No office rate
58520 is for repairing a ruptured uterus. 58540 describes uterine revision for a different condition, not acute rupture repair.
On this page
CMS RVU26D · Effective 2026-10-01
58520 Uterine repair Medicare reimbursement rates in Ohio
Reports abdominal surgical repair of a ruptured uterus, typically during an obstetric emergency when the uterine wall is disrupted and repair is performed. Compare 58520 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 58520 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
$689.87
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 58520: Operative uterine rupture repair
Reports abdominal surgical repair of a ruptured uterus, typically during an obstetric emergency when the uterine wall is disrupted and repair is performed.
This service involves surgically closing a uterine wall disruption through an abdominal approach. It is most often performed by an obstetrician-gynecologist in an operating room when rupture occurs during labor or in another obstetric emergency; the operation may take place in the same setting as a cesarean delivery. The operative report should identify the rupture and describe the repair performed.
Report the code for the rupture repair itself, not simply because the uterus is inspected or an incision is closed during another operation. CMS assigns 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 multiple procedure reduction. Modifier 50 is inappropriate for this uterine repair. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 58520
- 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 RVU13.14 · 62%
- Practice expense (office) RVU5.68 · 27%
- Malpractice RVU2.31 · 11%
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.
58520 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
59514 reports cesarean delivery. Use 58520 for a distinct uterine rupture repair performed in addition to the delivery when separately reportable.
No office rate
58150 reports abdominal hysterectomy, which removes the uterus; 58520 reports repair intended to preserve it.
Compare 58520 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
$689.87
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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 58520 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,553
- Code
- 58520
- Physician work
- 13.14
- Practice expense
- 5.68
- Malpractice
- 2.31
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.14 | × 1.000 | 13.1400 |
| Practice expense | 5.68 | × 0.913 | 5.1858 |
| Malpractice | 2.31 | × 1.008 | 2.3285 |
| Total RVUs | 20.6543 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$689.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.14 | 1 |
| Practice expense | 5.68 | 0.913 |
| Malpractice | 2.31 | 1.008 |
(13.14 × 1 + 5.68 × 0.913 + 2.31 × 1.008) × $33.4009 = $689.87
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.
58520 billing questions
When should this code be chosen instead of 58540?
Use this code for operative repair of a uterine rupture. Code 58540 describes uterine revision, not repair of an acute rupture.
Can this be reported when a cesarean delivery is also performed?
A rupture repair may occur during the same operation as a cesarean delivery. Document the distinct repair performed and assess the code combination under applicable coding edits.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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; 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.
6,55058356,,Endometrial cryoablation,A,,6.25,41.05,,1.80,,1.10,48.40,9.15,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55558541,,Lsh uterus 250 g or less,A,,11.98,5.48,NA,5.48,,1.96,19.42,19.42,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,55658542,,Lsh w/t/o ut 250 g or less,A,,13.81,5.79,NA,5.79,,2.36,21.96,21.96,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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