No office rate
Use 58180 when the cervix is retained after abdominal removal of the uterine body. Use 58150 when the cervix is also removed.
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CMS RVU26D · Effective 2026-10-01
58180 Hysterectomy Medicare reimbursement rates in Nebraska
Reports abdominal removal of the uterine body with the cervix left in place, with or without removal of the fallopian tubes or ovaries. Compare 58180 office and facility rates across CMS payment localities in Nebraska.
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 58180 in Nebraska?
Nebraska 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
$786.50
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 58180: Abdominal supracervical hysterectomy
Reports abdominal removal of the uterine body with the cervix left in place, with or without removal of the fallopian tubes or ovaries.
Code 58180 reports an abdominal supracervical hysterectomy: the surgeon removes the uterine body while leaving the cervix in place. Gynecologic surgeons perform it in an operating room when hysterectomy is selected for conditions such as symptomatic fibroids or abnormal uterine bleeding and the operative plan retains the cervix. Removal of fallopian tubes or ovaries may accompany the procedure without changing the hysterectomy code.
Select 58180 when the operative report supports an abdominal approach and confirms that the cervix remains; use a total hysterectomy code when the cervix is removed. Document the indication, approach, structures removed, and operative findings. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is not appropriate for this operation. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58180
- 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 RVU16.19 · 62%
- Practice expense (office) RVU6.73 · 26%
- Malpractice RVU3.03 · 12%
457
Medicare services in 2024 · #3645 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.
58180 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This code describes total abdominal hysterectomy with colpo-urethrocystopexy. It is not the cervix-retaining procedure reported with 58180.
No office rate
Both procedures retain the cervix, but 58542 uses a laparoscopic approach and applies to a uterus weighing 250 g or less; 58180 is the abdominal approach.
No office rate
58140 removes fibroids while preserving the uterus. Choose 58180 when the operative plan is to remove the uterine body and retain the cervix.
Compare 58180 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$786.50
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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 58180 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,524
- Code
- 58180
- Physician work
- 16.19
- Practice expense
- 6.73
- Malpractice
- 3.03
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.19 | × 1.000 | 16.1900 |
| Practice expense | 6.73 | × 0.923 | 6.2118 |
| Malpractice | 3.03 | × 0.378 | 1.1453 |
| Total RVUs | 23.5471 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$786.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.19 | 1 |
| Practice expense | 6.73 | 0.923 |
| Malpractice | 3.03 | 0.378 |
(16.19 × 1 + 6.73 × 0.923 + 3.03 × 0.378) × $33.4009 = $786.50
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.
58180 billing questions
How does 58180 differ from 58150?
With 58180, the cervix remains; 58150 is for an abdominal hysterectomy that removes the cervix along with the uterine body.
Does removal of tubes or ovaries change the code?
No. 58180 includes the option of removing fallopian tubes or ovaries during the hysterectomy; document which structures were removed.
Can modifier 50 be used?
No. The operation is not reported bilaterally, so a bilateral adjustment using modifier 50 is inappropriate.
How is 58180 paid when other procedures occur in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction to 50%.
What documentation supports reporting 58180?
The operative report should establish the abdominal approach, removal of the uterine body, retention of the cervix, and any tube or ovary removal.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
6,52158146,,Myomectomy abdom complex,A,,19.83,7.08,NA,7.08,,3.47,30.38,30.38,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52258150,,Total hysterectomy,A,,16.88,7.65,NA,7.65,,3.41,27.94,27.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52358152,,Total hysterectomy,A,,21.31,7.59,NA,7.59,,3.74,32.64,32.64,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52458180,,Partial hysterectomy,A,,16.19,6.73,NA,6.73,,3.03,25.95,25.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52558200,,Extensive hysterectomy,A,,22.52,10.18,NA,10.18,,4.92,37.62,37.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52658210,,Extensive hysterectomy,A,,30.14,13.56,NA,13.56,,6.53,50.23,50.23,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52758240,,Removal of pelvis contents,A,,48.10,22.25,NA,22.25,,9.82,80.17,80.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068