CPT code 58571: Laparoscopic hysterectomy, uterus 250 g or less, adnexa removed2026 Medicare rate & RVUs in Nevada
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.
In Nevada, Medicare pays $812.35 for 58571 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Nevada 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. Nevada pays $812.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$812.35
- Los Angeles, CA · California$859.45+$47.10
- Washington, DC area · District of Columbia$909.14+$96.79
- Miami, FL · Florida$990.23+$177.88
- Chicago, IL · Illinois$961.77+$149.42
- Manhattan, NY · New York$957.09+$144.74
- Alaska · Alaska$1,044.12+$231.77
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $814.07 |
| Merced, CACalifornia | — | $814.07 |
| Modesto, CACalifornia | — | $814.07 |
| Napa, CACalifornia | — | $887.24 |
| Oxnard, CACalifornia | — | $848.79 |
| Redding, CACalifornia | — | $814.07 |
| Rest of CaliforniaCalifornia | — | $814.07 |
| Riverside, CACalifornia | — | $846.01 |
| Sacramento, CACalifornia | — | $839.49 |
| Salinas, CACalifornia | — | $836.09 |
| San Diego, CACalifornia | — | $845.10 |
| Marin County, CACalifornia | — | $920.17 |
| San Francisco, CACalifornia | — | $916.79 |
| San Benito County, CACalifornia | — | $942.84 |
| Santa Clara County, CACalifornia | — | $929.05 |
| San Luis Obispo, CACalifornia | — | $824.43 |
| Santa Cruz, CACalifornia | — | $844.69 |
| Santa Maria, CACalifornia | — | $836.31 |
| Santa Rosa, CACalifornia | — | $852.21 |
| Stockton, CACalifornia | — | $814.07 |
| Vallejo, CACalifornia | — | $882.37 |
| Visalia, CACalifornia | — | $814.07 |
| Yuba City, CACalifornia | — | $814.07 |
| ColoradoColorado | — | $828.23 |
| ConnecticutConnecticut | — | $877.82 |
| DelawareDelaware | — | $818.21 |
| Fort Lauderdale, FLFlorida | — | $911.96 |
| Rest of FloridaFlorida | — | $867.98 |
| Atlanta, GAGeorgia | — | $853.93 |
| Rest of GeorgiaGeorgia | — | $821.71 |
| Hawaii, Guam, HIHawaii | — | $819.91 |
| IowaIowa | — | $748.39 |
| IdahoIdaho | — | $757.13 |
| East St. Louis, ILIllinois | — | $910.00 |
| Rest of IllinoisIllinois | — | $863.57 |
| Suburban Chicago, ILIllinois | — | $915.18 |
| IndianaIndiana | — | $760.11 |
| KansasKansas | — | $756.35 |
| KentuckyKentucky | — | $793.51 |
| New Orleans, LALouisiana | — | $827.96 |
| Rest of LouisianaLouisiana | — | $796.82 |
| Metropolitan Boston, MAMassachusetts | — | $884.52 |
| Rest of MassachusettsMassachusetts | — | $829.12 |
| Baltimore area, MDMaryland | — | $877.59 |
| Rest of MarylandMaryland | — | $828.32 |
| Rest of MaineMaine | — | $771.91 |
| Southern Maine, MEMaine | — | $789.90 |
| Detroit, MIMichigan | — | $888.30 |
| Rest of MichiganMichigan | — | $820.52 |
| MinnesotaMinnesota | — | $765.82 |
| Metropolitan Kansas City, MOMissouri | — | $811.70 |
| Metropolitan St. Louis, MOMissouri | — | $817.32 |
| Rest of MissouriMissouri | — | $792.86 |
| MississippiMississippi | — | $769.31 |
| MontanaMontana | — | $828.48 |
| North CarolinaNorth Carolina | — | $776.73 |
| North DakotaNorth Dakota | — | $769.75 |
| NebraskaNebraska | — | $748.43 |
| New HampshireNew Hampshire | — | $826.15 |
| Northern New JerseyNew Jersey | — | $904.74 |
| Rest of New JerseyNew Jersey | — | $880.00 |
| New MexicoNew Mexico | — | $828.63 |
| NYC suburbs and Long Island, NYNew York | — | $990.48 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $894.38 |
| Queens, NYNew York | — | $947.63 |
| Rest of New YorkNew York | — | $787.17 |
| OhioOhio | — | $808.52 |
| OklahomaOklahoma | — | $780.79 |
| Portland, OROregon | — | $837.83 |
| Rest of OregonOregon | — | $798.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $866.49 |
| Rest of PennsylvaniaPennsylvania | — | $803.47 |
| Puerto RicoPuerto Rico | — | $829.84 |
| Rhode IslandRhode Island | — | $835.19 |
| South CarolinaSouth Carolina | — | $795.49 |
| South DakotaSouth Dakota | — | $762.81 |
| TennesseeTennessee | — | $760.83 |
| Austin, TXTexas | — | $832.31 |
| Beaumont, TXTexas | — | $799.96 |
| Brazoria, TXTexas | — | $808.59 |
| Dallas, TXTexas | — | $818.02 |
| Fort Worth, TXTexas | — | $816.91 |
| Galveston, TXTexas | — | $813.84 |
| Houston, TXTexas | — | $868.20 |
| Rest of TexasTexas | — | $806.77 |
| UtahUtah | — | $804.11 |
| VirginiaVirginia | — | $795.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $829.84 |
| VermontVermont | — | $777.26 |
| Rest of WashingtonWashington | — | $824.08 |
| King County, WAWashington | — | $889.62 |
| WisconsinWisconsin | — | $749.92 |
| West VirginiaWest Virginia | — | $839.88 |
