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CMS RVU26D · Effective 2026-10-01

58152 Hysterectomy Medicare reimbursement rates in Connecticut

Reports abdominal removal of the uterus and cervix together with a bladder-neck support procedure for a patient also undergoing continence surgery. Compare 58152 office and facility rates across CMS payment localities in Connecticut.

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 58152 in Connecticut?

Connecticut 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

$1150.19

1 of 1 localities have a supported rate.

Payment area: Connecticut

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.

Find 58152 in your payment locality →

Gynecologic surgery

About 58152: Total abdominal hysterectomy with suspension

Reports abdominal removal of the uterus and cervix together with a bladder-neck support procedure for a patient also undergoing continence surgery.

Code 58152 represents an open abdominal operation that removes the uterine body and cervix and includes support of the bladder neck and urethra, such as a Burch or Marshall-Marchetti-Krantz procedure. It is used when total hysterectomy and continence surgery are performed together, for example, for a patient with uterine disease and stress urinary incontinence. A gynecologic surgeon typically performs the operation in a hospital operating room. The fallopian tubes and ovaries may also be removed.

Report 58152 when the operative note supports the abdominal approach, removal of the cervix with the uterus, and the included suspension procedure. Removal of tubes or ovaries does not change the hysterectomy code. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Report the procedure once rather than appending modifier 50.

CMS billing rules for 58152

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 RVU21.31 · 65%
  • Practice expense (office) RVU7.59 · 23%
  • Malpractice RVU3.74 · 11%

26

Medicare services in 2024 · #5765 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.

58152 compared with similar codes

Office rates for Connecticut, from the same CMS release.

58150

Hysterectomy

Abdominal, cervix removed

No office rate

Use 58152 when the total abdominal hysterectomy is combined with the included bladder-neck suspension. Use 58150 for the total abdominal hysterectomy without that suspension.

58180

Hysterectomy

Abdominal, cervix retained

No office rate

58180 is for a supracervical procedure that retains the cervix. 58152 includes removal of both the uterine body and cervix.

51845

Bladder neck repair

Retropubic abdominal suspension

No office rate

51845 describes an abdominal stress-incontinence operation without the combined total hysterectomy service. 58152 includes the suspension when performed with the hysterectomy.

58140

Myomectomy

Abdominal, limited burden

No office rate

58140 removes fibroids while preserving the uterus. 58152 removes the uterus and cervix and includes the support procedure.

Compare 58152 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

Office and facility base rates · shared scale starting at $0

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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 58152 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

6,523

Code
58152
Physician work
21.31
Practice expense
7.59
Malpractice
3.74

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 58152 in Connecticut
ComponentRVULocality factorAdjusted
Physician work21.31× 1.02021.7362
Practice expense7.59× 1.0778.1744
Malpractice3.74× 1.2104.5254
Total RVUs34.4360
Conversion factor× 33.4009

Facility rate, Connecticut$1150.19

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work21.311.02
Practice expense7.591.077
Malpractice3.741.21

(21.31 × 1.02 + 7.59 × 1.077 + 3.74 × 1.21) × $33.4009 = $1150.19

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.

58152 billing questions

How does 58152 differ from 58150?

58152 includes a bladder-neck and urethral support procedure with the total abdominal hysterectomy. 58150 describes a total abdominal hysterectomy without that included suspension.

Can tubes or ovaries be removed with 58152?

Yes. The code allows for removal or preservation of the fallopian tubes and ovaries.

Should the suspension procedure be reported separately?

The suspension is included in 58152 when performed as part of the combined operation. Do not separately report a second code for that same included work.

Should modifier 50 be appended?

No. Report 58152 once; modifier 50 is inappropriate for this service.

What documentation supports choosing 58152?

The operative report should establish an abdominal total hysterectomy, including removal of the cervix, and the accompanying bladder-neck support procedure. It should also identify whether the tubes or ovaries were removed.

How is same-session multiple-procedure payment handled?

Medicare pays the highest-valued procedure in full and other procedures in the same session at 50%. The code has a 90-day global period.

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.

RVUs for 58152PPRRVU2026_Oct_nonQPP.csv, line 6,523 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)