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CPT code 58400: Uterine suspension2026 Medicare rate & RVUs

Surgical elevation and fixation of a retained uterus is reported when a gynecologist performs uterine suspension for symptomatic uterine displacement or support.

CMS RVU26DEffective Oct 1, 2026109 payment localities87 Medicare services in 2024

Medicare pays $415.84 for 58400 nationally in a facility.

Medicare rate · 58400

Uterine suspension

Office or facility?

Work RVUs
6.96
Total RVUs
12.45
Global days
090

National rate · 2026

$415.84

Facility setting, before claim adjustments.

See every locality for 58400 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 58400 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 58400 covers

A gynecologic surgeon performs uterine suspension to elevate and secure the uterus while preserving it. The operation may be considered for uterine displacement or loss of support; the operative report should identify the suspension performed and the anatomy addressed. This is an operating-room procedure, typically documented by the surgeon who performs the repair.

Report 58400 when the documented service matches this uterine-suspension procedure; use the operative details to distinguish it from suspension that includes shortening of the round ligaments. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. 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 58400 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

58400 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$381.26
AlaskaUnavailable$524.60
ArizonaUnavailable$405.89
ArkansasUnavailable$377.00
Atlanta, GAUnavailable$426.46
Austin, TXUnavailable$420.45
Bakersfield, CAUnavailable$419.48
Baltimore area, MDUnavailable$439.14
Beaumont, TXUnavailable$400.05
Brazoria, TXUnavailable$408.09

58400 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
58400 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 58400 rate is calculated

Each of 58400’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 · 58400

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.96

6.96 RVUs× 1.000 GPCI

Practice expense4.36

4.36 RVUs× 1.000 GPCI

Malpractice1.13

1.13 RVUs× 1.000 GPCI

Adjusted RVUs

12.4500

Conversion factor

$33.4009

Medicare rate

$415.84

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 58400

58400 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58400

Uterine suspension

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 · 58400

Uterine suspension

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.

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

58400 without 51 · national facility

$415.84

Uterine suspension

58400-51 · Second procedure: 50%

$207.92

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

58400 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 58400

    Uterine suspension6.96 wRVU

    Not priced

  • 58410

    Uterine suspension13.46 wRVU

    Not priced

  • 57280

    Vaginal suspension16.3 wRVU

    Not priced

  • 57282

    Vaginal suspension11.34 wRVU

    Not priced

How to choose

58410Uterine suspension
58410 describes uterine suspension that includes shortening of the round ligaments. For 58400, the operative report should not describe that additional service.
57280Vaginal suspension
57280 supports the vaginal vault through an abdominal approach, typically after hysterectomy. Code 58400 suspends a retained uterus.
57282Vaginal suspension
57282 supports the vaginal vault through a vaginal approach, typically after hysterectomy. Code 58400 is for suspension of a retained uterus.

Codes related to 58400

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

Codes related to 58400
CodeHow it relatesNational office range
Same family
58410Uterine suspensionRelated uterine-suspension code for a service that includes round-ligament shortening.No office rate
Used instead
57280Vaginal suspensionAbdominal vaginal-vault suspension addresses apical support after hysterectomy, rather than suspending a retained uterus.No office rate
57282Vaginal suspensionVaginal vaginal-vault suspension addresses apical support after hysterectomy, rather than suspending a retained uterus.No office rate

58400 billing questions

How is 58400 distinguished from 58410?

Use 58400 for the uterine suspension documented without the additional round-ligament shortening described by 58410. The operative report should support the specific procedure performed.

Does modifier 50 apply?

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

What postoperative care is included?

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

Can another procedure be reported in the same session?

A separately reportable procedure may be subject to the standard multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%.

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 58400PPRRVU2026_Oct_nonQPP.csv, line 6,551 (RVU26D)

Open CMS sourceHow we calculate rates

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