No office rate
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.
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CMS RVU26D · Effective 2026-10-01
58262 Vaginal hysterectomy Medicare reimbursement rates in Idaho
Reports vaginal removal of a uterus weighing 250 g or less when one or both fallopian tubes and/or ovaries are also removed. Compare 58262 office and facility rates across CMS payment localities in Idaho.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 58262 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$754.67
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecologic surgery
About 58262: Vaginal hysterectomy with adnexal removal
Reports vaginal removal of a uterus weighing 250 g or less when one or both fallopian tubes and/or ovaries are also removed.
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.
CMS billing rules for 58262
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.54 · 63%
- Practice expense (office) RVU6.29 · 26%
- Malpractice RVU2.68 · 11%
4.4K
Medicare services in 2024 · #1956 by national volume
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.
58262 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
This code covers the small-uterus vaginal hysterectomy with adnexal removal. Choose 58263 when an enterocele repair is also performed.
No office rate
This code is for the same general hysterectomy and adnexal-removal combination when the uterus weighs more than 250 g.
Compare 58262 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$754.67
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58262 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,529
- Code
- 58262
- Physician work
- 15.54
- Practice expense
- 6.29
- Malpractice
- 2.68
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.54 | × 1.000 | 15.5400 |
| Practice expense | 6.29 | × 0.920 | 5.7868 |
| Malpractice | 2.68 | × 0.473 | 1.2676 |
| Total RVUs | 22.5944 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$754.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.54 | 1 |
| Practice expense | 6.29 | 0.92 |
| Malpractice | 2.68 | 0.473 |
(15.54 × 1 + 6.29 × 0.92 + 2.68 × 0.473) × $33.4009 = $754.67
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,52658210,,Extensive hysterectomy,A,,30.14,13.56,NA,13.56,,6.53,50.23,50.23,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52758240,,Removal of pelvis contents,A,,48.10,22.25,NA,22.25,,9.82,80.17,80.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52858260,,Vaginal hysterectomy,A,,13.80,6.01,NA,6.01,,2.40,22.21,22.21,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52958262,,Vag hyst including t/o,A,,15.54,6.29,NA,6.29,,2.68,24.51,24.51,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53058263,,Vag hyst w/t/o & vag repair,A,,16.80,6.55,NA,6.55,,2.92,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53158267,,Vag hyst w/urinary repair,A,,17.90,7.11,NA,7.11,,3.13,28.14,28.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53258270,,Vag hyst w/enterocele repair,A,,14.92,6.19,NA,6.19,,2.65,23.76,23.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772