No office rate
Both describe vaginal hysterectomy for a uterus weighing 250 g or less. Choose 58270 when an enterocele is repaired during the operation; 58260 does not include that repair.
On this page
CMS RVU26D · Effective 2026-10-01
58270 Vaginal hysterectomy Medicare reimbursement rates in Indiana
Vaginal hysterectomy for a uterus weighing 250 g or less with concurrent repair of an enterocele, commonly performed for uterovaginal prolapse. Compare 58270 office and facility rates across CMS payment localities in Indiana.
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 58270 in Indiana?
Indiana 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
$733.02
1 of 1 localities have a supported rate.
Payment area: Indiana
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 58270: Vaginal hysterectomy with enterocele repair
Vaginal hysterectomy for a uterus weighing 250 g or less with concurrent repair of an enterocele, commonly performed for uterovaginal prolapse.
This service combines removal of the uterus through the vagina with repair of an enterocele, a herniation of peritoneal tissue into the upper vagina. A gynecologic surgeon may perform it for uterovaginal prolapse when an enterocele also requires repair. The procedure is typically performed in a hospital or ambulatory surgery setting, rather than an office.
Report the code when the operative service includes both vaginal hysterectomy for a uterus weighing 250 g or less and enterocele repair. The operative report should document the vaginal route, the repair performed, and the uterine weight, supported by the pathology record when available. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58270
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.92 · 63%
- Practice expense (office) RVU6.19 · 26%
- Malpractice RVU2.65 · 11%
148
Medicare services in 2024 · #4573 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.
58270 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
This code includes enterocele repair with the small-uterus vaginal hysterectomy. Code 58263 also includes removal of one or both tubes and/or ovaries.
No office rate
Both include enterocele repair with vaginal hysterectomy. Code 58270 is for a uterus weighing 250 g or less; 58294 is for a uterus weighing more than 250 g.
No office rate
Both are small-uterus vaginal hysterectomy codes with an added repair. Code 58270 includes enterocele repair, while 58267 includes urinary support repair.
Compare 58270 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
Indiana →
Office / nonfacility
Unavailable
Facility
$733.02
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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 58270 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,532
- Code
- 58270
- Physician work
- 14.92
- Practice expense
- 6.19
- Malpractice
- 2.65
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.92 | × 1.000 | 14.9200 |
| Practice expense | 6.19 | × 0.927 | 5.7381 |
| Malpractice | 2.65 | × 0.486 | 1.2879 |
| Total RVUs | 21.9460 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$733.02
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.92 | 1 |
| Practice expense | 6.19 | 0.927 |
| Malpractice | 2.65 | 0.486 |
(14.92 × 1 + 6.19 × 0.927 + 2.65 × 0.486) × $33.4009 = $733.02
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.
58270 billing questions
When should this code be chosen over 58260?
Use 58270 when the vaginal hysterectomy for a uterus weighing 250 g or less includes repair of an enterocele. Code 58260 describes the vaginal hysterectomy without that repair.
Is the enterocele repair reported separately?
The repair is part of the combined service described by 58270. The operative documentation should show that the enterocele was repaired during the hysterectomy.
How does 58270 differ from 58263?
Code 58270 includes enterocele repair. Code 58263 applies when the hysterectomy also includes removal of one or both tubes and/or ovaries along with the repair.
What supports the selection of this code?
Document the vaginal route, the hysterectomy, the enterocele repair, and uterine weight of 250 g or less. The operative note and pathology record can support these details.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The global period is tied to the surgery, not to a separate billing of routine related follow-up.
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 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.
6,52958262,,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
6,53358275,,Hysterectomy/revise vagina,A,,16.60,6.70,NA,6.70,,2.92,26.22,26.22,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53458280,,Hysterectomy/revise vagina,A,,17.87,6.92,NA,6.92,,3.13,27.92,27.92,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53558285,,Extensive hysterectomy,A,,22.80,11.71,NA,11.71,,5.27,39.78,39.78,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915