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Billing code 58550: Vaginal hysterectomyMedicare rate & RVUs

Reports laparoscopic-assisted removal of the uterus through the vagina when the uterus weighs 250 g or less, without the separately specified adnexal-removal service.

CMS RVU26DEffective Oct 1, 2026109 payment localities128 Medicare services in 2024

Medicare pays $786.59 for 58550 nationally in a facility.

Medicare rate · 58550

Vaginal hysterectomy

Swap in your local Medicare rate.

Work RVUs
14.72
Total RVUs
23.55
Global days
090

National rate · 2026

$786.59

Facility setting, before claim adjustments.

See every locality for 58550 → · 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 58550 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 58550 covers

A gynecologic surgeon uses laparoscopy to assist with a vaginal hysterectomy, removing the uterus through the vagina. This approach may be selected for conditions such as symptomatic fibroids, adenomyosis, or persistent abnormal uterine bleeding when the clinical plan and anatomy support vaginal removal. The code applies to a uterus weighing 250 g or less; the laparoscopic assistance is part of the hysterectomy service, not a separate procedure.

Select the code using the documented operative approach and uterine weight, supported by the operative report and specimen or pathology record. When removal of one or both tubes or ovaries is performed, the related code 58552 is the family option for a uterus of this size. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons are permitted; 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 58550 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

58550 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$722.68
Alaska*Unavailable$1,006.61
ArizonaUnavailable$767.56
ArkansasUnavailable$714.90
AtlantaUnavailable$808.97
AustinUnavailable$789.63
BakersfieldUnavailable$781.63
Baltimore/Surr. CntysUnavailable$830.34
BeaumontUnavailable$761.71
BrazoriaUnavailable$769.41

58550 rates by state

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

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Explore a state

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
58550 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 58550 rate is calculated

Each of 58550’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 · 58550

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.72Practice expense 6.21Malpractice 2.62

23.5500 adjusted RVUs×$33.4009 conversion factor=$786.59

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

Payment rules and modifiers for 58550

58550 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58550

Vaginal hysterectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
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 · 58550

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

58550 without 51 · national facility

$786.59

Vaginal hysterectomy

58550-51 · Second procedure: 50%

$393.30

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

58550 compared with similar codes

Compare codes

58550 vs 58552 vs 58553 vs 58570 vs 58541: national Medicare rates

Swap in your local Medicare rate.

  • 58550
    Vaginal hysterectomy · 14.72 wRVU
    —
  • 58552
    Vaginal hysterectomy · 16.49 wRVU
    —
  • 58553
    Vaginal hysterectomy · 19.56 wRVU
    —
  • 58570
    Laparoscopic hysterectomy · 13.03 wRVU
    —
  • 58541
    Supracervical hysterectomy · 11.98 wRVU
    —

How to choose

58552Vaginal hysterectomy
Use 58552 for the same laparoscopic-assisted vaginal approach and uterus size when removal of one or both tubes or ovaries is included.
58553Vaginal hysterectomy
Use 58553 when the uterus weighs more than 250 g and the service is laparoscopic-assisted vaginal hysterectomy.
58570Laparoscopic hysterectomy
Use 58570 for total laparoscopic hysterectomy of a uterus 250 g or less, with laparoscopic rather than vaginal removal.
58541Supracervical hysterectomy
Use 58541 for laparoscopic supracervical hysterectomy of a uterus 250 g or less; it differs because the cervix is retained.

Codes related to 58550

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

Codes related to 58550
CodeHow it relatesNational office range
Same family
58552Vaginal hysterectomySame-size laparoscopic-assisted vaginal hysterectomy family option when tube or ovary removal is included.No office rate
58553Vaginal hysterectomyLaparoscopic-assisted vaginal hysterectomy for a uterus weighing more than 250 g.No office rate
58554Vaginal hysterectomyLarger-uterus family option when tube or ovary removal is included.No office rate
Used instead
58570Laparoscopic hysterectomyTotal laparoscopic hysterectomy for a uterus of 250 g or less, rather than vaginal removal.No office rate
58541Supracervical hysterectomyLaparoscopic supracervical hysterectomy for a uterus of 250 g or less; the cervix is retained.No office rate

58550 billing questions

How does 58550 differ from 58552?

Both describe laparoscopic-assisted vaginal hysterectomy for a uterus of 250 g or less. Use 58552 when removal of one or both tubes or ovaries is included.

How is the 250 g threshold supported?

Document the operative approach and uterine weight in the operative and specimen or pathology records. The weight determines which size tier in the hysterectomy family applies.

Can the laparoscopic portion be billed separately?

The laparoscopic assistance is included in this hysterectomy service; it is not a separate laparoscopic procedure. CMS endoscopy-family pricing applies when related endoscopies are performed together.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy makes modifier 50 unsuitable.

What postoperative care is included?

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

May an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and permits co-surgeons for this code. 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 58550PPRRVU2026_Oct_nonQPP.csv, line 6,562 (RVU26D)

Open CMS sourceHow we calculate rates

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