CPT code 58553: Vaginal hysterectomy, uterus over 250 g2026 Medicare rate & RVUs in California
Reports laparoscopic-assisted vaginal removal of a uterus weighing more than 250 g when the surgeon uses both abdominal endoscopy and vaginal access.
CMS doesn’t publish an office rate for 58553 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.
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On this page 9 sections
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 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
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $974.19 |
| Chico, CA | Unavailable | $964.52 |
| El Centro, CA | Unavailable | $965.09 |
| Fresno, CA | Unavailable | $964.52 |
| Hanford, CA | Unavailable | $964.52 |
| Los Angeles, CA | Unavailable | $1,013.81 |
| Madera, CA | Unavailable | $964.52 |
| Marin County, CA | Unavailable | $1,075.03 |
| Merced, CA | Unavailable | $964.52 |
| Modesto, CA | Unavailable | $964.52 |
| Napa, CA | Unavailable | $1,039.71 |
| Oxnard, CA | Unavailable | $1,000.40 |
| Redding, CA | Unavailable | $964.52 |
| Rest of California | Unavailable | $964.52 |
| Riverside, CA | Unavailable | $1,001.49 |
| Sacramento, CA | Unavailable | $991.52 |
| Salinas, CA | Unavailable | $987.38 |
| San Benito County, CA | Unavailable | $1,100.62 |
| San Diego, CA | Unavailable | $995.47 |
| San Francisco, CA | Unavailable | $1,071.14 |
| San Luis Obispo, CA | Unavailable | $973.88 |
| Santa Clara County, CA | Unavailable | $1,084.70 |
| Santa Cruz, CA | Unavailable | $993.04 |
| Santa Maria, CA | Unavailable | $986.95 |
| Santa Rosa, CA | Unavailable | $1,001.75 |
| Stockton, CA | Unavailable | $964.52 |
| Vallejo, CA | Unavailable | $1,034.09 |
| Visalia, CA | Unavailable | $964.52 |
| Yuba City, CA | Unavailable | $964.52 |
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
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
| 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 · 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.
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%).
58553 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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