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Billing code 58262: Vaginal hysterectomyMedicare rate & RVUs

Reports vaginal removal of a uterus weighing 250 g or less when one or both fallopian tubes and/or ovaries are also removed.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.4K Medicare services in 2024

Medicare pays $818.66 for 58262 nationally in a facility.

Medicare rate · 58262

Vaginal hysterectomy

Swap in your local Medicare rate.

Work RVUs
15.54
Total RVUs
24.51
Global days
090

National rate · 2026

$818.66

Facility setting, before claim adjustments.

See every locality for 58262 → · 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 58262 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 58262 covers

A gynecologic surgeon removes the uterus through the vagina and also removes one or both fallopian tubes and/or ovaries. The code applies when the uterus weighs 250 g or less; it does not describe a hysterectomy with an additional vaginal repair. These procedures are commonly performed in a hospital or ambulatory surgical setting for conditions requiring hysterectomy, with the adnexal removal determined by the patient’s clinical and operative plan.

Select the code based on the documented uterine weight and whether tube(s) and/or ovary(s) were removed. The operative report should support the vaginal route, uterine weight, and adnexal work; pathology documentation can support specimen weight. This major surgery has a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available, 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.

Where 58262 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

58262 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$753.55
Alaska*Unavailable$1,051.65
ArizonaUnavailable$799.25
ArkansasUnavailable$745.62
AtlantaUnavailable$841.57
AustinUnavailable$821.67
BakersfieldUnavailable$813.69
Baltimore/Surr. CntysUnavailable$863.51
BeaumontUnavailable$793.39
BrazoriaUnavailable$801.22

58262 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
58262 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 58262 rate is calculated

Each of 58262’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 · 58262

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.54Practice expense 6.29Malpractice 2.68

24.5100 adjusted RVUs×$33.4009 conversion factor=$818.66

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

Payment rules and modifiers for 58262

58262 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58262

Vaginal hysterectomy

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 · 58262

Vaginal hysterectomy

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

58262 without 51 · national facility

$818.66

Vaginal hysterectomy

58262-51 · Second procedure: 50%

$409.33

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

58262 compared with similar codes

Compare codes

58262 vs 58260 vs 58263 vs 58291: national Medicare rates

Swap in your local Medicare rate.

  • 58262
    Vaginal hysterectomy · 15.54 wRVU
    —
  • 58260
    Vaginal hysterectomy · 13.8 wRVU
    —
  • 58263
    Vaginal hysterectomy · 16.8 wRVU
    —
  • 58291
    Vaginal hysterectomy · 21.51 wRVU
    —

How to choose

58260Vaginal hysterectomy
Choose 58260 for vaginal hysterectomy with a uterus 250 g or less when tube(s) and ovary(s) are not removed. This code includes the specified adnexal removal.
58263Vaginal hysterectomy
This code covers the small-uterus vaginal hysterectomy with adnexal removal. Choose 58263 when an enterocele repair is also performed.
58291Vaginal hysterectomy
This code is for the same general hysterectomy and adnexal-removal combination when the uterus weighs more than 250 g.

Codes related to 58262

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

Codes related to 58262
CodeHow it relatesNational office range
Same family
58260Vaginal hysterectomyVaginal hysterectomy for a uterus 250 g or less, without the adnexal removal described here.No office rate
58263Vaginal hysterectomyAdds repair of an enterocele to the small-uterus hysterectomy with adnexal removal.No office rate
58290Vaginal hysterectomyVaginal hysterectomy for a uterus weighing more than 250 g, without the adnexal-removal detail here.No office rate
58291Vaginal hysterectomyVaginal hysterectomy for a uterus over 250 g with removal of tube(s) and/or ovary(s).No office rate

58262 billing questions

How does this differ from 58260?

Both apply to vaginal hysterectomy when the uterus weighs 250 g or less. This code also includes removal of one or both fallopian tubes and/or ovaries; 58260 does not describe that adnexal removal.

Can this code be reported with 58260 for the same hysterectomy?

Do not report 58260 separately to represent the hysterectomy portion. This code already describes the hysterectomy together with the specified adnexal removal.

When is 58263 a better choice?

Use 58263 when the uterus weighs 250 g or less, adnexal removal is performed, and an enterocele repair is also part of the procedure.

Should modifier 50 be appended when both sides are treated?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What documentation supports the code selection?

The operative report should establish the vaginal route, uterine weight, and removal of tube(s) and/or ovary(s). Pathology records may support the specimen weight.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 58262PPRRVU2026_Oct_nonQPP.csv, line 6,529 (RVU26D)

Open CMS sourceHow we calculate rates

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