Billing code 58152: HysterectomyMedicare rate & RVUs in Georgia
Reports abdominal removal of the uterus and cervix together with a bladder-neck support procedure for a patient also undergoing continence surgery.
CMS doesn’t publish an office rate for 58152 in Georgia.
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 58152 covers
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.
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 58152 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $1,121.51 |
| Rest Of Georgia | Unavailable | $1,086.81 |
How the 58152 rate is calculated
Each of 58152’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 · 58152
RVUs × geographic indexes × conversion factor
Work21.31
21.31 RVUs× 1.000 GPCI
Practice expense7.59
7.59 RVUs× 1.000 GPCI
Malpractice3.74
3.74 RVUs× 1.000 GPCI
Adjusted RVUs
32.6400
Conversion factor
$33.4009
Medicare rate
$1,090.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58152
58152 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58152
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 · 58152
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
58152 without 51 · national facility
$1,090.21
Hysterectomy
58152-51 · Second procedure: 50%
$545.11
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%).
58152 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58150Hysterectomy
- 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.
- 58180Hysterectomy
- 58180 is for a supracervical procedure that retains the cervix. 58152 includes removal of both the uterine body and cervix.
- 51845Bladder neck repair
- 51845 describes an abdominal stress-incontinence operation without the combined total hysterectomy service. 58152 includes the suspension when performed with the hysterectomy.
- 58140Myomectomy
- 58140 removes fibroids while preserving the uterus. 58152 removes the uterus and cervix and includes the support procedure.
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 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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