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Billing code 58270: Vaginal hysterectomyMedicare rate & RVUs

Vaginal hysterectomy for a uterus weighing 250 g or less with concurrent repair of an enterocele, commonly performed for uterovaginal prolapse.

CMS RVU26DEffective Oct 1, 2026109 payment localities148 Medicare services in 2024

Medicare pays $793.61 for 58270 nationally in a facility.

Medicare rate · 58270

Vaginal hysterectomy

Swap in your local Medicare rate.

Work RVUs
14.92
Total RVUs
23.76
Global days
090

National rate · 2026

$793.61

Facility setting, before claim adjustments.

See every locality for 58270 → · 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 58270 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 58270 covers

This service combines removal of the uterus through the vagina with repair of an enterocele, a herniation of peritoneal tissue into the upper vagina. A gynecologic surgeon may perform it for uterovaginal prolapse when an enterocele also requires repair. The procedure is typically performed in a hospital or ambulatory surgery setting, rather than an office.

Report the code when the operative service includes both vaginal hysterectomy for a uterus weighing 250 g or less and enterocele repair. The operative report should document the vaginal route, the repair performed, and the uterine weight, supported by the pathology record when available. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; 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 58270 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

58270 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$729.35
Alaska*Unavailable$1,016.47
ArizonaUnavailable$774.45
ArkansasUnavailable$721.52
AtlantaUnavailable$816.20
AustinUnavailable$796.50
BakersfieldUnavailable$788.31
Baltimore/Surr. CntysUnavailable$837.65
BeaumontUnavailable$768.71
BrazoriaUnavailable$776.26

58270 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
58270 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 58270 rate is calculated

Each of 58270’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 · 58270

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.92Practice expense 6.19Malpractice 2.65

23.7600 adjusted RVUs×$33.4009 conversion factor=$793.61

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

Payment rules and modifiers for 58270

58270 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58270

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)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 · 58270

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

58270 without 51 · national facility

$793.61

Vaginal hysterectomy

58270-51 · Second procedure: 50%

$396.81

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

58270 compared with similar codes

Compare codes

58270 vs 58260 vs 58263 vs 58294 vs 58267: national Medicare rates

Swap in your local Medicare rate.

  • 58270
    Vaginal hysterectomy · 14.92 wRVU
    —
  • 58260
    Vaginal hysterectomy · 13.8 wRVU
    —
  • 58263
    Vaginal hysterectomy · 16.8 wRVU
    —
  • 58294
    Vaginal hysterectomy · 21.01 wRVU
    —
  • 58267
    Vaginal hysterectomy · 17.9 wRVU
    —

How to choose

58260Vaginal hysterectomy
Both describe vaginal hysterectomy for a uterus weighing 250 g or less. Choose 58270 when an enterocele is repaired during the operation; 58260 does not include that repair.
58263Vaginal hysterectomy
This code includes enterocele repair with the small-uterus vaginal hysterectomy. Code 58263 also includes removal of one or both tubes and/or ovaries.
58294Vaginal hysterectomy
Both include enterocele repair with vaginal hysterectomy. Code 58270 is for a uterus weighing 250 g or less; 58294 is for a uterus weighing more than 250 g.
58267Vaginal hysterectomy
Both are small-uterus vaginal hysterectomy codes with an added repair. Code 58270 includes enterocele repair, while 58267 includes urinary support repair.

Codes related to 58270

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

Codes related to 58270
CodeHow it relatesNational office range
Same family
58260Vaginal hysterectomyVaginal hysterectomy for a uterus 250 g or less without the enterocele repair.No office rate
58263Vaginal hysterectomyAdds removal of tube(s) and/or ovary(s) to the small-uterus hysterectomy with enterocele repair.No office rate
58290Vaginal hysterectomyVaginal hysterectomy for a uterus weighing more than 250 g.No office rate
58294Vaginal hysterectomyVaginal hysterectomy with enterocele repair for a uterus weighing more than 250 g.No office rate
58267Vaginal hysterectomySmall-uterus vaginal hysterectomy with urinary support repair rather than enterocele repair.No office rate

58270 billing questions

When should this code be chosen over 58260?

Use 58270 when the vaginal hysterectomy for a uterus weighing 250 g or less includes repair of an enterocele. Code 58260 describes the vaginal hysterectomy without that repair.

Is the enterocele repair reported separately?

The repair is part of the combined service described by 58270. The operative documentation should show that the enterocele was repaired during the hysterectomy.

How does 58270 differ from 58263?

Code 58270 includes enterocele repair. Code 58263 applies when the hysterectomy also includes removal of one or both tubes and/or ovaries along with the repair.

What supports the selection of this code?

Document the vaginal route, the hysterectomy, the enterocele repair, and uterine weight of 250 g or less. The operative note and pathology record can support these details.

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. The global period is tied to the surgery, not to a separate billing of routine related follow-up.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 58270PPRRVU2026_Oct_nonQPP.csv, line 6,532 (RVU26D)

Open CMS sourceHow we calculate rates

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