CPT code 58180: Hysterectomy2026 Medicare rate & RVUs in Alaska
Reports abdominal removal of the uterine body with the cervix left in place, with or without removal of the fallopian tubes or ovaries.
CMS doesn’t publish an office rate for 58180 in Alaska.
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 9 sections
What 58180 covers
Code 58180 reports an abdominal supracervical hysterectomy: the surgeon removes the uterine body while leaving the cervix in place. Gynecologic surgeons perform it in an operating room when hysterectomy is selected for conditions such as symptomatic fibroids or abnormal uterine bleeding and the operative plan retains the cervix. Removal of fallopian tubes or ovaries may accompany the procedure without changing the hysterectomy code.
Select 58180 when the operative report supports an abdominal approach and confirms that the cervix remains; use a total hysterectomy code when the cervix is removed. Document the indication, approach, structures removed, and operative findings. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is not appropriate for this operation. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and 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.
58180 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $1,106.30 |
How the 58180 rate is calculated
Each of 58180’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 · 58180
RVUs × geographic indexes × conversion factor
Work16.19
16.19 RVUs× 1.000 GPCI
Practice expense6.73
6.73 RVUs× 1.000 GPCI
Malpractice3.03
3.03 RVUs× 1.000 GPCI
Adjusted RVUs
25.9500
Conversion factor
$33.4009
Medicare rate
$866.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58180
58180 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58180
Hysterectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58180
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58180 without 51 · national facility
$866.75
Hysterectomy
58180-51 · Second procedure: 50%
$433.38
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%).
58180 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58150Hysterectomy
- Use 58180 when the cervix is retained after abdominal removal of the uterine body. Use 58150 when the cervix is also removed.
- 58152Hysterectomy
- This code describes total abdominal hysterectomy with colpo-urethrocystopexy. It is not the cervix-retaining procedure reported with 58180.
- 58542Supracervical hysterectomy
- Both procedures retain the cervix, but 58542 uses a laparoscopic approach and applies to a uterus weighing 250 g or less; 58180 is the abdominal approach.
- 58140Myomectomy
- 58140 removes fibroids while preserving the uterus. Choose 58180 when the operative plan is to remove the uterine body and retain the cervix.
58180 billing questions
How does 58180 differ from 58150?
With 58180, the cervix remains; 58150 is for an abdominal hysterectomy that removes the cervix along with the uterine body.
Does removal of tubes or ovaries change the code?
No. 58180 includes the option of removing fallopian tubes or ovaries during the hysterectomy; document which structures were removed.
Can modifier 50 be used?
No. The operation is not reported bilaterally, so a bilateral adjustment using modifier 50 is inappropriate.
How is 58180 paid when other procedures occur in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction to 50%.
What documentation supports reporting 58180?
The operative report should establish the abdominal approach, removal of the uterine body, retention of the cervix, and any tube or ovary removal.
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 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
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