No office rate
Use 58260 for the vaginal hysterectomy without cystocele repair. This code includes the anterior vaginal wall repair with the hysterectomy.
On this page
CMS RVU26D · Effective 2026-10-01
58267 Vaginal hysterectomy Medicare reimbursement rates in Minnesota
Reports vaginal removal of a uterus weighing 250 g or less together with surgical repair of a cystocele during the same operative session. Compare 58267 office and facility rates across CMS payment localities in Minnesota.
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 58267 in Minnesota?
Minnesota 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
$873.19
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Gynecology surgery
About 58267: Vaginal hysterectomy with cystocele repair
Reports vaginal removal of a uterus weighing 250 g or less together with surgical repair of a cystocele during the same operative session.
This service combines vaginal hysterectomy for a uterus weighing 250 g or less with repair of a cystocele, a bladder-support defect that causes the anterior vaginal wall to bulge. It is typically performed by a gynecologic surgeon in a hospital or ambulatory surgery setting for uterine disease or prolapse accompanied by anterior vaginal wall prolapse. The operative record should support the vaginal route, uterine weight, and cystocele repair performed.
Select this code when the hysterectomy and cystocele repair are performed together; a hysterectomy without that repair or with a different prolapse repair may fall under a neighboring code. The cystocele repair is included in this combined service, rather than reported again as a separate line for the same work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 58267
- 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 RVU17.90 · 64%
- Practice expense (office) RVU7.11 · 25%
- Malpractice RVU3.13 · 11%
31
Medicare services in 2024 · #5652 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.
58267 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Use 58270 when the included prolapse repair is for an enterocele. This code is for cystocele repair.
No office rate
Use 58262 when tube(s) and/or ovary(s) are removed with the vaginal hysterectomy, without the cystocele repair specified here.
No office rate
The uterine-weight distinction is key: 58290 is for a uterus weighing more than 250 g, while this code is for 250 g or less with cystocele repair.
Compare 58267 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$873.19
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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 58267 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,531
- Code
- 58267
- Physician work
- 17.90
- Practice expense
- 7.11
- Malpractice
- 3.13
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.90 | × 1.000 | 17.9000 |
| Practice expense | 7.11 | × 1.029 | 7.3162 |
| Malpractice | 3.13 | × 0.296 | 0.9265 |
| Total RVUs | 26.1427 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$873.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.9 | 1 |
| Practice expense | 7.11 | 1.029 |
| Malpractice | 3.13 | 0.296 |
(17.9 × 1 + 7.11 × 1.029 + 3.13 × 0.296) × $33.4009 = $873.19
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.
58267 billing questions
When should this code be selected instead of 58260?
Use this code when a vaginal hysterectomy for a uterus weighing 250 g or less is performed with cystocele repair. Code 58260 describes the hysterectomy without that repair.
How does this differ from 58270?
This code includes cystocele repair, addressing the anterior vaginal wall. Code 58270 is the neighboring option for vaginal hysterectomy with repair of an enterocele.
Does this code include removal of the tubes or ovaries?
No. It identifies the hysterectomy with cystocele repair; use the appropriate neighboring code when removal of tube(s) or ovary(s) is part of the service.
What documentation supports code selection?
The operative report should document the vaginal approach, cystocele repair, and uterine weight of 250 g or less. The record should also describe any adnexal removal or other prolapse repair that may affect code selection.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and others at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
Medicare may pay an assistant at surgery for this code. Co-surgeon payment requires supporting documentation; team-surgery payment 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.
6,52858260,,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
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002