Billing code 58262: Vaginal hysterectomyMedicare rate & RVUs in Georgia
Reports vaginal removal of a uterus weighing 250 g or less when one or both fallopian tubes and/or ovaries are also removed.
CMS doesn’t publish an office rate for 58262 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 58262 covers
A gynecologic surgeon removes the uterus through the vagina and also removes one or both fallopian tubes and/or ovaries. The code applies when the uterus weighs 250 g or less; it does not describe a hysterectomy with an additional vaginal repair. These procedures are commonly performed in a hospital or ambulatory surgical setting for conditions requiring hysterectomy, with the adnexal removal determined by the patient’s clinical and operative plan.
Select the code based on the documented uterine weight and whether tube(s) and/or ovary(s) were removed. The operative report should support the vaginal route, uterine weight, and adnexal work; pathology documentation can support specimen weight. This major surgery 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, 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 payment may be available, co-surgeons are permitted, 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 58262 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $841.57 |
| Rest Of Georgia | Unavailable | $813.15 |
How the 58262 rate is calculated
Each of 58262’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 · 58262
RVUs × geographic indexes × conversion factor
Work15.54
15.54 RVUs× 1.000 GPCI
Practice expense6.29
6.29 RVUs× 1.000 GPCI
Malpractice2.68
2.68 RVUs× 1.000 GPCI
Adjusted RVUs
24.5100
Conversion factor
$33.4009
Medicare rate
$818.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58262
58262 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58262
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) | 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 · 58262
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
58262 without 51 · national facility
$818.66
Vaginal hysterectomy
58262-51 · Second procedure: 50%
$409.33
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%).
58262 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58260Vaginal hysterectomy
- Choose 58260 for vaginal hysterectomy with a uterus 250 g or less when tube(s) and ovary(s) are not removed. This code includes the specified adnexal removal.
- 58263Vaginal hysterectomy
- This code covers the small-uterus vaginal hysterectomy with adnexal removal. Choose 58263 when an enterocele repair is also performed.
- 58291Vaginal hysterectomy
- This code is for the same general hysterectomy and adnexal-removal combination when the uterus weighs more than 250 g.
58262 billing questions
How does this differ from 58260?
Both apply to vaginal hysterectomy when the uterus weighs 250 g or less. This code also includes removal of one or both fallopian tubes and/or ovaries; 58260 does not describe that adnexal removal.
Can this code be reported with 58260 for the same hysterectomy?
Do not report 58260 separately to represent the hysterectomy portion. This code already describes the hysterectomy together with the specified adnexal removal.
When is 58263 a better choice?
Use 58263 when the uterus weighs 250 g or less, adnexal removal is performed, and an enterocele repair is also part of the procedure.
Should modifier 50 be appended when both sides are treated?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What documentation supports the code selection?
The operative report should establish the vaginal route, uterine weight, and removal of tube(s) and/or ovary(s). Pathology records may support the specimen weight.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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