No office rate
58520 is for repairing a ruptured uterus. 58540 describes uterine revision for a different condition, not acute rupture repair.
On this page
CMS RVU26D · Effective 2026-10-01
58520 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$708.85
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecologic surgery
About 58520: Operative uterine rupture repair
Reports abdominal surgical repair of a ruptured uterus, typically during an obstetric emergency when the uterine wall is disrupted and repair is performed.
This service involves surgically closing a uterine wall disruption through an abdominal approach. It is most often performed by an obstetrician-gynecologist in an operating room when rupture occurs during labor or in another obstetric emergency; the operation may take place in the same setting as a cesarean delivery. The operative report should identify the rupture and describe the repair performed.
Report the code for the rupture repair itself, not simply because the uterus is inspected or an incision is closed during another operation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one 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 uterine repair. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 58520
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.14 · 62%
- Practice expense (office) RVU5.68 · 27%
- Malpractice RVU2.31 · 11%
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.
58520 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
59514 reports cesarean delivery. Use 58520 for a distinct uterine rupture repair performed in addition to the delivery when separately reportable.
No office rate
58150 reports abdominal hysterectomy, which removes the uterus; 58520 reports repair intended to preserve it.
The same code, a different location
How does Austin compare?
58520 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 58520
Office
Unavailable
Facility
$688.60
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 58520
Office
Unavailable
Facility
$732.55
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58520
Office
Unavailable
Facility
$771.95
No comparable office rate is available.
Miami
Florida · 58520
Office
Unavailable
Facility
$831.51
No comparable office rate is available.
Chicago
Illinois · 58520
Office
Unavailable
Facility
$809.70
No comparable office rate is available.
Manhattan
New York · 58520
Office
Unavailable
Facility
$809.80
No comparable office rate is available.
Alaska*
Alaska · 58520
Office
Unavailable
Facility
$902.89
No comparable office rate is available.
Alabama
Alabama · 58520
Office
Unavailable
Facility
$648.56
No comparable office rate is available.
Arkansas
Arkansas · 58520
Office
Unavailable
Facility
$641.59
No comparable office rate is available.
Arizona
Arizona · 58520
Office
Unavailable
Facility
$688.77
No comparable office rate is available.
Bakersfield
California · 58520
Office
Unavailable
Facility
$702.14
No comparable office rate is available.
Chico
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
El Centro
California · 58520
Office
Unavailable
Facility
$696.02
No comparable office rate is available.
Fresno
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Hanford-Corcoran
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Madera
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Merced
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Modesto
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Napa
California · 58520
Office
Unavailable
Facility
$755.78
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58520
Office
Unavailable
Facility
$723.49
No comparable office rate is available.
Redding
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Rest Of California
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58520
Office
Unavailable
Facility
$720.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58520
Office
Unavailable
Facility
$716.68
No comparable office rate is available.
Salinas
California · 58520
Office
Unavailable
Facility
$713.73
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58520
Office
Unavailable
Facility
$720.77
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58520
Office
Unavailable
Facility
$783.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58520
Office
Unavailable
Facility
$780.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58520
Office
Unavailable
Facility
$802.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58520
Office
Unavailable
Facility
$791.37
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58520
Office
Unavailable
Facility
$703.79
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58520
Office
Unavailable
Facility
$719.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58520
Office
Unavailable
Facility
$713.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58520
Office
Unavailable
Facility
$726.38
No comparable office rate is available.
Stockton
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Vallejo
California · 58520
Office
Unavailable
Facility
$752.00
No comparable office rate is available.
Visalia
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Yuba City
California · 58520
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
Colorado
Colorado · 58520
Office
Unavailable
Facility
$706.27
No comparable office rate is available.
Connecticut
Connecticut · 58520
Office
Unavailable
Facility
$745.35
No comparable office rate is available.
Delaware
Delaware · 58520
Office
Unavailable
Facility
$697.89
No comparable office rate is available.