| WyomingWyoming | — | $802.88 |
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
| 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 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
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 Nevada 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
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.000 | 14.6300 |
| Practice expense | 7.21 | × 1.001 | 7.2172 |
| Malpractice | 2.97 | × 0.833 | 2.4740 |
| Total RVUs | 24.3212 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$812.35
Facility: (14.63 × 1 + 7.21 × 1.001 + 2.97 × 0.833) × $33.4009 = $812.35
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
| 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 · 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.
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%).
How 58571 has changed in Nevada
58571 · 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 | $812.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $812.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $812.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $812.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $873.08 | RVU25D |
| 2025-07-01 | Not available in this setting | $873.08 | RVU25C |
| 2025-04-01 | Not available in this setting | $873.08 | RVU25B |
| 2025-01-01 | Not available in this setting | $873.08 | RVU25A |
| 2024-10-01 | Not available in this setting | $899.89 | RVU24D |
| 2024-07-01 | Not available in this setting | $899.89 | RVU24C |
| 2024-04-01 | Not available in this setting | $899.89 | RVU24B |
| 2024-03-09 | Not available in this setting | $899.89 | RVU24AR |
| 2024-01-01 | Not available in this setting | $885.20 | RVU24A |
| 2023-10-01 | Not available in this setting | $929.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $929.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $929.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $929.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $966.50 | RVU22D |
| 2022-07-01 | Not available in this setting | $966.50 | RVU22C |
| 2022-04-01 | Not available in this setting | $966.50 | RVU22B |
| 2022-01-01 | Not available in this setting | $966.50 | RVU22A |
| 2021-10-01 | Not available in this setting | $959.68 | RVU21D |
| 2021-07-01 | Not available in this setting | $959.68 | RVU21C |
| 2021-04-01 | Not available in this setting | $959.68 | RVU21B |
| 2021-01-01 | Not available in this setting | $959.68 | RVU21A |
| 2020-10-01 | Not available in this setting | $948.99 | RVU20D |
| 2020-07-01 | Not available in this setting | $948.99 | RVU20C |
| 2020-04-01 | Not available in this setting | $948.99 | RVU20B |
| 2020-01-01 | Not available in this setting | $948.99 | RVU20A |
| 2019-10-01 | Not available in this setting | $928.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $928.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $928.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $928.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $917.86 | RVU18D |
| 2018-07-01 | Not available in this setting | $917.86 | RVU18C |
| 2018-04-01 | Not available in this setting | $917.86 | RVU18B |
| 2018-01-01 | Not available in this setting | $917.86 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $927.27 | RVU17D |
| 2017-07-01 | Not available in this setting | $927.27 | RVU17C |
| 2017-04-01 | Not available in this setting | $927.27 | RVU17B |
| 2017-01-01 | Not available in this setting | $927.27 | RVU17A |
| 2016-10-01 | Not available in this setting | $931.50 | RVU16D |
| 2016-07-01 | Not available in this setting | $931.50 | RVU16C |
| 2016-04-01 | Not available in this setting | $931.50 | RVU16B |
| 2016-01-01 | Not available in this setting | $931.50 | RVU16A |
| 2015-10-01 | Not available in this setting | $936.98 | RVU15D |
| 2015-07-01 | Not available in this setting | $936.98 | RVU15C |
| 2015-04-01 | Not available in this setting | $932.32 | RVU15B |
| 2015-01-01 | Not available in this setting | $932.32 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,112.49 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,112.49 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,112.49 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,112.49 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,100.60 | 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 Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
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
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