No office rate
Use 58285 for the radical vaginal operation. Use 58210 when the radical hysterectomy is performed abdominally; that code also includes para-aortic node sampling.
On this page
CMS RVU26D · Effective 2026-10-01
58285 Radical hysterectomy Medicare reimbursement rates in Nevada
Reports radical hysterectomy through a vaginal approach with bilateral pelvic lymphadenectomy, typically for selected gynecologic cancers requiring regional nodal surgery. Compare 58285 office and facility rates across CMS payment localities in Nevada.
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 58285 in Nevada?
Nevada 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
$1299.68
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 58285: Radical vaginal hysterectomy with pelvic lymphadenectomy
Reports radical hysterectomy through a vaginal approach with bilateral pelvic lymphadenectomy, typically for selected gynecologic cancers requiring regional nodal surgery.
This operation removes the uterus and cervix with surrounding tissues, including the upper vagina, and includes bilateral pelvic lymph node dissection. Gynecologic oncologists typically perform it in an operating room for selected pelvic malignancies when radical resection is indicated and the vaginal route is appropriate. It is distinct from a simple vaginal hysterectomy and from radical hysterectomy performed through an abdominal incision.
Report one unit for the operation, supported by documentation of the vaginal approach, radical tissue resection, and bilateral pelvic lymphadenectomy. The code’s 90-day global period includes 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58285
- 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 RVU22.80 · 57%
- Practice expense (office) RVU11.71 · 29%
- Malpractice RVU5.27 · 13%
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.
58285 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
58200 describes an abdominal oncologic hysterectomy with partial vaginectomy and nodal sampling. It is not the vaginal radical operation with bilateral pelvic lymphadenectomy represented by 58285.
No office rate
58240 represents pelvic exenteration, a more extensive removal of pelvic contents. It is not a synonym for radical vaginal hysterectomy with pelvic lymphadenectomy.
No office rate
58260 is a simple vaginal hysterectomy for a uterus 250 grams or less; 58285 requires radical tissue resection and bilateral pelvic lymphadenectomy.
Compare 58285 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$1299.68
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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 58285 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,535
- Code
- 58285
- Physician work
- 22.80
- Practice expense
- 11.71
- Malpractice
- 5.27
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.80 | × 1.000 | 22.8000 |
| Practice expense | 11.71 | × 1.001 | 11.7217 |
| Malpractice | 5.27 | × 0.833 | 4.3899 |
| Total RVUs | 38.9116 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$1299.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.8 | 1 |
| Practice expense | 11.71 | 1.001 |
| Malpractice | 5.27 | 0.833 |
(22.8 × 1 + 11.71 × 1.001 + 5.27 × 0.833) × $33.4009 = $1299.68
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.
58285 billing questions
How does this differ from 58210?
This code is for the radical operation performed vaginally. Code 58210 describes the abdominal approach and includes pelvic lymphadenectomy and para-aortic node sampling.
Is pelvic lymphadenectomy part of this service?
Yes. Bilateral pelvic lymph node dissection is included in the operation represented by this code; document the nodal work as part of the operative service.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code, even though the included lymphadenectomy is bilateral.
What documentation supports reporting this code?
The operative report should establish the vaginal route, radical resection of surrounding tissues, and bilateral pelvic lymphadenectomy.
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.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,53258270,,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
6,53558285,,Extensive hysterectomy,A,,22.80,11.71,NA,11.71,,5.27,39.78,39.78,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53658290,,Vag hyst complex,A,,19.76,7.06,NA,7.06,,3.46,30.28,30.28,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53758291,,Vag hyst incl t/o complex,A,,21.51,7.43,NA,7.43,,3.77,32.71,32.71,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53858292,,Vag hyst t/o & repair compl,A,,22.77,7.69,NA,7.69,,3.99,34.45,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097