CPT code 58572: Laparoscopic hysterectomy, uterus over 250 grams2026 Medicare rate & RVUs in Texas
Reports laparoscopic removal of the uterus and cervix when the uterus weighs more than 250 grams and tubes or ovaries are not removed.
CMS doesn’t publish an office rate for 58572 in Texas.
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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What 58572 covers
A gynecologic surgeon uses laparoscopic access to remove the uterus and cervix when the uterus weighs more than 250 grams. The operation may be performed for conditions such as symptomatic fibroids or abnormal uterine bleeding, typically in a hospital operating room. The removed specimen may be extracted vaginally or through an incision, depending on the operative plan.
Choose this code based on the weight of the uterus and the extent of the procedure; document the operative approach, removal of the uterus and cervix, specimen weight, and whether tubes or ovaries were also removed. When tubes and/or ovaries are removed, the corresponding code for the larger uterus is 58573. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for removal of a single uterus. Assistant-at-surgery payment may be available, co-surgeons are permitted, and team-surgery billing 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.
Where 58572 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $948.19 |
| Beaumont, TX | Unavailable | $914.59 |
| Brazoria, TX | Unavailable | $922.42 |
| Dallas, TX | Unavailable | $933.30 |
| Fort Worth, TX | Unavailable | $932.28 |
| Galveston, TX | Unavailable | $928.49 |
| Houston, TX | Unavailable | $992.00 |
| Rest of Texas | Unavailable | $921.44 |
How the 58572 rate is calculated
Each of 58572’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 · 58572
RVUs × geographic indexes × conversion factor
Work17.27
17.27 RVUs× 1.000 GPCI
Practice expense7.57
7.57 RVUs× 1.000 GPCI
Malpractice3.47
3.47 RVUs× 1.000 GPCI
Adjusted RVUs
28.3100
Conversion factor
$33.4009
Medicare rate
$945.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58572
58572 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58572
Laparoscopic hysterectomy, uterus over 250 grams
| 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 · 58572
Laparoscopic hysterectomy, uterus over 250 grams
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
58572 without 51 · national facility
$945.58
Laparoscopic hysterectomy, uterus over 250 grams
58572-51 · Second procedure: 50%
$472.79
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%).
58572 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58570Laparoscopic hysterectomyUterus 250 g or less
- This code is for a uterus weighing more than 250 grams. Code 58570 describes the corresponding laparoscopic total hysterectomy when the uterus weighs 250 grams or less.
- 58573Laparoscopic hysterectomyOver 250 grams, with adnexal removal
- Use 58573 when tubes and/or ovaries are removed along with the uterus weighing more than 250 grams. Code 58572 is for the larger-uterus procedure without that adnexal removal.
- 58543HysterectomyUterus over 250 g
- Code 58543 describes laparoscopic supracervical hysterectomy for a large uterus, retaining the cervix. This code describes total hysterectomy, including removal of the cervix.
- 58550Vaginal hysterectomyUterus 250 g or less
- Code 58550 is for a laparoscopic-assisted vaginal approach. This code describes total hysterectomy performed laparoscopically for a uterus weighing more than 250 grams.
58572 billing questions
How is this code distinguished from 58570?
Both describe laparoscopic removal of the uterus and cervix without tube or ovary removal. Use 58572 when the uterus weighs more than 250 grams; 58570 is for a uterus weighing 250 grams or less.
What if tubes or ovaries are removed during the same operation?
When one or both tubes and/or ovaries are removed with the larger uterus, use 58573 rather than 58572.
What documentation supports the larger-uterus code?
Document the laparoscopic approach, removal of the uterus and cervix, uterine specimen weight, and whether tubes or ovaries were removed. The specimen weight distinguishes the 250-gram threshold.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate because the procedure removes one uterus, not a paired structure.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team-surgery billing is not permitted for this code.
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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