No office rate
Choose 58260 for a vaginal hysterectomy without colpectomy when its other criteria are met. Choose 58275 when vaginal tissue excision is documented as part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
58275 Vaginal hysterectomy Medicare reimbursement rates in Florida
Report this vaginal hysterectomy when removal of vaginal tissue is performed as part of the operation, with or without repair of an enterocele. Compare 58275 office and facility rates across CMS payment localities in Florida.
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 58275 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$914.98–$1034.07
3 of 3 localities have a supported rate.
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.
Where 58275 pays more and less in Florida
Gynecologic surgery
About 58275: Vaginal hysterectomy with vaginal tissue excision
Report this vaginal hysterectomy when removal of vaginal tissue is performed as part of the operation, with or without repair of an enterocele.
A gynecologic surgeon removes the uterus through the vagina and excises vaginal tissue as part of the same operation. The procedure may include repair of an enterocele. It is used in selected pelvic support or vaginal conditions requiring both uterine removal and vaginal tissue excision, and is generally performed in a hospital or ambulatory surgery facility.
Report the code when the operative report supports both the vaginal hysterectomy and colpectomy; an enterocele repair is included within the service. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Report the operation as a single service rather than appending modifier 50. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 58275
- 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 RVU16.60 · 63%
- Practice expense (office) RVU6.70 · 26%
- Malpractice RVU2.92 · 11%
126
Medicare services in 2024 · #4696 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.
58275 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
58270 describes vaginal hysterectomy with enterocele repair. This code includes vaginal tissue excision and may also include enterocele repair.
No office rate
Both codes involve vaginal hysterectomy and vaginal revision. Select from the specific tissue excision and repair documented in the operative report.
No office rate
58290 is the vaginal hysterectomy code for a larger uterus. It does not represent the colpectomy service covered by this code.
Compare 58275 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$957.49
Miami →
Office / nonfacility
Unavailable
Facility
$1034.07
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$914.98
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
58275 billing questions
When should I report this instead of a vaginal hysterectomy code without colpectomy?
Use this code when the operative report documents excision of vaginal tissue with the vaginal hysterectomy. A vaginal hysterectomy without that tissue excision belongs to the code matching its other documented details.
Can an enterocele repair be reported separately?
The service includes an enterocele repair when one is performed. Do not separately report that repair as though it were outside the hysterectomy service.
Should modifier 50 be appended?
Report this as a single service; modifier 50 is not appropriate for the procedure.
What documentation supports this code?
The operative report should establish that the uterus was removed vaginally and describe the excision of vaginal tissue. It should also document any enterocele repair performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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 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.
6,53058263,,Vag hyst w/t/o & vag repair,A,,16.80,6.55,NA,6.55,,2.92,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53158267,,Vag hyst w/urinary repair,A,,17.90,7.11,NA,7.11,,3.13,28.14,28.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53258270,,Vag hyst w/enterocele repair,A,,14.92,6.19,NA,6.19,,2.65,23.76,23.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53358275,,Hysterectomy/revise vagina,A,,16.60,6.70,NA,6.70,,2.92,26.22,26.22,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53458280,,Hysterectomy/revise vagina,A,,17.87,6.92,NA,6.92,,3.13,27.92,27.92,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53558285,,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