Billing code 58575: Cancer hysterectomyMedicare rate & RVUs in Georgia
Reports laparoscopic total hysterectomy performed to resect a malignancy, with removal of the ovaries and fallopian tubes when performed.
CMS doesn’t publish an office rate for 58575 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 58575 covers
A gynecologic surgeon performs this laparoscopic operation to remove the uterus as part of resection of a malignancy. The procedure includes removal of the uterus and may include removal of the fallopian tubes and ovaries. It is typically performed in an operating room for a patient with uterine or other gynecologic cancer when the planned operation is a total hysterectomy rather than a radical hysterectomy.
Report the code when the operative record supports the malignancy indication, laparoscopic approach, and total hysterectomy; document whether the tubes and ovaries were removed. CMS assigns 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. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery and co-surgeon services may be paid; 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 58575 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $1,832.53 |
| Rest Of Georgia | Unavailable | $1,767.14 |
How the 58575 rate is calculated
Each of 58575’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 · 58575
RVUs × geographic indexes × conversion factor
Work31.79
31.79 RVUs× 1.000 GPCI
Practice expense14.52
14.52 RVUs× 1.000 GPCI
Malpractice6.85
6.85 RVUs× 1.000 GPCI
Adjusted RVUs
53.1600
Conversion factor
$33.4009
Medicare rate
$1,775.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58575
58575 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58575
Cancer 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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 · 58575
Cancer 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
58575 without 51 · national facility
$1,775.59
Cancer hysterectomy
58575-51 · Second procedure: 50%
$887.80
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%).
58575 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58548Radical hysterectomy
- Use 58575 for laparoscopic total hysterectomy to resect a malignancy. Use 58548 when the operation is a laparoscopic radical hysterectomy.
- 58570Laparoscopic hysterectomy
- Code 58570 applies to laparoscopic total hysterectomy with a uterus 250 g or less, not the malignancy-resection service represented by 58575.
- 58573Laparoscopic hysterectomy
- Code 58573 is for laparoscopic total hysterectomy with a uterus over 250 g and tube or ovary removal. Code 58575 is selected for malignancy resection.
58575 billing questions
How is this different from code 58548?
This code describes laparoscopic total hysterectomy for malignancy. Code 58548 is for a laparoscopic radical hysterectomy, a different and more extensive operation.
Should modifier 50 be appended when both ovaries or tubes are removed?
The code is already priced as bilateral. Modifier 50 does not increase payment.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does this differ from codes 58570–58573?
Those codes describe laparoscopic total hysterectomy selected by uterine weight and whether tubes or ovaries are removed. This code is for laparoscopic total hysterectomy performed to resect a malignancy.
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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