Both are total laparoscopic hysterectomy codes for a uterus over 250 grams. Choose 58573 when tube or ovary tissue is removed; choose 58572 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
58573 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1081.72
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 58573: Laparoscopic total hysterectomy over 250 grams with adnexal removal
Report this service for laparoscopic removal of the uterus and cervix weighing over 250 grams when one or more fallopian tubes or ovaries are also removed.
A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or both fallopian tubes, one or both ovaries, or both types of adnexa. The code is for a uterine specimen weighing more than 250 grams. A common clinical setting is surgery for a markedly enlarged, fibroid uterus causing bleeding or bulk symptoms. The procedure is typically performed in a hospital operating room or ambulatory surgery center.
Select the code when the operative report supports a total laparoscopic approach, removal of adnexal tissue, and a uterine weight over 250 grams. Document the structures removed and the specimen weight; report the procedure once, not separately for each tube or ovary. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 58573
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU20.27 · 61%
- Practice expense (office) RVU8.74 · 26%
- Malpractice RVU4.09 · 12%
2.4K
Medicare services in 2024 · #2321 by national volume
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.
58573 compared with similar codes
Office rates for Madera, from the same CMS release.
This is the corresponding total laparoscopic hysterectomy with adnexal removal when the uterus weighs 250 grams or less. The weight threshold separates it from 58573.
This code describes a laparoscopic-assisted vaginal hysterectomy for a uterus over 250 grams with adnexal removal. Use 58573 for the total laparoscopic approach.
This is a laparoscopic supracervical hysterectomy over 250 grams with adnexal removal. In contrast, 58573 removes the cervix as part of a total hysterectomy.
The same code, a different location
How does Madera compare?
58573 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Modesto
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Napa
California · 58573
Office
Unavailable
Facility
$1173.84
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58573
Office
Unavailable
Facility
$1126.16
No comparable office rate is available.
Redding
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Rest Of California
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58573
Office
Unavailable
Facility
$1125.70
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58573
Office
Unavailable
Facility
$1114.14
No comparable office rate is available.
Salinas
California · 58573
Office
Unavailable
Facility
$1109.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58573
Office
Unavailable
Facility
$1120.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58573
Office
Unavailable
Facility
$1215.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58573
Office
Unavailable
Facility
$1211.03
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58573
Office
Unavailable
Facility
$1245.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58573
Office
Unavailable
Facility
$1226.70
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58573
Office
Unavailable
Facility
$1094.27
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58573
Office
Unavailable
Facility
$1119.16
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58573
Office
Unavailable
Facility
$1109.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58573
Office
Unavailable
Facility
$1129.05
No comparable office rate is available.
Stockton
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Vallejo
California · 58573
Office
Unavailable
Facility
$1167.15
No comparable office rate is available.
Visalia
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Yuba City
California · 58573
Office
Unavailable
Facility
$1081.72
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58573
Office
Unavailable
Facility
$1209.53
No comparable office rate is available.
Miami
Florida · 58573
Office
Unavailable
Facility
$1326.41
No comparable office rate is available.
Chicago
Illinois · 58573
Office
Unavailable
Facility
$1288.68
No comparable office rate is available.
Manhattan
New York · 58573
Office
Unavailable
Facility
$1276.25
No comparable office rate is available.
Alaska*
Alaska · 58573
Office
Unavailable
Facility
$1401.73
No comparable office rate is available.
Alabama
Alabama · 58573
Office
Unavailable
Facility
$1009.79
No comparable office rate is available.
Arkansas
Arkansas · 58573
Office
Unavailable
Facility
$998.15
No comparable office rate is available.
Arizona
Arizona · 58573
Office
Unavailable
Facility
$1076.85
No comparable office rate is available.
Colorado
Colorado · 58573
Office
Unavailable
Facility
$1102.46
No comparable office rate is available.
Connecticut
Connecticut · 58573
Office
Unavailable
Facility
$1170.28
No comparable office rate is available.
Delaware
Delaware · 58573
Office
Unavailable
Facility
$1091.65
No comparable office rate is available.
Fort Lauderdale
Florida · 58573
Office
Unavailable
Facility
$1219.75
No comparable office rate is available.
Rest Of Florida
Florida · 58573
Office
Unavailable
Facility
$1161.44
No comparable office rate is available.
