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Billing code 58240: Pelvic exenterationMedicare rate & RVUs

Reports complete pelvic exenteration for gynecologic malignancy, removing pelvic organs to the extent required for the cancer operation.

CMS RVU26DEffective Oct 1, 2026109 payment localities98 Medicare services in 2024

Medicare pays $2,677.75 for 58240 nationally in a facility.

Medicare rate · 58240

Pelvic exenteration

Swap in your local Medicare rate.

Work RVUs
48.1
Total RVUs
80.17
Global days
090

National rate · 2026

$2,677.75

Facility setting, before claim adjustments.

See every locality for 58240 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 58240 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58240 covers

This code describes complete pelvic exenteration performed for gynecologic malignancy. The operation removes pelvic viscera involved in the cancer; depending on the surgical plan, it may include the bladder and urinary tract, rectum or colon, and creation of urinary or bowel diversion. Gynecologic oncologists typically perform the operation in a hospital operating room, often with urologic or colorectal surgical participation.

Select this code when the operative report supports a complete exenteration, not a hysterectomy or radical hysterectomy alone. Documentation should identify the malignancy, organs removed, extent of resection, and diversions performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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-surgeon payment requires supporting documentation, 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.

Where 58240 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58240 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,442.50
Alaska*Unavailable$3,382.08
ArizonaUnavailable$2,607.48
ArkansasUnavailable$2,413.88
AtlantaUnavailable$2,760.39
AustinUnavailable$2,686.68
BakersfieldUnavailable$2,651.37
Baltimore/Surr. CntysUnavailable$2,835.44
BeaumontUnavailable$2,587.58
BrazoriaUnavailable$2,611.75

58240 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
58240 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

How the 58240 rate is calculated

Each of 58240’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 · 58240

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 48.10Practice expense 22.25Malpractice 9.82

80.1700 adjusted RVUs×$33.4009 conversion factor=$2,677.75

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58240

58240 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58240

Pelvic exenteration

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)1Permitted with supporting documentation.
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 · 58240

Pelvic exenteration

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

58240 without 51 · national facility

$2,677.75

Pelvic exenteration

58240-51 · Second procedure: 50%

$1,338.88

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

58240 compared with similar codes

Compare codes

58240 vs 58200 vs 58210 vs 58285: national Medicare rates

Swap in your local Medicare rate.

  • 58240
    Pelvic exenteration · 48.1 wRVU
    —
  • 58200
    Extensive hysterectomy · 22.52 wRVU
    —
  • 58210
    Radical hysterectomy · 30.14 wRVU
    —
  • 58285
    Radical hysterectomy · 22.8 wRVU
    —

How to choose

58200Extensive hysterectomy
58200 describes extensive abdominal hysterectomy for malignancy; 58240 is for complete pelvic exenteration, involving broader pelvic organ removal.
58210Radical hysterectomy
58210 is radical abdominal hysterectomy with pelvic lymphadenectomy. Choose 58240 when the documented operation is a complete exenteration.
58285Radical hysterectomy
58285 describes radical vaginal hysterectomy. It is not a substitute for complete pelvic exenteration involving broader pelvic organ removal.

Codes related to 58240

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 58240
CodeHow it relatesNational office range
Used instead
58200Extensive hysterectomyExtensive abdominal hysterectomy for malignancy when the operation is not a complete pelvic exenteration.No office rate
58210Radical hysterectomyRadical abdominal hysterectomy with pelvic lymphadenectomy for a less extensive cancer operation.No office rate
58285Radical hysterectomyRadical vaginal hysterectomy is a different, less extensive approach for selected malignancies.No office rate

58240 billing questions

How is this distinguished from an extensive or radical hysterectomy?

Use 58240 for complete pelvic exenteration for gynecologic malignancy. A hysterectomy code applies when the operation does not meet that extent of exenteration.

Should the component organ removals be reported separately?

The code represents the complete exenteration operation. Document the organs removed and diversions performed as part of that operation rather than treating the defining resections as separate hysterectomy services.

Can modifier 50 be used when both sides are involved?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 58240PPRRVU2026_Oct_nonQPP.csv, line 6,527 (RVU26D)

Open CMS sourceHow we calculate rates

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