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Billing code 58285: Radical hysterectomyMedicare rate & RVUs

Reports radical hysterectomy through a vaginal approach with bilateral pelvic lymphadenectomy, typically for selected gynecologic cancers requiring regional nodal surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,328.69 for 58285 nationally in a facility.

Medicare rate · 58285

Radical hysterectomy

Swap in your local Medicare rate.

Work RVUs
22.8
Total RVUs
39.78
Global days
090

National rate · 2026

$1,328.69

Facility setting, before claim adjustments.

See every locality for 58285 → · 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 58285 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 58285 covers

This operation removes the uterus and cervix with surrounding tissues, including the upper vagina, and includes bilateral pelvic lymph node dissection. Gynecologic oncologists typically perform it in an operating room for selected pelvic malignancies when radical resection is indicated and the vaginal route is appropriate. It is distinct from a simple vaginal hysterectomy and from radical hysterectomy performed through an abdominal incision.

Report one unit for the operation, supported by documentation of the vaginal approach, radical tissue resection, and bilateral pelvic lymphadenectomy. The code’s 90-day global period includes the day-before preoperative visit and 90 days of 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; 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 58285 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

58285 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,203.40
Alaska*Unavailable$1,655.85
ArizonaUnavailable$1,291.22
ArkansasUnavailable$1,188.17
AtlantaUnavailable$1,372.61
AustinUnavailable$1,332.83
BakersfieldUnavailable$1,311.88
Baltimore/Surr. CntysUnavailable$1,411.14
BeaumontUnavailable$1,280.99
BrazoriaUnavailable$1,292.54

58285 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
58285 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 58285 rate is calculated

Each of 58285’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 · 58285

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.80Practice expense 11.71Malpractice 5.27

39.7800 adjusted RVUs×$33.4009 conversion factor=$1,328.69

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

Payment rules and modifiers for 58285

58285 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58285

Radical 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 · 58285

Radical 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

58285 without 51 · national facility

$1,328.69

Radical hysterectomy

58285-51 · Second procedure: 50%

$664.35

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

58285 compared with similar codes

Compare codes

58285 vs 58210 vs 58200 vs 58240 vs 58260: national Medicare rates

Swap in your local Medicare rate.

  • 58285
    Radical hysterectomy · 22.8 wRVU
    —
  • 58210
    Radical hysterectomy · 30.14 wRVU
    —
  • 58200
    Extensive hysterectomy · 22.52 wRVU
    —
  • 58240
    Pelvic exenteration · 48.1 wRVU
    —
  • 58260
    Vaginal hysterectomy · 13.8 wRVU
    —

How to choose

58210Radical hysterectomy
Use 58285 for the radical vaginal operation. Use 58210 when the radical hysterectomy is performed abdominally; that code also includes para-aortic node sampling.
58200Extensive hysterectomy
58200 describes an abdominal oncologic hysterectomy with partial vaginectomy and nodal sampling. It is not the vaginal radical operation with bilateral pelvic lymphadenectomy represented by 58285.
58240Pelvic exenteration
58240 represents pelvic exenteration, a more extensive removal of pelvic contents. It is not a synonym for radical vaginal hysterectomy with pelvic lymphadenectomy.
58260Vaginal hysterectomy
58260 is a simple vaginal hysterectomy for a uterus 250 grams or less; 58285 requires radical tissue resection and bilateral pelvic lymphadenectomy.

Codes related to 58285

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

Codes related to 58285
CodeHow it relatesNational office range
Used instead
58210Radical hysterectomyRadical hysterectomy through an abdominal approach, with pelvic lymphadenectomy and para-aortic node sampling.No office rate
58200Extensive hysterectomyAbdominal oncologic hysterectomy with partial vaginectomy and nodal sampling when a different extent is indicated.No office rate
58240Pelvic exenterationPelvic exenteration for disease requiring removal of multiple pelvic organs rather than radical hysterectomy alone.No office rate
Same family
58260Vaginal hysterectomySimple vaginal hysterectomy for a uterus 250 grams or less, without the radical resection and nodal work.No office rate
58290Vaginal hysterectomySimple vaginal hysterectomy for a uterus over 250 grams, without radical resection and nodal work.No office rate

58285 billing questions

How does this differ from 58210?

This code is for the radical operation performed vaginally. Code 58210 describes the abdominal approach and includes pelvic lymphadenectomy and para-aortic node sampling.

Is pelvic lymphadenectomy part of this service?

Yes. Bilateral pelvic lymph node dissection is included in the operation represented by this code; document the nodal work as part of the operative service.

Should modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code, even though the included lymphadenectomy is bilateral.

What documentation supports reporting this code?

The operative report should establish the vaginal route, radical resection of surrounding tissues, and bilateral pelvic lymphadenectomy.

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 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 58285PPRRVU2026_Oct_nonQPP.csv, line 6,535 (RVU26D)

Open CMS sourceHow we calculate rates

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