No office rate
Use 58210 for radical abdominal resection with bilateral pelvic lymphadenectomy and para-aortic sampling. Code 58200 describes a less extensive abdominal hysterectomy that includes partial vaginectomy.
On this page
CMS RVU26D · Effective 2026-10-01
58210 Radical hysterectomy Medicare reimbursement rates in Kentucky
Reports radical abdominal removal of the uterus and cervix with bilateral pelvic lymphadenectomy and para-aortic node sampling, commonly for cervical cancer. Compare 58210 office and facility rates across CMS payment localities in Kentucky.
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 58210 in Kentucky?
Kentucky 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
$1608.91
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 58210: Radical abdominal hysterectomy with node dissection
Reports radical abdominal removal of the uterus and cervix with bilateral pelvic lymphadenectomy and para-aortic node sampling, commonly for cervical cancer.
A gynecologic oncologist typically performs this open abdominal operation for cervical cancer when radical resection and nodal assessment are indicated. The procedure removes the uterus and cervix with surrounding parametrial tissue and includes bilateral pelvic lymph node dissection and para-aortic node sampling. Removal of the fallopian tubes and ovaries may be included or omitted according to the operative plan.
Select the code when the documented operation includes the radical abdominal resection and specified nodal work; the operative report should identify the tissues removed and the lymph node procedures performed. Tube or ovary removal is included when done, not separately coded as an additional hysterectomy service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one 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 payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58210
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU30.14 · 60%
- Practice expense (office) RVU13.56 · 27%
- Malpractice RVU6.53 · 13%
343
Medicare services in 2024 · #3877 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.
58210 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Both describe radical hysterectomy with pelvic lymphadenectomy, but 58285 is performed vaginally; 58210 is the abdominal approach and includes para-aortic node sampling.
No office rate
58150 is for standard total abdominal hysterectomy. It does not represent the radical resection and specified nodal procedures included in 58210.
No office rate
58240 describes pelvic exenteration for malignancy involving removal of pelvic organs beyond a radical hysterectomy. Use 58210 when the operation is the radical hysterectomy with its specified nodal work.
Compare 58210 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1608.91
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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 58210 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,526
- Code
- 58210
- Physician work
- 30.14
- Practice expense
- 13.56
- Malpractice
- 6.53
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.14 | × 1.000 | 30.1400 |
| Practice expense | 13.56 | × 0.889 | 12.0548 |
| Malpractice | 6.53 | × 0.915 | 5.9750 |
| Total RVUs | 48.1698 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1608.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.14 | 1 |
| Practice expense | 13.56 | 0.889 |
| Malpractice | 6.53 | 0.915 |
(30.14 × 1 + 13.56 × 0.889 + 6.53 × 0.915) × $33.4009 = $1608.91
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.
58210 billing questions
How is 58210 different from 58200?
58210 is for radical abdominal resection with bilateral pelvic lymphadenectomy and para-aortic node sampling. Choose 58200 for the less extensive abdominal hysterectomy that includes partial vaginectomy.
Are the lymph node procedures separately billable?
The bilateral pelvic lymphadenectomy and para-aortic node sampling are included in 58210. Do not report them as separate services when they are part of this operation.
Should modifier 50 be appended?
The code is already priced as bilateral. Modifier 50 does not increase its payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment.
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.
6,52358152,,Total hysterectomy,A,,21.31,7.59,NA,7.59,,3.74,32.64,32.64,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52458180,,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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631