No office rate
58200 describes extensive abdominal hysterectomy for malignancy; 58240 is for complete pelvic exenteration, involving broader pelvic organ removal.
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CMS RVU26D · Effective 2026-10-01
58240 Pelvic exenteration Medicare reimbursement rates in Iowa
Reports complete pelvic exenteration for gynecologic malignancy, removing pelvic organs to the extent required for the cancer operation. Compare 58240 office and facility rates across CMS payment localities in Iowa.
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 58240 in Iowa?
Iowa 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
$2416.80
1 of 1 localities have a supported rate.
Payment area: Iowa
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 oncology surgery
About 58240: Complete pelvic exenteration for gynecologic cancer
Reports complete pelvic exenteration for gynecologic malignancy, removing pelvic organs to the extent required for the cancer operation.
This code describes complete pelvic exenteration performed for gynecologic malignancy. The operation removes pelvic viscera involved in the cancer; depending on the surgical plan, it may include the bladder and urinary tract, rectum or colon, and creation of urinary or bowel diversion. Gynecologic oncologists typically perform the operation in a hospital operating room, often with urologic or colorectal surgical participation.
Select this code when the operative report supports a complete exenteration, not a hysterectomy or radical hysterectomy alone. Documentation should identify the malignancy, organs removed, extent of resection, and diversions performed. The 90-day global period includes 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58240
- 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 RVU48.10 · 60%
- Practice expense (office) RVU22.25 · 28%
- Malpractice RVU9.82 · 12%
98
Medicare services in 2024 · #4901 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.
58240 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
58210 is radical abdominal hysterectomy with pelvic lymphadenectomy. Choose 58240 when the documented operation is a complete exenteration.
No office rate
58285 describes radical vaginal hysterectomy. It is not a substitute for complete pelvic exenteration involving broader pelvic organ removal.
Compare 58240 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
Iowa →
Office / nonfacility
Unavailable
Facility
$2416.80
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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 58240 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,527
- Code
- 58240
- Physician work
- 48.10
- Practice expense
- 22.25
- Malpractice
- 9.82
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 48.10 | × 1.000 | 48.1000 |
| Practice expense | 22.25 | × 0.915 | 20.3588 |
| Malpractice | 9.82 | × 0.397 | 3.8985 |
| Total RVUs | 72.3573 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$2416.80
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 48.1 | 1 |
| Practice expense | 22.25 | 0.915 |
| Malpractice | 9.82 | 0.397 |
(48.1 × 1 + 22.25 × 0.915 + 9.82 × 0.397) × $33.4009 = $2416.80
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.
58240 billing questions
How is this distinguished from an extensive or radical hysterectomy?
Use 58240 for complete pelvic exenteration for gynecologic malignancy. A hysterectomy code applies when the operation does not meet that extent of exenteration.
Should the component organ removals be reported separately?
The code represents the complete exenteration operation. Document the organs removed and diversions performed as part of that operation rather than treating the defining resections as separate hysterectomy services.
Can modifier 50 be used when both sides are involved?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
6,52458180,,Partial hysterectomy,A,,16.19,6.73,NA,6.73,,3.03,25.95,25.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52558200,,Extensive hysterectomy,A,,22.52,10.18,NA,10.18,,4.92,37.62,37.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52658210,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136