No office rate
Both codes describe laparoscopic-assisted vaginal hysterectomy for a uterus over 250 g. Choose 58554 when removal of one or both tubes and/or ovaries is included.
On this page
CMS RVU26D · Effective 2026-10-01
58553 Vaginal hysterectomy Medicare reimbursement rates in Delaware
Reports laparoscopic-assisted vaginal removal of a uterus weighing more than 250 g when the surgeon uses both abdominal endoscopy and vaginal access. Compare 58553 office and facility rates across CMS payment localities in Delaware.
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 58553 in Delaware?
Delaware 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
$974.74
1 of 1 localities have a supported rate.
Payment area: Delaware
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 58553: Laparoscopic-assisted vaginal hysterectomy, large uterus
Reports laparoscopic-assisted vaginal removal of a uterus weighing more than 250 g when the surgeon uses both abdominal endoscopy and vaginal access.
A gynecologic surgeon uses laparoscopic access to mobilize or assist with removal of the uterus, then completes the hysterectomy through the vagina. This approach may be used for conditions such as fibroids or adenomyosis when the uterus weighs more than 250 g. The operation is performed in a surgical setting, with the operative report describing the laparoscopic and vaginal portions of the procedure.
Select this code when the documented uterine weight is over 250 g and the procedure uses the laparoscopic-assisted vaginal approach. When removal of one or both tubes or ovaries is also part of the procedure, compare the service with 58554. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate for this hysterectomy.
CMS billing rules for 58553
- 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 RVU19.56 · 66%
- Practice expense (office) RVU6.52 · 22%
- Malpractice RVU3.43 · 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.
58553 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code is for a uterus weighing 250 g or less and includes removal of tube(s) and/or ovary(s); 58553 is for a larger uterus without that adnexal-removal inclusion.
No office rate
This code describes total laparoscopic hysterectomy for a uterus over 250 g. Choose by the operative route: total laparoscopic versus laparoscopic-assisted vaginal.
Compare 58553 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
Delaware →
Office / nonfacility
Unavailable
Facility
$974.74
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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 58553 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,564
- Code
- 58553
- Physician work
- 19.56
- Practice expense
- 6.52
- Malpractice
- 3.43
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.56 | × 1.005 | 19.6578 |
| Practice expense | 6.52 | × 0.988 | 6.4418 |
| Malpractice | 3.43 | × 0.899 | 3.0836 |
| Total RVUs | 29.1831 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$974.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.56 | 1.005 |
| Practice expense | 6.52 | 0.988 |
| Malpractice | 3.43 | 0.899 |
(19.56 × 1.005 + 6.52 × 0.988 + 3.43 × 0.899) × $33.4009 = $974.74
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.
58553 billing questions
How does this code differ from 58554?
Use 58553 for the laparoscopic-assisted vaginal hysterectomy when the uterus weighs more than 250 g and removal of tubes or ovaries is not part of the coded service. Code 58554 includes removal of one or both tubes and/or ovaries.
What supports the greater-than-250-g selection?
Document the uterine weight and the laparoscopic-assisted vaginal approach in the operative record. Pathology findings may support the weight selection when they report the specimen weight.
Is this the code for a total laparoscopic hysterectomy?
No. This code describes a laparoscopic-assisted vaginal approach. A total laparoscopic hysterectomy is performed laparoscopically rather than completed through the vagina.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this procedure. Team surgery is not permitted.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global service.
Should modifier 50 be used?
No. Bilateral adjustment is inappropriate for this hysterectomy.
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.
6,56158548,,Lap radical hyst,A,,30.84,14.23,NA,14.23,,6.66,51.73,51.73,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56258550,,Laparo-asst vag hysterectomy,A,,14.72,6.21,NA,6.21,,2.62,23.55,23.55,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,56358552,,Laparo-vag hyst incl t/o,A,,16.49,6.76,NA,6.76,,3.02,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56458553,,Laparo-vag hyst complex,A,,19.56,6.52,NA,6.52,,3.43,29.51,29.51,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56558554,,Laparo-vag hyst w/t/o compl,A,,22.53,8.13,NA,8.13,,4.12,34.78,34.78,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56658555,,Hysteroscopy dx sep proc,A,,2.58,6.79,,1.00,,0.45,9.82,4.03,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56758558,,Hysteroscopy biopsy,A,,4.07,33.23,,1.33,,0.72,38.02,6.12,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503