CPT code 58260: Vaginal hysterectomy2026 Medicare rate & RVUs in Oklahoma
Reports removal of the uterus through the vagina when the specimen weighs 250 grams or less and the selected code’s additional procedures are not performed.
CMS doesn’t publish an office rate for 58260 in Oklahoma.
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 58260 covers
A gynecologic surgeon removes the uterus, including the cervix, through the vaginal route. This code describes the procedure when the uterus weighs 250 grams or less; it is commonly performed for benign conditions such as symptomatic fibroids or abnormal uterine bleeding when vaginal access is appropriate. The surgery is typically performed in a hospital or ambulatory surgery center.
Select the code using the operative approach, specimen weight, and any additional procedures documented. The operative report should identify the vaginal route and support the specimen weight; pathology documentation may help establish the weight. The service has a 90-day global period, including the day-before preoperative visit and 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 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for removal of a single uterus.
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.
58260 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $702.48 |
How the 58260 rate is calculated
Each of 58260’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 · 58260
RVUs × geographic indexes × conversion factor
Work13.80
13.80 RVUs× 1.000 GPCI
Practice expense6.01
6.01 RVUs× 1.000 GPCI
Malpractice2.40
2.40 RVUs× 1.000 GPCI
Adjusted RVUs
22.2100
Conversion factor
$33.4009
Medicare rate
$741.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58260
58260 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58260
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) | 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 · 58260
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
58260 without 51 · national facility
$741.83
Vaginal hysterectomy
58260-51 · Second procedure: 50%
$370.92
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%).
58260 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58262Vaginal hysterectomy
- Choose 58262 when removal of one or both tubes or ovaries accompanies the vaginal hysterectomy. This code describes the hysterectomy without that additional adnexal work.
- 58290Vaginal hysterectomy
- Choose 58290 when the vaginally removed uterus weighs more than 250 grams. This code is for a specimen weighing 250 grams or less.
- 58270Vaginal hysterectomy
- Choose 58270 when enterocele repair is included with the vaginal hysterectomy. This code does not describe that additional repair.
58260 billing questions
How is this code distinguished from the larger-uterus vaginal hysterectomy code?
Use this code when the uterus weighs 250 grams or less. The larger-uterus sibling is selected when the specimen exceeds that threshold.
Which vaginal hysterectomy code includes removal of tubes or ovaries?
Code 58262 describes the related procedure when removal of one or both tubes or ovaries is also performed. Use the operative report to identify the adnexal work.
Can a separately performed repair be reported with this hysterectomy?
This code describes the hysterectomy without the additional repair identified in repair-specific vaginal hysterectomy codes. Report other procedures only when the operative documentation supports distinct work and the applicable coding rules allow separate reporting.
Should modifier 50 be appended?
No. Removal of a single uterus is not a bilateral service for modifier 50 reporting.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures paid when performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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