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CPT code 58553: Vaginal hysterectomy, uterus over 250 g2026 Medicare rate & RVUs

Reports laparoscopic-assisted vaginal removal of a uterus weighing more than 250 g when the surgeon uses both abdominal endoscopy and vaginal access.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $985.66 for 58553 nationally in a facility.

Medicare rate · 58553

Vaginal hysterectomy, uterus over 250 g

Office or facility?

Work RVUs
19.56
Total RVUs
29.51
Global days
090

National rate · 2026

$985.66

Facility setting, before claim adjustments.

See every locality for 58553 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 58553 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58553 covers

A gynecologic surgeon uses laparoscopic access to mobilize or assist with removal of the uterus, then completes the hysterectomy through the vagina. This approach may be used for conditions such as fibroids or adenomyosis when the uterus weighs more than 250 g. The operation is performed in a surgical setting, with the operative report describing the laparoscopic and vaginal portions of the procedure.

Select this code when the documented uterine weight is over 250 g and the procedure uses the laparoscopic-assisted vaginal approach. When removal of one or both tubes or ovaries is also part of the procedure, compare the service with 58554. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate for this hysterectomy.

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 58553 pays more and less

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

109 of 109 payment localities

58553 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$908.72
AlaskaUnavailable$1,275.04
ArizonaUnavailable$962.41
ArkansasUnavailable$899.39
Atlanta, GAUnavailable$1,014.13
Austin, TXUnavailable$986.54
Bakersfield, CAUnavailable$974.19
Baltimore area, MDUnavailable$1,039.16
Beaumont, TXUnavailable$957.93
Brazoria, TXUnavailable$963.72

58553 rates by state

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

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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
58553 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 58553 rate is calculated

Each of 58553’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 · 58553

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.56

19.56 RVUs× 1.000 GPCI

Practice expense6.52

6.52 RVUs× 1.000 GPCI

Malpractice3.43

3.43 RVUs× 1.000 GPCI

Adjusted RVUs

29.5100

Conversion factor

$33.4009

Medicare rate

$985.66

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 58553

58553 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58553

Vaginal hysterectomy, uterus over 250 g

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58553

Vaginal hysterectomy, uterus over 250 g

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58553 without 51 · national facility

$985.66

Vaginal hysterectomy, uterus over 250 g

58553-51 · Second procedure: 50%

$492.83

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%).

When to use modifier 51

58553 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 58553

    Vaginal hysterectomy, uterus over 250 g19.56 wRVU

    Not priced

  • 58554

    Vaginal hysterectomy, over 250 g, with tube or ovary removal22.53 wRVU

    Not priced

  • 58552

    Vaginal hysterectomy, uterus 250 g or less, adnexa removed16.49 wRVU

    Not priced

  • 58572

    Laparoscopic hysterectomy, uterus over 250 grams17.27 wRVU

    Not priced

How to choose

58554Vaginal hysterectomyOver 250 g, with tube or ovary removal
Both codes describe laparoscopic-assisted vaginal hysterectomy for a uterus over 250 g. Choose 58554 when removal of one or both tubes and/or ovaries is included.
58552Vaginal hysterectomyUterus 250 g or less, adnexa removed
This code is for a uterus weighing 250 g or less and includes removal of tube(s) and/or ovary(s); 58553 is for a larger uterus without that adnexal-removal inclusion.
58572Laparoscopic hysterectomyUterus over 250 grams
This code describes total laparoscopic hysterectomy for a uterus over 250 g. Choose by the operative route: total laparoscopic versus laparoscopic-assisted vaginal.

Codes related to 58553

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

Codes related to 58553
CodeHow it relatesNational office range
Same family
58554Vaginal hysterectomy, over 250 g, with tube or ovary removalLarge-uterus laparoscopic-assisted vaginal hysterectomy that includes removal of tube(s) and/or ovary(s).No office rate
58552Vaginal hysterectomy, uterus 250 g or less, adnexa removedComparable laparoscopic-assisted vaginal approach for a uterus weighing 250 g or less, with adnexal removal.No office rate
58550Vaginal hysterectomy, uterus 250 g or lessComparable laparoscopic-assisted vaginal approach for a uterus weighing 250 g or less.No office rate
Used instead
58572Laparoscopic hysterectomy, uterus over 250 gramsTotal laparoscopic hysterectomy for a uterus over 250 g, using a different operative route.No office rate

58553 billing questions

How does this code differ from 58554?

Use 58553 for the laparoscopic-assisted vaginal hysterectomy when the uterus weighs more than 250 g and removal of tubes or ovaries is not part of the coded service. Code 58554 includes removal of one or both tubes and/or ovaries.

What supports the greater-than-250-g selection?

Document the uterine weight and the laparoscopic-assisted vaginal approach in the operative record. Pathology findings may support the weight selection when they report the specimen weight.

Is this the code for a total laparoscopic hysterectomy?

No. This code describes a laparoscopic-assisted vaginal approach. A total laparoscopic hysterectomy is performed laparoscopically rather than completed through the vagina.

Can an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and permits co-surgeons for this procedure. Team surgery is not permitted.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care during the 90-day period are included in the global service.

Should modifier 50 be used?

No. Bilateral adjustment is inappropriate for this hysterectomy.

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
RVUs for 58553PPRRVU2026_Oct_nonQPP.csv, line 6,564 (RVU26D)

Open CMS sourceHow we calculate rates

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