Fort Lauderdale
Florida · 58520
Office
Unavailable
Facility
$770.57
No comparable office rate is available.
Rest Of Florida
Florida · 58520
Office
Unavailable
Facility
$736.22
No comparable office rate is available.
Atlanta
Georgia · 58520
Office
Unavailable
Facility
$725.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 58520
Office
Unavailable
Facility
$700.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58520
Office
Unavailable
Facility
$699.27
No comparable office rate is available.
Iowa
Iowa · 58520
Office
Unavailable
Facility
$643.11
No comparable office rate is available.
Idaho
Idaho · 58520
Office
Unavailable
Facility
$649.92
No comparable office rate is available.
East St. Louis
Illinois · 58520
Office
Unavailable
Facility
$768.82
No comparable office rate is available.
Rest Of Illinois
Illinois · 58520
Office
Unavailable
Facility
$732.69
No comparable office rate is available.
Suburban Chicago
Illinois · 58520
Office
Unavailable
Facility
$773.52
No comparable office rate is available.
Indiana
Indiana · 58520
Office
Unavailable
Facility
$652.25
No comparable office rate is available.
Kansas
Kansas · 58520
Office
Unavailable
Facility
$649.28
No comparable office rate is available.
Kentucky
Kentucky · 58520
Office
Unavailable
Facility
$678.14
No comparable office rate is available.
New Orleans
Louisiana · 58520
Office
Unavailable
Facility
$705.06
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58520
Office
Unavailable
Facility
$680.70
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58520
Office
Unavailable
Facility
$752.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58520
Office
Unavailable
Facility
$707.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58520
Office
Unavailable
Facility
$744.92
No comparable office rate is available.
Rest Of Maryland
Maryland · 58520
Office
Unavailable
Facility
$706.10
No comparable office rate is available.
Rest Of Maine
Maine · 58520
Office
Unavailable
Facility
$661.42
No comparable office rate is available.
Southern Maine
Maine · 58520
Office
Unavailable
Facility
$675.58
No comparable office rate is available.
Detroit
Michigan · 58520
Office
Unavailable
Facility
$752.05
No comparable office rate is available.
Rest Of Michigan
Michigan · 58520
Office
Unavailable
Facility
$699.21
No comparable office rate is available.
Minnesota
Minnesota · 58520
Office
Unavailable
Facility
$656.94
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58520
Office
Unavailable
Facility
$692.41
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58520
Office
Unavailable
Facility
$696.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 58520
Office
Unavailable
Facility
$677.57
No comparable office rate is available.
Mississippi
Mississippi · 58520
Office
Unavailable
Facility
$659.25
No comparable office rate is available.
Montana**
Montana · 58520
Office
Unavailable
Facility
$705.61
No comparable office rate is available.
North Carolina
North Carolina · 58520
Office
Unavailable
Facility
$665.20
No comparable office rate is available.
North Dakota**
North Dakota · 58520
Office
Unavailable
Facility
$659.93
No comparable office rate is available.
Nebraska
Nebraska · 58520
Office
Unavailable
Facility
$643.16
No comparable office rate is available.
New Hampshire
New Hampshire · 58520
Office
Unavailable
Facility
$703.89
No comparable office rate is available.
Northern Nj
New Jersey · 58520
Office
Unavailable
Facility
$769.01
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58520
Office
Unavailable
Facility
$748.25
No comparable office rate is available.
New Mexico
New Mexico · 58520
Office
Unavailable
Facility
$705.52
No comparable office rate is available.
Nevada**
Nevada · 58520
Office
Unavailable
Facility
$693.07
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58520
Office
Unavailable
Facility
$835.83
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58520
Office
Unavailable
Facility
$759.74
No comparable office rate is available.
Queens
New York · 58520
Office
Unavailable
Facility
$802.48
No comparable office rate is available.
Rest Of New York
New York · 58520
Office
Unavailable
Facility
$673.36
No comparable office rate is available.
