Billing code 58210: Radical hysterectomyMedicare rate & RVUs in Ohio
Reports radical abdominal removal of the uterus and cervix with bilateral pelvic lymphadenectomy and para-aortic node sampling, commonly for cervical cancer.
CMS doesn’t publish an office rate for 58210 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58210 covers
A gynecologic oncologist typically performs this open abdominal operation for cervical cancer when radical resection and nodal assessment are indicated. The procedure removes the uterus and cervix with surrounding parametrial tissue and includes bilateral pelvic lymph node dissection and para-aortic node sampling. Removal of the fallopian tubes and ovaries may be included or omitted according to the operative plan.
Select the code when the documented operation includes the radical abdominal resection and specified nodal work; the operative report should identify the tissues removed and the lymph node procedures performed. Tube or ovary removal is included when done, not separately coded as an additional hysterectomy service. CMS assigns a 90-day global period, including the day-before preoperative visit and 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. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
58210 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,640.07 |
How the 58210 rate is calculated
Each of 58210’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58210
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 30.14Practice expense 13.56Malpractice 6.53
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58210
58210 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58210
Radical hysterectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58210
Radical hysterectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58210 without 51 · national facility
$1,677.73
Radical hysterectomy
58210-51 · Second procedure: 50%
$838.87
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58210 compared with similar codes
Compare codes
58210 vs 58200 vs 58285 vs 58150 vs 58240: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58200Extensive hysterectomy
- Use 58210 for radical abdominal resection with bilateral pelvic lymphadenectomy and para-aortic sampling. Code 58200 describes a less extensive abdominal hysterectomy that includes partial vaginectomy.
- 58285Radical hysterectomy
- Both describe radical hysterectomy with pelvic lymphadenectomy, but 58285 is performed vaginally; 58210 is the abdominal approach and includes para-aortic node sampling.
- 58150Hysterectomy
- 58150 is for standard total abdominal hysterectomy. It does not represent the radical resection and specified nodal procedures included in 58210.
- 58240Pelvic exenteration
- 58240 describes pelvic exenteration for malignancy involving removal of pelvic organs beyond a radical hysterectomy. Use 58210 when the operation is the radical hysterectomy with its specified nodal work.
58210 billing questions
How is 58210 different from 58200?
58210 is for radical abdominal resection with bilateral pelvic lymphadenectomy and para-aortic node sampling. Choose 58200 for the less extensive abdominal hysterectomy that includes partial vaginectomy.
Are the lymph node procedures separately billable?
The bilateral pelvic lymphadenectomy and para-aortic node sampling are included in 58210. Do not report them as separate services when they are part of this operation.
Should modifier 50 be appended?
The code is already priced as bilateral. Modifier 50 does not increase its payment.
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 made. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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