CPT code 58571: Laparoscopic hysterectomy, uterus 250 g or less, adnexa removed2026 Medicare rate & RVUs in North Carolina

Report this code for total laparoscopic removal of the uterus and cervix weighing 250 g or less, with removal of one or more fallopian tubes or ovaries.

CMS RVU26DEffective Oct 1, 2026One payment locality30.8K Medicare services in 2024

In North Carolina, Medicare pays $776.73 for 58571 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$776.73Hospital or facility

Check a contract rate as a % of Medicare · 58571 nationwide

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

We’ll open 58571 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 58571 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 58571 covers

A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or more fallopian tubes or ovaries. The code covers cases in which the uterus weighs 250 g or less. Typical indications include symptomatic fibroids, adenomyosis, or abnormal uterine bleeding when hysterectomy is planned; the operation is commonly performed in a hospital or ambulatory surgery center.

Select this code rather than the corresponding code without adnexal removal when at least one tube or ovary is removed. The operative report should support the laparoscopic approach, removal of the uterus and cervix, adnexal removal, and uterine weight; pathology documentation can support the weight threshold. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment may be allowed; team surgery is not permitted.

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 North Carolina compares for 58571

Across 109 of 109 payment localities, the facility rate for 58571 runs from $746.61 in Arkansas to $1,044.12 in Alaska. North Carolina pays $776.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

58571 in North Carolina vs other payment areas
  1. North Carolina · this page$776.73
  2. Los Angeles, CA · California$859.45+$82.72
  3. Washington, DC area · District of Columbia$909.14+$132.41
  4. Miami, FL · Florida$990.23+$213.50
  5. Chicago, IL · Illinois$961.77+$185.04
  6. Manhattan, NY · New York$957.09+$180.36
  7. Alaska · Alaska$1,044.12+$267.39

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

58571 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$755.52
ArkansasArkansas—$746.61
ArizonaArizona—$806.93
Bakersfield, CACalifornia—$822.29
Chico, CACalifornia—$814.07
El Centro, CACalifornia—$814.57
Fresno, CACalifornia—$814.07
Hanford, CACalifornia—$814.07

58571 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
58571 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

See 58571 in every payment locality

How the 58571 rate is calculated

Each of 58571’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 · 58571

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.63

14.63 RVUs× 1.000 GPCI

Practice expense7.21

7.21 RVUs× 1.000 GPCI

Malpractice2.97

2.97 RVUs× 1.000 GPCI

Adjusted RVUs

24.8100

Conversion factor

$33.4009

Medicare rate

$828.68

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,575

Code
58571
Physician work
14.63
Practice expense
7.21
Malpractice
2.97

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 58571 in North Carolina
ComponentRVULocality factorAdjusted
Physician work14.63× 1.00014.6300
Practice expense7.21× 0.9336.7269
Malpractice2.97× 0.6391.8978
Total RVUs23.2548
Conversion factor× 33.4009

Facility rate, North Carolina$776.73

Facility: (14.63 × 1 + 7.21 × 0.933 + 2.97 × 0.639) × $33.4009 = $776.73

Open 58571 in the RVU calculator

Payment rules and modifiers for 58571

58571 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58571

Laparoscopic hysterectomy, uterus 250 g or less, adnexa removed

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 · 58571

Laparoscopic 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.

  • 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

58571 without 51 · national facility

$828.68

Laparoscopic hysterectomy, uterus 250 g or less, adnexa removed

58571-51 · Second procedure: 50%

$414.34

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

How 58571 has changed in North Carolina

58571 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$776.73RVU26D
2026-07-01Not available in this setting$776.73RVU26C
2026-04-01Not available in this setting$776.73RVU26B
2026-01-01Not available in this setting$776.73RVU26A
2025-10-01Not available in this setting$834.99RVU25D
2025-07-01Not available in this setting$834.99RVU25C
2025-04-01Not available in this setting$834.99RVU25B
2025-01-01Not available in this setting$834.99RVU25A
2024-10-01Not available in this setting$860.39RVU24D
2024-07-01Not available in this setting$860.39RVU24C
2024-04-01Not available in this setting$860.39RVU24B
2024-03-09Not available in this setting$860.39RVU24AR
2024-01-01Not available in this setting$846.35RVU24A
2023-10-01Not available in this setting$876.07RVU23D
2023-07-01Not available in this setting$876.07RVU23C
2023-04-01Not available in this setting$876.07RVU23B
2023-01-01Not available in this setting$876.07RVU23A
2022-10-01Not available in this setting$894.87RVU22D
2022-07-01Not available in this setting$894.87RVU22C
2022-04-01Not available in this setting$894.87RVU22B
2022-01-01Not available in this setting$894.87RVU22A
2021-10-01Not available in this setting$890.04RVU21D
2021-07-01Not available in this setting$890.04RVU21C
2021-04-01Not available in this setting$890.04RVU21B
2021-01-01Not available in this setting$890.04RVU21A
2020-10-01Not available in this setting$893.52RVU20D
2020-07-01Not available in this setting$893.52RVU20C
2020-04-01Not available in this setting$893.52RVU20B
2020-01-01Not available in this setting$893.52RVU20A
2019-10-01Not available in this setting$882.10RVU19D
2019-07-01Not available in this setting$882.10RVU19C
2019-04-01Not available in this setting$882.10RVU19B
2019-01-01Not available in this setting$882.10RVU19A
2018-10-01Not available in this setting$872.42RVU18D
2018-07-01Not available in this setting$872.42RVU18C
2018-04-01Not available in this setting$872.42RVU18B
2018-01-01Not available in this setting$872.42RVU18AR1
2017-10-01Not available in this setting$875.63RVU17D
2017-07-01Not available in this setting$875.63RVU17C
2017-04-01Not available in this setting$875.63RVU17B
2017-01-01Not available in this setting$875.63RVU17A
2016-10-01Not available in this setting$874.39RVU16D
2016-07-01Not available in this setting$874.39RVU16C
2016-04-01Not available in this setting$874.39RVU16B
2016-01-01Not available in this setting$874.39RVU16A
2015-10-01Not available in this setting$879.20RVU15D
2015-07-01Not available in this setting$879.20RVU15C
2015-04-01Not available in this setting$874.83RVU15B
2015-01-01Not available in this setting$874.83RVU15A
2014-10-01Not available in this setting$1,029.71RVU14D
2014-07-01Not available in this setting$1,029.71RVU14C
2014-04-01Not available in this setting$1,029.71RVU14B
2014-01-01Not available in this setting$1,029.71RVU14A
2013-10-01Not available in this setting$999.47RVU13D
2013-07-01Not available in this setting$999.47RVU13C
2013-04-01Not available in this setting$999.47RVU13B
2013-01-01Not available in this setting$999.47RVU13AR

Price 58571 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

58571 billing questions

How does this differ from 58570?

58571 includes removal of one or more fallopian tubes or ovaries along with the uterus and cervix. Use 58570 when no tube or ovary is removed.

Does removal have to be bilateral?

No. Removal of a tube or ovary on one side, or on both sides, meets the adnexal-removal distinction. Modifier 50 is inappropriate for this code.

What documentation supports the 250 g threshold?

Document the uterus removed and its weight, with pathology documentation supporting the weight when available. The operative report should also establish the laparoscopic approach and which adnexa were removed.

Is routine postoperative care separately reported?

The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

CMS indicates assistant-at-surgery payment may be made and co-surgeons are permitted. Team surgery is not permitted for this code.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedure is subject to a 50% reduction.

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 58571PPRRVU2026_Oct_nonQPP.csv, line 6,575 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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