Billing code 58400: Uterine suspensionMedicare rate & RVUs in Guam
Surgical elevation and fixation of a retained uterus is reported when a gynecologist performs uterine suspension for symptomatic uterine displacement or support.
CMS doesn’t publish an office rate for 58400 in Guam.
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 58400 covers
A gynecologic surgeon performs uterine suspension to elevate and secure the uterus while preserving it. The operation may be considered for uterine displacement or loss of support; the operative report should identify the suspension performed and the anatomy addressed. This is an operating-room procedure, typically documented by the surgeon who performs the repair.
Report 58400 when the documented service matches this uterine-suspension procedure; use the operative details to distinguish it from suspension that includes shortening of the round ligaments. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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.
58400 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $419.90 |
How the 58400 rate is calculated
Each of 58400’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 · 58400
RVUs × geographic indexes × conversion factor
Work6.96
6.96 RVUs× 1.000 GPCI
Practice expense4.36
4.36 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
12.4500
Conversion factor
$33.4009
Medicare rate
$415.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58400
58400 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58400
Uterine suspension
| 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 · 58400
Uterine suspension
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
58400 without 51 · national facility
$415.84
Uterine suspension
58400-51 · Second procedure: 50%
$207.92
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%).
58400 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58410Uterine suspension
- 58410 describes uterine suspension that includes shortening of the round ligaments. For 58400, the operative report should not describe that additional service.
- 57280Vaginal suspension
- 57280 supports the vaginal vault through an abdominal approach, typically after hysterectomy. Code 58400 suspends a retained uterus.
- 57282Vaginal suspension
- 57282 supports the vaginal vault through a vaginal approach, typically after hysterectomy. Code 58400 is for suspension of a retained uterus.
58400 billing questions
How is 58400 distinguished from 58410?
Use 58400 for the uterine suspension documented without the additional round-ligament shortening described by 58410. The operative report should support the specific procedure performed.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can another procedure be reported in the same session?
A separately reportable procedure may be subject to the standard multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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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