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CMS RVU26D · Effective 2026-10-01

58575 Cancer hysterectomy Medicare reimbursement rates in Michigan

Reports laparoscopic total hysterectomy performed to resect a malignancy, with removal of the ovaries and fallopian tubes when performed. Compare 58575 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 58575 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

$1762.91–$1915.57

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $152.66 per service.

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.

Find 58575 in your payment locality →

Gynecologic surgery

About 58575: Laparoscopic total hysterectomy for malignancy

Reports laparoscopic total hysterectomy performed to resect a malignancy, with removal of the ovaries and fallopian tubes when performed.

A gynecologic surgeon performs this laparoscopic operation to remove the uterus as part of resection of a malignancy. The procedure includes removal of the uterus and may include removal of the fallopian tubes and ovaries. It is typically performed in an operating room for a patient with uterine or other gynecologic cancer when the planned operation is a total hysterectomy rather than a radical hysterectomy.

Report the code when the operative record supports the malignancy indication, laparoscopic approach, and total hysterectomy; document whether the tubes and ovaries were removed. CMS assigns 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. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.

CMS billing rules for 58575

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 permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU31.79 · 60%
  • Practice expense (office) RVU14.52 · 27%
  • Malpractice RVU6.85 · 13%

1.6K

Medicare services in 2024 · #2627 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.

58575 compared with similar codes

Office rates for Michigan, from the same CMS release.

58548

Radical hysterectomy

Laparoscopic with nodal dissection

No office rate

Use 58575 for laparoscopic total hysterectomy to resect a malignancy. Use 58548 when the operation is a laparoscopic radical hysterectomy.

58570

Laparoscopic hysterectomy

Uterus 250 g or less

No office rate

Code 58570 applies to laparoscopic total hysterectomy with a uterus 250 g or less, not the malignancy-resection service represented by 58575.

58573

Laparoscopic hysterectomy

Over 250 grams, with adnexal removal

No office rate

Code 58573 is for laparoscopic total hysterectomy with a uterus over 250 g and tube or ovary removal. Code 58575 is selected for malignancy resection.

Compare 58575 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

Office and facility base rates · shared scale starting at $0

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58575 billing questions

How is this different from code 58548?

This code describes laparoscopic total hysterectomy for malignancy. Code 58548 is for a laparoscopic radical hysterectomy, a different and more extensive operation.

Should modifier 50 be appended when both ovaries or tubes are removed?

The code is already priced as bilateral. Modifier 50 does not increase payment.

Can an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does this differ from codes 58570–58573?

Those codes describe laparoscopic total hysterectomy selected by uterine weight and whether tubes or ovaries are removed. This code is for laparoscopic total hysterectomy performed to resect a malignancy.

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.

RVUs for 58575PPRRVU2026_Oct_nonQPP.csv, line 6,578 (RVU26D)