No office rate
Both describe total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when one or both tubes or ovaries are removed as part of the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
58570 Laparoscopic hysterectomy Medicare reimbursement rates in Minnesota
Reports laparoscopic removal of the uterus and cervix when the uterus weighs 250 g or less and no fallopian tube or ovary is removed. Compare 58570 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 58570 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
$674.89
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.
Gynecologic surgery
About 58570: Total laparoscopic hysterectomy, small uterus
Reports laparoscopic removal of the uterus and cervix when the uterus weighs 250 g or less and no fallopian tube or ovary is removed.
This code describes a total laparoscopic hysterectomy: the surgeon removes the uterus and cervix through a laparoscopic approach. Gynecologic surgeons commonly perform it in a hospital or ambulatory surgical center for conditions such as symptomatic fibroids or abnormal uterine bleeding. The specimen may be removed through the vagina or by another extraction method; the laparoscopic approach is what distinguishes the procedure from an abdominal or vaginal hysterectomy.
Select 58570 when the removed uterus weighs 250 g or less and no fallopian tube or ovary is removed as part of the hysterectomy. If one or both tubes or ovaries are removed, consider 58571; if the uterus weighs more than 250 g, use the corresponding higher-weight code. Document the laparoscopic approach, removal of the cervix, uterine weight, and adnexal procedures. The 90-day global period includes 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%. Bilateral adjustment is inappropriate for this anatomy. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
CMS billing rules for 58570
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.03 · 60%
- Practice expense (office) RVU6.26 · 29%
- Malpractice RVU2.48 · 11%
583
Medicare services in 2024 · #3421 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.
58570 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
This is the higher-weight counterpart for total laparoscopic hysterectomy without adnexal removal. Use 58570 when the uterus weighs 250 g or less.
No office rate
This is a laparoscopic-assisted vaginal hysterectomy for a uterus 250 g or less, rather than a total hysterectomy performed laparoscopically.
No office rate
This is a laparoscopic supracervical hysterectomy for a uterus above 250 g, so it differs in both uterine weight and whether the cervix is removed.
Compare 58570 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
$674.89
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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 58570 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,574
- Code
- 58570
- Physician work
- 13.03
- Practice expense
- 6.26
- Malpractice
- 2.48
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.03 | × 1.000 | 13.0300 |
| Practice expense | 6.26 | × 1.029 | 6.4415 |
| Malpractice | 2.48 | × 0.296 | 0.7341 |
| Total RVUs | 20.2056 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$674.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.03 | 1 |
| Practice expense | 6.26 | 1.029 |
| Malpractice | 2.48 | 0.296 |
(13.03 × 1 + 6.26 × 1.029 + 2.48 × 0.296) × $33.4009 = $674.89
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.
58570 billing questions
How does 58570 differ from 58571?
Both cover total laparoscopic hysterectomy for a uterus weighing 250 g or less. Use 58571 when one or both fallopian tubes or ovaries are also removed as part of the procedure.
What if the uterus weighs more than 250 g?
Use the corresponding higher-weight total laparoscopic hysterectomy code. The operative and pathology records should support the final uterine weight.
Does this code include removal of the cervix?
Yes. This is a total hysterectomy, so the uterus and cervix are removed; a supracervical procedure that leaves the cervix is different.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate because the code describes removal of a single uterus.
What postoperative care is included?
The 90-day global period 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%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
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.
6,57158562,,Hysteroscopy remove fb,A,,3.90,7.35,,1.26,,0.68,11.93,5.84,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57258563,,Hysteroscopy ablation,A,,4.36,55.01,,1.36,,0.78,60.15,6.50,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57358565,,Hysteroscopy sterilization,A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57458570,,Tlh uterus 250 g or less,A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57558571,,Tlh w/t/o 250 g or less,A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57658572,,Tlh uterus over 250 g,A,,17.27,7.57,NA,7.57,,3.47,28.31,28.31,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57758573,,Tlh w/t/o uterus over 250 g,A,,20.27,8.74,NA,8.74,,4.09,33.10,33.10,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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