No office rate
58410 describes uterine suspension that includes shortening of the round ligaments. For 58400, the operative report should not describe that additional service.
On this page
CMS RVU26D · Effective 2026-10-01
58400 Uterine suspension Medicare reimbursement rates in Missouri
Surgical elevation and fixation of a retained uterus is reported when a gynecologist performs uterine suspension for symptomatic uterine displacement or support. Compare 58400 office and facility rates across CMS payment localities in Missouri.
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 58400 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$394.76–$408.93
3 of 3 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.
Where 58400 pays more and less in Missouri
Gynecologic surgery
About 58400: Uterine suspension to support the uterus
Surgical elevation and fixation of a retained uterus is reported when a gynecologist performs uterine suspension for symptomatic uterine displacement or support.
A gynecologic surgeon performs uterine suspension to elevate and secure the uterus while preserving it. The operation may be considered for uterine displacement or loss of support; the operative report should identify the suspension performed and the anatomy addressed. This is an operating-room procedure, typically documented by the surgeon who performs the repair.
Report 58400 when the documented service matches this uterine-suspension procedure; use the operative details to distinguish it from suspension that includes shortening of the round ligaments. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58400
- 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 RVU6.96 · 56%
- Practice expense (office) RVU4.36 · 35%
- Malpractice RVU1.13 · 9%
87
Medicare services in 2024 · #4985 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.
58400 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
57280 supports the vaginal vault through an abdominal approach, typically after hysterectomy. Code 58400 suspends a retained uterus.
No office rate
57282 supports the vaginal vault through a vaginal approach, typically after hysterectomy. Code 58400 is for suspension of a retained uterus.
Compare 58400 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$406.09
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$408.93
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$394.76
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58400 billing questions
How is 58400 distinguished from 58410?
Use 58400 for the uterine suspension documented without the additional round-ligament shortening described by 58410. The operative report should support the specific procedure performed.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can another procedure be reported in the same session?
A separately reportable procedure may be subject to the standard multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery 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.
6,54858350,,Reopen fallopian tube,A,,1.03,3.08,,1.30,,0.18,4.29,2.51,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54958353,,Endometr ablate thermal,A,,3.51,22.55,,1.98,,0.61,26.67,6.10,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55058356,,Endometrial cryoablation,A,,6.25,41.05,,1.80,,1.10,48.40,9.15,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00