Billing code 58571: Laparoscopic hysterectomyMedicare rate & RVUs in Florida
Report this code for total laparoscopic removal of the uterus and cervix weighing 250 g or less, with removal of one or more fallopian tubes or ovaries.
CMS doesn’t publish an office rate for 58571 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 58571 covers
A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or more fallopian tubes or ovaries. The code covers cases in which the uterus weighs 250 g or less. Typical indications include symptomatic fibroids, adenomyosis, or abnormal uterine bleeding when hysterectomy is planned; the operation is commonly performed in a hospital or ambulatory surgery center.
Select this code rather than the corresponding code without adnexal removal when at least one tube or ovary is removed. The operative report should support the laparoscopic approach, removal of the uterus and cervix, adnexal removal, and uterine weight; pathology documentation can support the weight threshold. CMS assigns a 90-day global period, including 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 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment may be allowed; 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 58571 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 | $911.96 |
| Miami | Unavailable | $990.23 |
| Rest Of Florida | Unavailable | $867.98 |
How the 58571 rate is calculated
Each of 58571’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 · 58571
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.63Practice expense 7.21Malpractice 2.97
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58571
58571 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58571
Laparoscopic 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) | 2 | Permitted. |
| 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 · 58571
Laparoscopic 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
58571 without 51 · national facility
$828.68
Laparoscopic hysterectomy
58571-51 · Second procedure: 50%
$414.34
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%).
58571 compared with similar codes
Compare codes
58571 vs 58570 vs 58572 vs 58573 vs 58552: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58570Laparoscopic hysterectomy
- Both cover total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when at least one tube or ovary is also removed; choose 58570 when neither is removed.
- 58572Laparoscopic hysterectomy
- This code covers a uterus over 250 g without adnexal removal. For a uterus over 250 g with adnexal removal, compare 58573 instead.
- 58573Laparoscopic hysterectomy
- The procedure includes adnexal removal, as with 58571, but the uterus weighs over 250 g rather than 250 g or less.
- 58552Vaginal hysterectomy
- This code describes a laparoscopic-assisted vaginal hysterectomy with adnexal removal for a uterus 250 g or less. Choose based on the operative approach rather than the shared weight and adnexal features.
58571 billing questions
How does this differ from 58570?
58571 includes removal of one or more fallopian tubes or ovaries along with the uterus and cervix. Use 58570 when no tube or ovary is removed.
Does removal have to be bilateral?
No. Removal of a tube or ovary on one side, or on both sides, meets the adnexal-removal distinction. Modifier 50 is inappropriate for this code.
What documentation supports the 250 g threshold?
Document the uterus removed and its weight, with pathology documentation supporting the weight when available. The operative report should also establish the laparoscopic approach and which adnexa were removed.
Is routine postoperative care separately reported?
The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS indicates assistant-at-surgery payment may be made and co-surgeons are permitted. Team surgery is not permitted for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedure is subject to a 50% reduction.
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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