No office rate
Both cover vaginal hysterectomy for a uterus over 250 grams with removal of tube(s) and/or ovary(s). Use 58292 when an enterocele repair is also performed.
On this page
CMS RVU26D · Effective 2026-10-01
58292 Vaginal hysterectomy Medicare reimbursement rates in Colorado
Reports vaginal removal of a uterus weighing more than 250 grams with removal of tube(s) and/or ovary(s) and repair of an enterocele. Compare 58292 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 58292 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1147.04
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecologic surgery
About 58292: Large-uterus vaginal hysterectomy with adnexal removal and enterocele repair
Reports vaginal removal of a uterus weighing more than 250 grams with removal of tube(s) and/or ovary(s) and repair of an enterocele.
A gynecologic surgeon reports this service when removing a uterus weighing more than 250 grams through the vagina, removing one or both fallopian tubes and/or ovaries, and repairing an enterocele during the same operation. It is used for a combined operation addressing uterine disease or prolapse, adnexal removal, and an enterocele; the operative report should make clear that each component was performed.
Select this code based on the documented uterine weight and the procedures actually completed. The record should support the vaginal approach, the tube(s) and/or ovary(s) removed, and the enterocele repair. The code has 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 50% multiple-procedure reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. A bilateral adjustment is inappropriate for this service.
CMS billing rules for 58292
- 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 RVU22.77 · 66%
- Practice expense (office) RVU7.69 · 22%
- Malpractice RVU3.99 · 12%
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.
58292 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
This is the large-uterus vaginal hysterectomy option with enterocele repair but without the adnexal-removal combination. Use 58292 when tube(s) and/or ovary(s) are also removed.
No office rate
This is the corresponding vaginal hysterectomy with adnexal removal and enterocele repair for a uterus weighing 250 grams or less; 58292 is for a uterus over 250 grams.
Compare 58292 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1147.04
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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 58292 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,538
- Code
- 58292
- Physician work
- 22.77
- Practice expense
- 7.69
- Malpractice
- 3.99
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.77 | × 1.012 | 23.0432 |
| Practice expense | 7.69 | × 1.064 | 8.1822 |
| Malpractice | 3.99 | × 0.781 | 3.1162 |
| Total RVUs | 34.3416 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1147.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.77 | 1.012 |
| Practice expense | 7.69 | 1.064 |
| Malpractice | 3.99 | 0.781 |
(22.77 × 1.012 + 7.69 × 1.064 + 3.99 × 0.781) × $33.4009 = $1147.04
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.
58292 billing questions
What distinguishes this code from a vaginal hysterectomy without enterocele repair?
This code includes repair of an enterocele along with removal of adnexal tissue. Choose a code without that repair when an enterocele repair was not performed.
Does the code include removal of the tubes or ovaries?
Yes. It includes removal of one or both tubes and/or ovaries performed with the vaginal hysterectomy; those components are not separately reported as though they were independent procedures.
Should modifier 50 be used when both sides are treated?
No. A bilateral adjustment is inappropriate for this code; its descriptor already allows removal of tube(s) and/or ovary(s).
What documentation supports selection of this code?
Document the vaginal approach, uterine weight greater than 250 grams, which tube(s) and/or ovary(s) were removed, and the enterocele repair performed.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. The service has a 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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.
6,53558285,,Extensive hysterectomy,A,,22.80,11.71,NA,11.71,,5.27,39.78,39.78,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53658290,,Vag hyst complex,A,,19.76,7.06,NA,7.06,,3.46,30.28,30.28,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53758291,,Vag hyst incl t/o complex,A,,21.51,7.43,NA,7.43,,3.77,32.71,32.71,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53858292,,Vag hyst t/o & repair compl,A,,22.77,7.69,NA,7.69,,3.99,34.45,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53958294,,Vag hyst w/enterocele compl,A,,21.01,7.33,NA,7.33,,3.68,32.02,32.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54058300,,Insert intrauterine device,N,+,0.98,2.07,,0.22,,0.11,3.16,1.31,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54158301,,Remove intrauterine device,A,,1.24,1.89,,0.28,,0.21,3.34,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899