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Billing code 58572: Laparoscopic hysterectomyMedicare rate & RVUs

Reports laparoscopic removal of the uterus and cervix when the uterus weighs more than 250 grams and tubes or ovaries are not removed.

CMS RVU26DEffective Oct 1, 2026109 payment localities124 Medicare services in 2024

Medicare pays $945.58 for 58572 nationally in a facility.

Medicare rate · 58572

Laparoscopic hysterectomy

Swap in your local Medicare rate.

Work RVUs
17.27
Total RVUs
28.31
Global days
090

National rate · 2026

$945.58

Facility setting, before claim adjustments.

See every locality for 58572 → · 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 58572 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 58572 covers

A gynecologic surgeon uses laparoscopic access to remove the uterus and cervix when the uterus weighs more than 250 grams. The operation may be performed for conditions such as symptomatic fibroids or abnormal uterine bleeding, typically in a hospital operating room. The removed specimen may be extracted vaginally or through an incision, depending on the operative plan.

Choose this code based on the weight of the uterus and the extent of the procedure; document the operative approach, removal of the uterus and cervix, specimen weight, and whether tubes or ovaries were also removed. When tubes and/or ovaries are removed, the corresponding code for the larger uterus is 58573. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for removal of a single uterus. Assistant-at-surgery payment may be available, co-surgeons are permitted, and team-surgery billing 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 58572 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

58572 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$863.67
Alaska*Unavailable$1,198.39
ArizonaUnavailable$921.05
ArkansasUnavailable$853.72
AtlantaUnavailable$974.65
AustinUnavailable$948.19
BakersfieldUnavailable$935.50
Baltimore/Surr. CntysUnavailable$1,000.74
BeaumontUnavailable$914.59
BrazoriaUnavailable$922.42

58572 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
58572 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 58572 rate is calculated

Each of 58572’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 · 58572

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.27Practice expense 7.57Malpractice 3.47

28.3100 adjusted RVUs×$33.4009 conversion factor=$945.58

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

Payment rules and modifiers for 58572

58572 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58572

Laparoscopic 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)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 · 58572

Laparoscopic 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

58572 without 51 · national facility

$945.58

Laparoscopic hysterectomy

58572-51 · Second procedure: 50%

$472.79

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

58572 compared with similar codes

Compare codes

58572 vs 58570 vs 58573 vs 58543 vs 58550: national Medicare rates

Swap in your local Medicare rate.

  • 58572
    Laparoscopic hysterectomy · 17.27 wRVU
    —
  • 58570
    Laparoscopic hysterectomy · 13.03 wRVU
    —
  • 58573
    Laparoscopic hysterectomy · 20.27 wRVU
    —
  • 58543
    Hysterectomy · 14.03 wRVU
    —
  • 58550
    Vaginal hysterectomy · 14.72 wRVU
    —

How to choose

58570Laparoscopic hysterectomy
This code is for a uterus weighing more than 250 grams. Code 58570 describes the corresponding laparoscopic total hysterectomy when the uterus weighs 250 grams or less.
58573Laparoscopic hysterectomy
Use 58573 when tubes and/or ovaries are removed along with the uterus weighing more than 250 grams. Code 58572 is for the larger-uterus procedure without that adnexal removal.
58543Hysterectomy
Code 58543 describes laparoscopic supracervical hysterectomy for a large uterus, retaining the cervix. This code describes total hysterectomy, including removal of the cervix.
58550Vaginal hysterectomy
Code 58550 is for a laparoscopic-assisted vaginal approach. This code describes total hysterectomy performed laparoscopically for a uterus weighing more than 250 grams.

Codes related to 58572

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

Codes related to 58572
CodeHow it relatesNational office range
Same family
58570Laparoscopic hysterectomySame laparoscopic total hysterectomy approach for a uterus weighing 250 grams or less.No office rate
58571Laparoscopic hysterectomySmaller-uterus sibling when tubes and/or ovaries are also removed.No office rate
58573Laparoscopic hysterectomyLarger-uterus sibling when tubes and/or ovaries are also removed.No office rate
Used instead
58543HysterectomyLaparoscopic supracervical hysterectomy for a large uterus; the cervix is retained.No office rate
58550Vaginal hysterectomyLaparoscopic-assisted vaginal hysterectomy uses a different operative approach.No office rate

58572 billing questions

How is this code distinguished from 58570?

Both describe laparoscopic removal of the uterus and cervix without tube or ovary removal. Use 58572 when the uterus weighs more than 250 grams; 58570 is for a uterus weighing 250 grams or less.

What if tubes or ovaries are removed during the same operation?

When one or both tubes and/or ovaries are removed with the larger uterus, use 58573 rather than 58572.

What documentation supports the larger-uterus code?

Document the laparoscopic approach, removal of the uterus and cervix, uterine specimen weight, and whether tubes or ovaries were removed. The specimen weight distinguishes the 250-gram threshold.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate because the procedure removes one uterus, not a paired structure.

How are other procedures performed in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are subject to a 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team-surgery billing is not permitted for this code.

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 58572PPRRVU2026_Oct_nonQPP.csv, line 6,576 (RVU26D)

Open CMS sourceHow we calculate rates

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