877.24 |
| North CarolinaNorth Carolina | — | $825.90 |
| North DakotaNorth Dakota | — | $817.52 |
| NebraskaNebraska | — | $797.31 |
| New HampshireNew Hampshire | — | $874.09 |
| Northern New JerseyNew Jersey | — | $955.13 |
| Rest of New JerseyNew Jersey | — | $930.03 |
| New MexicoNew Mexico | — | $878.98 |
| NevadaNevada | — | $860.82 |
| NYC suburbs and Long Island, NYNew York | — | $1,041.81 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $944.86 |
| Queens, NYNew York | — | $998.37 |
| Rest of New YorkNew York | — | $836.19 |
| OhioOhio | — | $858.60 |
| OklahomaOklahoma | — | $830.79 |
| Portland, OROregon | — | $885.49 |
| Rest of OregonOregon | — | $846.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $916.08 |
| Rest of PennsylvaniaPennsylvania | — | $853.38 |
| Puerto RicoPuerto Rico | — | $878.41 |
| Rhode IslandRhode Island | — | $884.46 |
| South CarolinaSouth Carolina | — | $845.15 |
| South DakotaSouth Dakota | — | $810.46 |
| TennesseeTennessee | — | $810.19 |
| Austin, TXTexas | — | $880.14 |
| Beaumont, TXTexas | — | $849.96 |
| Brazoria, TXTexas | — | $857.62 |
| Dallas, TXTexas | — | $867.17 |
| Fort Worth, TXTexas | — | $866.23 |
| Galveston, TXTexas | — | $862.92 |
| Houston, TXTexas | — | $918.19 |
| Rest of TexasTexas | — | $856.14 |
| UtahUtah | — | $853.61 |
| VirginiaVirginia | — | $843.95 |
| Virgin Islands, VIUnited States Virgin Islands | — | $878.41 |
| Rest of WashingtonWashington | — | $872.46 |
| King County, WAWashington | — | $937.78 |
| WisconsinWisconsin | — | $798.16 |
| West VirginiaWest Virginia | — | $891.34 |
| WyomingWyoming | — | $851.22 |
58552 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 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.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,563
- Code
- 58552
- Physician work
- 16.49
- Practice expense
- 6.76
- Malpractice
- 3.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.49 | × 1.000 | 16.4900 |
| Practice expense | 6.76 | × 0.990 | 6.6924 |
| Malpractice | 3.02 | × 0.506 | 1.5281 |
| Total RVUs | 24.7105 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$825.35
Facility: (16.49 × 1 + 6.76 × 0.99 + 3.02 × 0.506) × $33.4009 = $825.35
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%).
How 58552 has changed in Vermont
58552 · 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 | $825.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $825.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $825.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $825.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $910.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $910.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $910.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $910.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $935.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $935.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $935.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $935.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $920.35 | RVU24A |
| 2023-10-01 | Not available in this setting | $952.77 | RVU23D |
| 2023-07-01 | Not available in this setting | $952.77 | RVU23C |
| 2023-04-01 | Not available in this setting | $952.77 | RVU23B |
| 2023-01-01 | Not available in this setting | $952.77 | RVU23A |
| 2022-10-01 | Not available in this setting | $967.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $967.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $967.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $967.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $969.78 | RVU21D |
| 2021-07-01 | Not available in this setting | $969.78 | RVU21C |
| 2021-04-01 | Not available in this setting | $969.78 | RVU21B |
| 2021-01-01 | Not available in this setting | $969.78 | RVU21A |
| 2020-10-01 | Not available in this setting | $991.58 | RVU20D |
| 2020-07-01 | Not available in this setting | $991.58 | RVU20C |
| 2020-04-01 | Not available in this setting | $991.58 | RVU20B |
| 2020-01-01 | Not available in this setting | $991.58 | RVU20A |
| 2019-10-01 | Not available in this setting | $981.80 | RVU19D |
| 2019-07-01 | Not available in this setting | $981.80 | RVU19C |
| 2019-04-01 | Not available in this setting | $981.80 | RVU19B |
| 2019-01-01 | Not available in this setting | $981.80 | RVU19A |
| 2018-10-01 | Not available in this setting | $978.90 | RVU18D |
| 2018-07-01 | Not available in this setting | $978.90 | RVU18C |
| 2018-04-01 | Not available in this setting | $978.90 | RVU18B |
| 2018-01-01 | Not available in this setting | $978.90 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $982.09 | RVU17D |
| 2017-07-01 | Not available in this setting | $982.09 | RVU17C |
| 2017-04-01 | Not available in this setting | $982.09 | RVU17B |
| 2017-01-01 | Not available in this setting | $982.09 | RVU17A |
| 2016-10-01 | Not available in this setting | $979.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $979.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $979.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $979.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $985.27 | RVU15D |
| 2015-07-01 | Not available in this setting | $985.27 | RVU15C |
| 2015-04-01 | Not available in this setting | $980.37 | RVU15B |
| 2015-01-01 | Not available in this setting | $980.37 | RVU15A |
| 2014-10-01 | Not available in this setting | $985.00 | RVU14D |
| 2014-07-01 | Not available in this setting | $985.00 | RVU14C |
| 2014-04-01 | Not available in this setting | $985.00 | RVU14B |
| 2014-01-01 | Not available in this setting | $985.00 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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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