Atlanta
Georgia · 58573
Office
Unavailable
Facility
$1139.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 58573
Office
Unavailable
Facility
$1100.27
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58573
Office
Unavailable
Facility
$1088.05
No comparable office rate is available.
Iowa
Iowa · 58573
Office
Unavailable
Facility
$998.38
No comparable office rate is available.
Idaho
Idaho · 58573
Office
Unavailable
Facility
$1010.22
No comparable office rate is available.
East St. Louis
Illinois · 58573
Office
Unavailable
Facility
$1220.74
No comparable office rate is available.
Rest Of Illinois
Illinois · 58573
Office
Unavailable
Facility
$1157.08
No comparable office rate is available.
Suburban Chicago
Illinois · 58573
Office
Unavailable
Facility
$1223.65
No comparable office rate is available.
Indiana
Indiana · 58573
Office
Unavailable
Facility
$1014.04
No comparable office rate is available.
Kansas
Kansas · 58573
Office
Unavailable
Facility
$1009.79
No comparable office rate is available.
Kentucky
Kentucky · 58573
Office
Unavailable
Facility
$1061.55
No comparable office rate is available.
New Orleans
Louisiana · 58573
Office
Unavailable
Facility
$1106.93
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58573
Office
Unavailable
Facility
$1066.26
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58573
Office
Unavailable
Facility
$1174.93
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58573
Office
Unavailable
Facility
$1104.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58573
Office
Unavailable
Facility
$1170.09
No comparable office rate is available.
Rest Of Maryland
Maryland · 58573
Office
Unavailable
Facility
$1104.64
No comparable office rate is available.
Rest Of Maine
Maine · 58573
Office
Unavailable
Facility
$1030.58
No comparable office rate is available.
Southern Maine
Maine · 58573
Office
Unavailable
Facility
$1052.53
No comparable office rate is available.
Detroit
Michigan · 58573
Office
Unavailable
Facility
$1189.07
No comparable office rate is available.
Rest Of Michigan
Michigan · 58573
Office
Unavailable
Facility
$1097.80
No comparable office rate is available.
Minnesota
Minnesota · 58573
Office
Unavailable
Facility
$1017.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58573
Office
Unavailable
Facility
$1084.62
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58573
Office
Unavailable
Facility
$1091.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 58573
Office
Unavailable
Facility
$1061.73
No comparable office rate is available.
Mississippi
Mississippi · 58573
Office
Unavailable
Facility
$1029.34
No comparable office rate is available.
Montana**
Montana · 58573
Office
Unavailable
Facility
$1105.30
No comparable office rate is available.
North Carolina
North Carolina · 58573
Office
Unavailable
Facility
$1036.69
No comparable office rate is available.
North Dakota**
North Dakota · 58573
Office
Unavailable
Facility
$1024.42
No comparable office rate is available.
Nebraska
Nebraska · 58573
Office
Unavailable
Facility
$998.12
No comparable office rate is available.
New Hampshire
New Hampshire · 58573
Office
Unavailable
Facility
$1100.46
No comparable office rate is available.
Northern Nj
New Jersey · 58573
Office
Unavailable
Facility
$1204.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58573
Office
Unavailable
Facility
$1172.76
No comparable office rate is available.
New Mexico
New Mexico · 58573
Office
Unavailable
Facility
$1108.80
No comparable office rate is available.
Nevada**
Nevada · 58573
Office
Unavailable
Facility
$1083.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58573
Office
Unavailable
Facility
$1321.15
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58573
Office
Unavailable
Facility
$1192.46
No comparable office rate is available.
Queens
New York · 58573
Office
Unavailable
Facility
$1262.41
No comparable office rate is available.
Rest Of New York
New York · 58573
Office
Unavailable
Facility
$1050.40
No comparable office rate is available.
Ohio
Ohio · 58573
Office
Unavailable
Facility
$1081.27
No comparable office rate is available.
Oklahoma
Oklahoma · 58573
Office
Unavailable
Facility
$1043.87
No comparable office rate is available.
Portland
Oregon · 58573
Office
Unavailable
Facility
$1113.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 58573
Office
Unavailable
Facility
$1063.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58573
Office
Unavailable
Facility
$1156.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58573
Office
Unavailable
Facility
$1074.12
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58573
Office
Unavailable
Facility
$1106.73
No comparable office rate is available.
