Billing code 58570: Laparoscopic hysterectomyMedicare rate & RVUs

Medicare pays $727.14 for 58570 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 58570 covers

This code describes a total laparoscopic hysterectomy: the surgeon removes the uterus and cervix through a laparoscopic approach. Gynecologic surgeons commonly perform it in a hospital or ambulatory surgical center for conditions such as symptomatic fibroids or abnormal uterine bleeding. The specimen may be removed through the vagina or by another extraction method; the laparoscopic approach is what distinguishes the procedure from an abdominal or vaginal hysterectomy.

Select 58570 when the removed uterus weighs 250 g or less and no fallopian tube or ovary is removed as part of the hysterectomy. If one or both tubes or ovaries are removed, consider 58571; if the uterus weighs more than 250 g, use the corresponding higher-weight code. Document the laparoscopic approach, removal of the cervix, uterine weight, and adnexal procedures. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate for this anatomy. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.

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 58570 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

58570 rates by state

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

How the 58570 rate is calculated

Each of 58570’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.

Payment rules and modifiers for 58570

58570 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

58570 compared with similar codes

How to choose

58571Laparoscopic hysterectomy

Both describe total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when one or both tubes or ovaries are removed as part of the procedure.

58572Laparoscopic hysterectomy

This is the higher-weight counterpart for total laparoscopic hysterectomy without adnexal removal. Use 58570 when the uterus weighs 250 g or less.

58550Vaginal hysterectomy

This is a laparoscopic-assisted vaginal hysterectomy for a uterus 250 g or less, rather than a total hysterectomy performed laparoscopically.

58543Hysterectomy

This is a laparoscopic supracervical hysterectomy for a uterus above 250 g, so it differs in both uterine weight and whether the cervix is removed.

Codes related to 58570

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

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

Open CMS sourceHow we calculate rates