Ohio
Ohio · 58520
Office
Unavailable
Facility
$689.87
No comparable office rate is available.
Oklahoma
Oklahoma · 58520
Office
Unavailable
Facility
$668.26
No comparable office rate is available.
Portland
Oregon · 58520
Office
Unavailable
Facility
$714.09
No comparable office rate is available.
Rest Of Oregon
Oregon · 58520
Office
Unavailable
Facility
$682.09
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58520
Office
Unavailable
Facility
$736.33
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58520
Office
Unavailable
Facility
$685.96
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58520
Office
Unavailable
Facility
$706.69
No comparable office rate is available.
Rhode Island
Rhode Island · 58520
Office
Unavailable
Facility
$712.03
No comparable office rate is available.
South Carolina
South Carolina · 58520
Office
Unavailable
Facility
$679.77
No comparable office rate is available.
South Dakota**
South Dakota · 58520
Office
Unavailable
Facility
$654.53
No comparable office rate is available.
Tennessee
Tennessee · 58520
Office
Unavailable
Facility
$652.77
No comparable office rate is available.
Utah
Utah · 58520
Office
Unavailable
Facility
$686.51
No comparable office rate is available.
Virginia
Virginia · 58520
Office
Unavailable
Facility
$679.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58520
Office
Unavailable
Facility
$706.69
No comparable office rate is available.
Vermont
Vermont · 58520
Office
Unavailable
Facility
$665.75
No comparable office rate is available.
Rest Of Washington
Washington · 58520
Office
Unavailable
Facility
$703.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58520
Office
Unavailable
Facility
$756.65
No comparable office rate is available.
Wisconsin
Wisconsin · 58520
Office
Unavailable
Facility
$644.40
No comparable office rate is available.
West Virginia
West Virginia · 58520
Office
Unavailable
Facility
$714.16
No comparable office rate is available.
Wyoming**
Wyoming · 58520
Office
Unavailable
Facility
$685.70
No comparable office rate is available.
See how rates vary across the country
58520 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 58520 in Austin
Multiple payment areas
- 58520 in Barton Creek
- 58520 in Bee Cave
- 58520 in Briarcliff
- 58520 in Cedar Park
Multiple payment areas
- 58520 in Creedmoor
Multiple payment areas
- 58520 in Elgin
Multiple payment areas
- 58520 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58520 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$779.74
$708.85 × 110% = $779.74
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58520 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,553
- Code
- 58520
- Physician work
- 13.14
- Practice expense
- 5.68
- Malpractice
- 2.31
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.14 | × 1.002 | 13.1663 |
| Practice expense | 5.68 | × 1.058 | 6.0094 |
| Malpractice | 2.31 | × 0.886 | 2.0467 |
| Total RVUs | 21.2224 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$708.85
Open 58520 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.14 | 1.002 |
| Practice expense | 5.68 | 1.058 |
| Malpractice | 2.31 | 0.886 |
(13.14 × 1.002 + 5.68 × 1.058 + 2.31 × 0.886) × $33.4009 = $708.85
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
58520 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $708.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $708.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $708.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $708.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $783.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $783.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $783.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $783.38 | RVU25A |
58520 billing questions
When should this code be chosen instead of 58540?
Use this code for operative repair of a uterine rupture. Code 58540 describes uterine revision, not repair of an acute rupture.
Can this be reported when a cesarean delivery is also performed?
A rupture repair may occur during the same operation as a cesarean delivery. Document the distinct repair performed and assess the code combination under applicable coding edits.
Should modifier 50 be appended?
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 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.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,55058356,,Endometrial cryoablation,A,,6.25,41.05,,1.80,,1.10,48.40,9.15,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55558541,,Lsh uterus 250 g or less,A,,11.98,5.48,NA,5.48,,1.96,19.42,19.42,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,55658542,,Lsh w/t/o ut 250 g or less,A,,13.81,5.79,NA,5.79,,2.36,21.96,21.96,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858