Rhode Island
Rhode Island · 58573
Office
Unavailable
Facility
$1113.31
No comparable office rate is available.
South Carolina
South Carolina · 58573
Office
Unavailable
Facility
$1062.89
No comparable office rate is available.
South Dakota**
South Dakota · 58573
Office
Unavailable
Facility
$1014.86
No comparable office rate is available.
Tennessee
Tennessee · 58573
Office
Unavailable
Facility
$1015.75
No comparable office rate is available.
Austin
Texas · 58573
Office
Unavailable
Facility
$1108.28
No comparable office rate is available.
Beaumont
Texas · 58573
Office
Unavailable
Facility
$1069.60
No comparable office rate is available.
Brazoria
Texas · 58573
Office
Unavailable
Facility
$1078.30
No comparable office rate is available.
Dallas
Texas · 58573
Office
Unavailable
Facility
$1091.10
No comparable office rate is available.
Fort Worth
Texas · 58573
Office
Unavailable
Facility
$1089.95
No comparable office rate is available.
Galveston
Texas · 58573
Office
Unavailable
Facility
$1085.45
No comparable office rate is available.
Houston
Texas · 58573
Office
Unavailable
Facility
$1160.31
No comparable office rate is available.
Rest Of Texas
Texas · 58573
Office
Unavailable
Facility
$1077.43
No comparable office rate is available.
Utah
Utah · 58573
Office
Unavailable
Facility
$1074.12
No comparable office rate is available.
Virginia
Virginia · 58573
Office
Unavailable
Facility
$1060.44
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58573
Office
Unavailable
Facility
$1106.73
No comparable office rate is available.
Vermont
Vermont · 58573
Office
Unavailable
Facility
$1035.17
No comparable office rate is available.
Rest Of Washington
Washington · 58573
Office
Unavailable
Facility
$1097.19
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58573
Office
Unavailable
Facility
$1180.69
No comparable office rate is available.
Wisconsin
Wisconsin · 58573
Office
Unavailable
Facility
$998.78
No comparable office rate is available.
West Virginia
West Virginia · 58573
Office
Unavailable
Facility
$1126.21
No comparable office rate is available.
Wyoming**
Wyoming · 58573
Office
Unavailable
Facility
$1070.05
No comparable office rate is available.
See how rates vary across the country
58573 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58573 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1189.89
$1081.72 × 110% = $1189.89
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 58573 in Madera.
PPRRVU2026_Oct_nonQPP.csv
6,577
- Code
- 58573
- Physician work
- 20.27
- Practice expense
- 8.74
- Malpractice
- 4.09
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.27 | × 1.017 | 20.6146 |
| Practice expense | 8.74 | × 1.096 | 9.5790 |
| Malpractice | 4.09 | × 0.536 | 2.1922 |
| Total RVUs | 32.3859 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1081.72
Open 58573 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.27 | 1.017 |
| Practice expense | 8.74 | 1.096 |
| Malpractice | 4.09 | 0.536 |
(20.27 × 1.017 + 8.74 × 1.096 + 4.09 × 0.536) × $33.4009 = $1081.72
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
58573 · 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 | $1081.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $1081.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $1081.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $1081.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $1183.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $1183.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $1183.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $1183.69 | RVU25A |
58573 billing questions
How does this differ from 58572?
Both describe total laparoscopic hysterectomy for a uterus over 250 grams. Use 58573 when one or more fallopian tubes or ovaries are also removed; 58572 is for the hysterectomy without that adnexal removal.
Is the tube or ovary removal billed separately?
Removal of one or more fallopian tubes or ovaries is included in this procedure. Report the code once, whether one or several of those structures are removed.
Should modifier 50 be added when both sides are removed?
No. CMS indicates that bilateral adjustment does not apply and modifier 50 is inappropriate for this code, including when both sides are treated.
What documentation supports the over-250-gram code?
The operative report should establish the laparoscopic total hysterectomy and identify the tube or ovary tissue removed. Document the uterine specimen weight to support selection over the 250-gram threshold.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS also applies its standard multiple-procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
CMS allows payment for an assistant at surgery and permits co-surgeons. Team surgery 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 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.
