CPT code 58573: Laparoscopic hysterectomy, over 250 grams, with adnexal removal2026 Medicare rate & RVUs in New Mexico

Report this service for laparoscopic removal of the uterus and cervix weighing over 250 grams when one or more fallopian tubes or ovaries are also removed.

CMS RVU26DEffective Oct 1, 2026One payment locality2.4K Medicare services in 2024

In New Mexico, Medicare pays $1,108.80 for 58573 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,108.80Hospital or facility

Check a contract rate as a % of Medicare · 58573 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 58573 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 58573 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 58573 covers

A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or both fallopian tubes, one or both ovaries, or both types of adnexa. The code is for a uterine specimen weighing more than 250 grams. A common clinical setting is surgery for a markedly enlarged, fibroid uterus causing bleeding or bulk symptoms. The procedure is typically performed in a hospital operating room or ambulatory surgery center.

Select the code when the operative report supports a total laparoscopic approach, removal of adnexal tissue, and a uterine weight over 250 grams. Document the structures removed and the specimen weight; report the procedure once, not separately for each tube or ovary. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, co-surgeons are permitted, and 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 New Mexico compares for 58573

Across 109 of 109 payment localities, the facility rate for 58573 runs from $998.12 in Nebraska to $1,401.73 in Alaska. New Mexico pays $1,108.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

58573 in New Mexico vs other payment areas
  1. New Mexico · this page$1,108.80
  2. Los Angeles, CA · California$1,140.85+$32.05
  3. Washington, DC area · District of Columbia$1,209.53+$100.73
  4. Miami, FL · Florida$1,326.41+$217.61
  5. Chicago, IL · Illinois$1,288.68+$179.88
  6. Manhattan, NY · New York$1,276.25+$167.45
  7. Alaska · Alaska$1,401.73+$292.93

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

58573 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,009.79
ArkansasArkansas—$998.15
ArizonaArizona—$1,076.85
Bakersfield, CACalifornia—$1,093.04
Chico, CACalifornia—$1,081.72
El Centro, CACalifornia—$1,082.40
Fresno, CACalifornia—$1,081.72
Hanford, CACalifornia—$1,081.72

58573 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
58573 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 58573 in every payment locality

How the 58573 rate is calculated

Each of 58573’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 · 58573

RVUs × geographic indexes × conversion factor

Office or facility?

Work20.27

20.27 RVUs× 1.000 GPCI

Practice expense8.74

8.74 RVUs× 1.000 GPCI

Malpractice4.09

4.09 RVUs× 1.000 GPCI

Adjusted RVUs

33.1000

Conversion factor

$33.4009

Medicare rate

$1,105.57

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,577

Code
58573
Physician work
20.27
Practice expense
8.74
Malpractice
4.09

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 58573 in New Mexico
ComponentRVULocality factorAdjusted
Physician work20.27× 1.00020.2700
Practice expense8.74× 0.9178.0146
Malpractice4.09× 1.2014.9121
Total RVUs33.1967
Conversion factor× 33.4009

Facility rate, New Mexico$1108.80

Facility: (20.27 × 1 + 8.74 × 0.917 + 4.09 × 1.201) × $33.4009 = $1108.80

Open 58573 in the RVU calculator

Payment rules and modifiers for 58573

58573 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58573

Laparoscopic hysterectomy, over 250 grams, with adnexal removal

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 · 58573

Laparoscopic hysterectomy, over 250 grams, with adnexal removal

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

58573 without 51 · national facility

$1,105.57

Laparoscopic hysterectomy, over 250 grams, with adnexal removal

58573-51 · Second procedure: 50%

$552.79

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%).

