No office rate
Use 58152 when the total abdominal hysterectomy is combined with the included bladder-neck suspension. Use 58150 for the total abdominal hysterectomy without that suspension.
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CMS RVU26D · Effective 2026-10-01
58152 Hysterectomy Medicare reimbursement rates in Michigan
Reports abdominal removal of the uterus and cervix together with a bladder-neck support procedure for a patient also undergoing continence surgery. Compare 58152 office and facility rates across CMS payment localities in Michigan.
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 58152 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1084.26–$1167.03
2 of 2 localities have a supported rate.
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 58152: Total abdominal hysterectomy with suspension
Reports abdominal removal of the uterus and cervix together with a bladder-neck support procedure for a patient also undergoing continence surgery.
Code 58152 represents an open abdominal operation that removes the uterine body and cervix and includes support of the bladder neck and urethra, such as a Burch or Marshall-Marchetti-Krantz procedure. It is used when total hysterectomy and continence surgery are performed together, for example, for a patient with uterine disease and stress urinary incontinence. A gynecologic surgeon typically performs the operation in a hospital operating room. The fallopian tubes and ovaries may also be removed.
Report 58152 when the operative note supports the abdominal approach, removal of the cervix with the uterus, and the included suspension procedure. Removal of tubes or ovaries does not change the hysterectomy code. The service 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, Medicare pays the highest-valued procedure in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Report the procedure once rather than appending modifier 50.
CMS billing rules for 58152
- 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 RVU21.31 · 65%
- Practice expense (office) RVU7.59 · 23%
- Malpractice RVU3.74 · 11%
26
Medicare services in 2024 · #5765 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.
58152 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
58180 is for a supracervical procedure that retains the cervix. 58152 includes removal of both the uterine body and cervix.
No office rate
51845 describes an abdominal stress-incontinence operation without the combined total hysterectomy service. 58152 includes the suspension when performed with the hysterectomy.
No office rate
58140 removes fibroids while preserving the uterus. 58152 removes the uterus and cervix and includes the support procedure.
Compare 58152 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$1167.03
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1084.26
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58152 billing questions
How does 58152 differ from 58150?
58152 includes a bladder-neck and urethral support procedure with the total abdominal hysterectomy. 58150 describes a total abdominal hysterectomy without that included suspension.
Can tubes or ovaries be removed with 58152?
Yes. The code allows for removal or preservation of the fallopian tubes and ovaries.
Should the suspension procedure be reported separately?
The suspension is included in 58152 when performed as part of the combined operation. Do not separately report a second code for that same included work.
Should modifier 50 be appended?
No. Report 58152 once; modifier 50 is inappropriate for this service.
What documentation supports choosing 58152?
The operative report should establish an abdominal total hysterectomy, including removal of the cervix, and the accompanying bladder-neck support procedure. It should also identify whether the tubes or ovaries were removed.
How is same-session multiple-procedure payment handled?
Medicare pays the highest-valued procedure in full and other procedures in the same session at 50%. The code has a 90-day global period.
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.
6,52058145,,Myomectomy vag method,A,,8.69,4.74,NA,4.74,,1.51,14.94,14.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52158146,,Myomectomy abdom complex,A,,19.83,7.08,NA,7.08,,3.47,30.38,30.38,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52258150,,Total hysterectomy,A,,16.88,7.65,NA,7.65,,3.41,27.94,27.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52358152,,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