Billing code 58280: Vaginal hysterectomyMedicare rate & RVUs in Florida
Reports vaginal removal of the uterus performed with revision of the vagina as part of the same operation.
CMS doesn’t publish an office rate for 58280 in Florida.
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 58280 covers
A gynecologic surgeon removes the uterus through the vagina and performs the vaginal revision included in this combined procedure. The operation is generally performed in a hospital or other surgical facility; the operative report should identify the hysterectomy route and describe the vaginal work performed. This code is for the combined service, not a vaginal hysterectomy alone or a separately performed later vaginal procedure.
Select the code from the documented operation and the applicable billing code descriptor, including the extent of the vaginal work and the other procedures performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. Modifier 50 is inappropriate. 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.
Where 58280 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,020.03 |
| Miami | Unavailable | $1,101.88 |
| Rest Of Florida | Unavailable | $974.97 |
How the 58280 rate is calculated
Each of 58280’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 · 58280
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 17.87Practice expense 6.92Malpractice 3.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58280
58280 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58280
Vaginal 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 · 58280
Vaginal 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
58280 without 51 · national facility
$932.55
Vaginal hysterectomy
58280-51 · Second procedure: 50%
$466.28
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%).
58280 compared with similar codes
Compare codes
58280 vs 58260 vs 58290 vs 58275: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58260Vaginal hysterectomy
- Use 58260 for the applicable vaginal hysterectomy without the vaginal revision represented by 58280. The operative report must support the additional vaginal work for 58280.
- 58290Vaginal hysterectomy
- 58290 is in the vaginal hysterectomy family for a uterus greater than 250 grams. Distinguish the codes using the documented uterine weight and applicable procedure descriptor.
- 58275Vaginal hysterectomy
- Both are vaginal hysterectomy codes associated with vaginal work; select between them from the specific operation documented and the applicable billing code descriptor.
58280 billing questions
When is this code appropriate instead of a vaginal hysterectomy code without revision?
Use this code when the operative report supports vaginal hysterectomy with the vaginal revision represented by this combined service. A hysterectomy alone does not support the combined code.
Can the vaginal revision be billed separately?
The vaginal work represented by this combined procedure is included in the service. A separate code should not duplicate that same operative work.
Does this code have a 90-day global period?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.
What documentation supports assistant or co-surgeon payment?
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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