When to use modifier 51

How 58573 has changed in New Mexico

58573 · 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$1,108.80RVU26D
2026-07-01Not available in this setting$1,108.80RVU26C
2026-04-01Not available in this setting$1,108.80RVU26B
2026-01-01Not available in this setting$1,108.80RVU26A
2025-10-01Not available in this setting$1,168.90RVU25D
2025-07-01Not available in this setting$1,168.90RVU25C
2025-04-01Not available in this setting$1,168.90RVU25B
2025-01-01Not available in this setting$1,168.90RVU25A
2024-10-01Not available in this setting$1,204.55RVU24D
2024-07-01Not available in this setting$1,204.55RVU24C
2024-04-01Not available in this setting$1,204.55RVU24B
2024-03-09Not available in this setting$1,204.55RVU24AR
2024-01-01Not available in this setting$1,184.89RVU24A
2023-10-01Not available in this setting$1,212.81RVU23D
2023-07-01Not available in this setting$1,212.81RVU23C
2023-04-01Not available in this setting$1,212.81RVU23B
2023-01-01Not available in this setting$1,212.81RVU23A
2022-10-01Not available in this setting$1,227.41RVU22D
2022-07-01Not available in this setting$1,227.41RVU22C
2022-04-01Not available in this setting$1,227.41RVU22B
2022-01-01Not available in this setting$1,227.41RVU22A
2021-10-01Not available in this setting$1,224.35RVU21D
2021-07-01Not available in this setting$1,224.35RVU21C
2021-04-01Not available in this setting$1,224.35RVU21B
2021-01-01Not available in this setting$1,224.35RVU21A
2020-10-01Not available in this setting$1,252.12RVU20D
2020-07-01Not available in this setting$1,252.12RVU20C
2020-04-01Not available in this setting$1,252.12RVU20B
2020-01-01Not available in this setting$1,252.12RVU20A
2019-10-01Not available in this setting$1,262.74RVU19D
2019-07-01Not available in this setting$1,262.74RVU19C
2019-04-01Not available in this setting$1,262.74RVU19B
2019-01-01Not available in this setting$1,262.74RVU19A
2018-10-01Not available in this setting$1,250.35RVU18D
2018-07-01Not available in this setting$1,250.35RVU18C
2018-04-01Not available in this setting$1,250.35RVU18B
2018-01-01Not available in this setting$1,250.35RVU18AR1
2017-10-01Not available in this setting$1,242.75RVU17D
2017-07-01Not available in this setting$1,242.75RVU17C
2017-04-01Not available in this setting$1,242.75RVU17B
2017-01-01Not available in this setting$1,242.75RVU17A
2016-10-01Not available in this setting$1,229.59RVU16D
2016-07-01Not available in this setting$1,229.59RVU16C
2016-04-01Not available in this setting$1,229.59RVU16B
2016-01-01Not available in this setting$1,229.59RVU16A
2015-10-01Not available in this setting$1,234.53RVU15D
2015-07-01Not available in this setting$1,234.53RVU15C
2015-04-01Not available in this setting$1,228.39RVU15B
2015-01-01Not available in this setting$1,228.39RVU15A
2014-10-01Not available in this setting$1,362.99RVU14D
2014-07-01Not available in this setting$1,362.99RVU14C
2014-04-01Not available in this setting$1,362.99RVU14B
2014-01-01Not available in this setting$1,362.99RVU14A
2013-10-01Not available in this setting$1,314.96RVU13D
2013-07-01Not available in this setting$1,314.96RVU13C
2013-04-01Not available in this setting$1,314.96RVU13B
2013-01-01Not available in this setting$1,314.96RVU13AR

Price 58573 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

58573 billing questions

How does this differ from 58572?

Both describe total laparoscopic hysterectomy for a uterus over 250 grams. Use 58573 when one or more fallopian tubes or ovaries are also removed; 58572 is for the hysterectomy without that adnexal removal.

Is the tube or ovary removal billed separately?

Removal of one or more fallopian tubes or ovaries is included in this procedure. Report the code once, whether one or several of those structures are removed.

Should modifier 50 be added when both sides are removed?

No. CMS indicates that bilateral adjustment does not apply and modifier 50 is inappropriate for this code, including when both sides are treated.

What documentation supports the over-250-gram code?

The operative report should establish the laparoscopic total hysterectomy and identify the tube or ovary tissue removed. Document the uterine specimen weight to support selection over the 250-gram threshold.

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

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS also applies its standard multiple-procedure reduction when other procedures are performed in the same session.

Can an assistant or co-surgeon be reported?

CMS allows payment for an assistant at surgery and permits co-surgeons. Team surgery 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
RVUs for 58573PPRRVU2026_Oct_nonQPP.csv, line 6,577 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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