Billing code 58260: Vaginal hysterectomyMedicare rate & RVUs

Medicare pays $741.83 for 58260 nationally in a facility.

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

What 58260 covers

A gynecologic surgeon removes the uterus, including the cervix, through the vaginal route. This code describes the procedure when the uterus weighs 250 grams or less; it is commonly performed for benign conditions such as symptomatic fibroids or abnormal uterine bleeding when vaginal access is appropriate. The surgery is typically performed in a hospital or ambulatory surgery center.

Select the code using the operative approach, specimen weight, and any additional procedures documented. The operative report should identify the vaginal route and support the specimen weight; pathology documentation may help establish the weight. The service has a 90-day global period, including the day-before preoperative visit and 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for removal of a single uterus.

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 58260 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

58260 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 58260 rate is calculated

Each of 58260’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.

Payment rules and modifiers for 58260

58260 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

58260 compared with similar codes

How to choose

58262Vaginal hysterectomy

Choose 58262 when removal of one or both tubes or ovaries accompanies the vaginal hysterectomy. This code describes the hysterectomy without that additional adnexal work.

58290Vaginal hysterectomy

Choose 58290 when the vaginally removed uterus weighs more than 250 grams. This code is for a specimen weighing 250 grams or less.

58270Vaginal hysterectomy

Choose 58270 when enterocele repair is included with the vaginal hysterectomy. This code does not describe that additional repair.

Codes related to 58260

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

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

Open CMS sourceHow we calculate rates