Billing code 58292: Vaginal hysterectomyMedicare rate & RVUs in Ohio
Reports vaginal removal of a uterus weighing more than 250 grams with removal of tube(s) and/or ovary(s) and repair of an enterocele.
CMS doesn’t publish an office rate for 58292 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 58292 covers
A gynecologic surgeon reports this service when removing a uterus weighing more than 250 grams through the vagina, removing one or both fallopian tubes and/or ovaries, and repairing an enterocele during the same operation. It is used for a combined operation addressing uterine disease or prolapse, adnexal removal, and an enterocele; the operative report should make clear that each component was performed.
Select this code based on the documented uterine weight and the procedures actually completed. The record should support the vaginal approach, the tube(s) and/or ovary(s) removed, and the enterocele repair. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. A bilateral adjustment is inappropriate for this service.
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.
58292 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,129.38 |
How the 58292 rate is calculated
Each of 58292’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 · 58292
RVUs × geographic indexes × conversion factor
Work22.77
22.77 RVUs× 1.000 GPCI
Practice expense7.69
7.69 RVUs× 1.000 GPCI
Malpractice3.99
3.99 RVUs× 1.000 GPCI
Adjusted RVUs
34.4500
Conversion factor
$33.4009
Medicare rate
$1,150.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58292
58292 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58292
Vaginal 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| 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 · 58292
Vaginal 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
58292 without 51 · national facility
$1,150.66
Vaginal hysterectomy
58292-51 · Second procedure: 50%
$575.33
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%).
58292 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58291Vaginal hysterectomy
- Both cover vaginal hysterectomy for a uterus over 250 grams with removal of tube(s) and/or ovary(s). Use 58292 when an enterocele repair is also performed.
- 58294Vaginal hysterectomy
- This is the large-uterus vaginal hysterectomy option with enterocele repair but without the adnexal-removal combination. Use 58292 when tube(s) and/or ovary(s) are also removed.
- 58263Vaginal hysterectomy
- This is the corresponding vaginal hysterectomy with adnexal removal and enterocele repair for a uterus weighing 250 grams or less; 58292 is for a uterus over 250 grams.
58292 billing questions
What distinguishes this code from a vaginal hysterectomy without enterocele repair?
This code includes repair of an enterocele along with removal of adnexal tissue. Choose a code without that repair when an enterocele repair was not performed.
Does the code include removal of the tubes or ovaries?
Yes. It includes removal of one or both tubes and/or ovaries performed with the vaginal hysterectomy; those components are not separately reported as though they were independent procedures.
Should modifier 50 be used when both sides are treated?
No. A bilateral adjustment is inappropriate for this code; its descriptor already allows removal of tube(s) and/or ovary(s).
What documentation supports selection of this code?
Document the vaginal approach, uterine weight greater than 250 grams, which tube(s) and/or ovary(s) were removed, and the enterocele repair performed.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. The service has a 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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 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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