No office rate
Both cover total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when at least one tube or ovary is also removed; choose 58570 when neither is removed.
On this page
CMS RVU26D · Effective 2026-10-01
58571 Laparoscopic hysterectomy Medicare reimbursement rates in Missouri
Report this code for total laparoscopic removal of the uterus and cervix weighing 250 g or less, with removal of one or more fallopian tubes or ovaries. Compare 58571 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 58571 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
$792.86–$817.32
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 58571 pays more and less in Missouri
Gynecologic surgery
About 58571: Total laparoscopic hysterectomy with adnexal removal
Report this code for total laparoscopic removal of the uterus and cervix weighing 250 g or less, with removal of one or more fallopian tubes or ovaries.
A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or more fallopian tubes or ovaries. The code covers cases in which the uterus weighs 250 g or less. Typical indications include symptomatic fibroids, adenomyosis, or abnormal uterine bleeding when hysterectomy is planned; the operation is commonly performed in a hospital or ambulatory surgery center.
Select this code rather than the corresponding code without adnexal removal when at least one tube or ovary is removed. The operative report should support the laparoscopic approach, removal of the uterus and cervix, adnexal removal, and uterine weight; pathology documentation can support the weight threshold. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment may be allowed; team surgery is not permitted.
CMS billing rules for 58571
- 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 RVU14.63 · 59%
- Practice expense (office) RVU7.21 · 29%
- Malpractice RVU2.97 · 12%
30.8K
Medicare services in 2024 · #965 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.
58571 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
This code covers a uterus over 250 g without adnexal removal. For a uterus over 250 g with adnexal removal, compare 58573 instead.
No office rate
The procedure includes adnexal removal, as with 58571, but the uterus weighs over 250 g rather than 250 g or less.
No office rate
This code describes a laparoscopic-assisted vaginal hysterectomy with adnexal removal for a uterus 250 g or less. Choose based on the operative approach rather than the shared weight and adnexal features.
Compare 58571 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
$811.70
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$817.32
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$792.86
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58571 billing questions
How does this differ from 58570?
58571 includes removal of one or more fallopian tubes or ovaries along with the uterus and cervix. Use 58570 when no tube or ovary is removed.
Does removal have to be bilateral?
No. Removal of a tube or ovary on one side, or on both sides, meets the adnexal-removal distinction. Modifier 50 is inappropriate for this code.
What documentation supports the 250 g threshold?
Document the uterus removed and its weight, with pathology documentation supporting the weight when available. The operative report should also establish the laparoscopic approach and which adnexa were removed.
Is routine postoperative care separately reported?
The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS indicates assistant-at-surgery payment may be made and co-surgeons are permitted. Team surgery is not permitted for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedure is subject to a 50% reduction.
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.
6,57258563,,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
6,57858575,,Laps tot hyst resj mal,A,,31.79,14.52,NA,14.52,,6.85,53.16,53.16,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00