No office rate
This code describes an extensive abdominal hysterectomy with partial vaginectomy and nodal sampling. 58210 is the radical abdominal procedure with bilateral total pelvic lymphadenectomy and para-aortic sampling.
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CMS RVU26D · Effective 2026-10-01
58200 Extensive hysterectomy Medicare reimbursement rates in Ohio
An abdominal hysterectomy that includes partial vaginal resection and pelvic and para-aortic node sampling, reported for selected gynecologic cancer operations. Compare 58200 office and facility rates across CMS payment localities in Ohio.
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 58200 in Ohio?
Ohio 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
$1228.27
1 of 1 localities have a supported rate.
Payment area: Ohio
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 58200: Extensive abdominal hysterectomy with node sampling
An abdominal hysterectomy that includes partial vaginal resection and pelvic and para-aortic node sampling, reported for selected gynecologic cancer operations.
A gynecologic surgeon performs this abdominal operation to remove the uterus and cervix along with a portion of the vagina and sample pelvic and para-aortic lymph nodes. Removal of one or both fallopian tubes or ovaries may be part of the operation. It is typically performed by a gynecologic oncologist in a hospital operating room for selected gynecologic malignancies.
Report the code when the operative record supports the abdominal approach, partial vaginectomy, and the specified nodal sampling; removal of tubes or ovaries is optional. The CMS 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 other procedures are subject to the standard 50% reduction. Do not use modifier 50 for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 58200
- 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 RVU22.52 · 60%
- Practice expense (office) RVU10.18 · 27%
- Malpractice RVU4.92 · 13%
136
Medicare services in 2024 · #4630 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.
58200 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
58150 describes abdominal removal of the uterus and cervix without this code's specified partial vaginectomy and pelvic and para-aortic node sampling.
No office rate
58285 is a vaginal radical hysterectomy with pelvic lymphadenectomy; this code describes an abdominal approach with partial vaginectomy and pelvic and para-aortic node sampling.
Compare 58200 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1228.27
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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 58200 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,525
- Code
- 58200
- Physician work
- 22.52
- Practice expense
- 10.18
- Malpractice
- 4.92
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.52 | × 1.000 | 22.5200 |
| Practice expense | 10.18 | × 0.913 | 9.2943 |
| Malpractice | 4.92 | × 1.008 | 4.9594 |
| Total RVUs | 36.7737 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1228.27
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.52 | 1 |
| Practice expense | 10.18 | 0.913 |
| Malpractice | 4.92 | 1.008 |
(22.52 × 1 + 10.18 × 0.913 + 4.92 × 1.008) × $33.4009 = $1228.27
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.
58200 billing questions
How does this differ from 58210?
58210 describes a radical abdominal operation with bilateral total pelvic lymphadenectomy and para-aortic node sampling. Choose based on the documented extent of resection and nodal dissection, not just the cancer diagnosis.
Are the partial vaginectomy and node sampling included?
Yes. Those elements are part of this extensive hysterectomy service and should be supported in the operative report.
Can tubes or ovaries be removed with this procedure?
Yes. Their removal is optional under the code; document which adnexal structures were removed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included?
The 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?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
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.
6,52258150,,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
6,52858260,,Vaginal hysterectomy,A,,13.80,6.01,NA,6.01,,2.40,22.21,22.21,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703