Billing code 58570: Laparoscopic hysterectomyMedicare rate & RVUs in Oregon
Reports laparoscopic removal of the uterus and cervix when the uterus weighs 250 g or less and no fallopian tube or ovary is removed.
CMS doesn’t publish an office rate for 58570 in Oregon.
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 58570 covers
This code describes a total laparoscopic hysterectomy: the surgeon removes the uterus and cervix through a laparoscopic approach. Gynecologic surgeons commonly perform it in a hospital or ambulatory surgical center for conditions such as symptomatic fibroids or abnormal uterine bleeding. The specimen may be removed through the vagina or by another extraction method; the laparoscopic approach is what distinguishes the procedure from an abdominal or vaginal hysterectomy.
Select 58570 when the removed uterus weighs 250 g or less and no fallopian tube or ovary is removed as part of the hysterectomy. If one or both tubes or ovaries are removed, consider 58571; if the uterus weighs more than 250 g, use the corresponding higher-weight code. Document the laparoscopic approach, removal of the cervix, uterine weight, and adnexal procedures. The 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 others at 50%. Bilateral adjustment is inappropriate for this anatomy. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
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.
Where 58570 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $736.10 |
| Rest Of Oregon | Unavailable | $701.70 |
How the 58570 rate is calculated
Each of 58570’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 · 58570
RVUs × geographic indexes × conversion factor
Work13.03
13.03 RVUs× 1.000 GPCI
Practice expense6.26
6.26 RVUs× 1.000 GPCI
Malpractice2.48
2.48 RVUs× 1.000 GPCI
Adjusted RVUs
21.7700
Conversion factor
$33.4009
Medicare rate
$727.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58570
58570 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58570
Laparoscopic 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 · 58570
Laparoscopic 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
58570 without 51 · national facility
$727.14
Laparoscopic hysterectomy
58570-51 · Second procedure: 50%
$363.57
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%).
58570 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58571Laparoscopic hysterectomy
- Both describe total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when one or both tubes or ovaries are removed as part of the procedure.
- 58572Laparoscopic hysterectomy
- This is the higher-weight counterpart for total laparoscopic hysterectomy without adnexal removal. Use 58570 when the uterus weighs 250 g or less.
- 58550Vaginal hysterectomy
- This is a laparoscopic-assisted vaginal hysterectomy for a uterus 250 g or less, rather than a total hysterectomy performed laparoscopically.
- 58543Hysterectomy
- This is a laparoscopic supracervical hysterectomy for a uterus above 250 g, so it differs in both uterine weight and whether the cervix is removed.
58570 billing questions
How does 58570 differ from 58571?
Both cover total laparoscopic hysterectomy for a uterus weighing 250 g or less. Use 58571 when one or both fallopian tubes or ovaries are also removed as part of the procedure.
What if the uterus weighs more than 250 g?
Use the corresponding higher-weight total laparoscopic hysterectomy code. The operative and pathology records should support the final uterine weight.
Does this code include removal of the cervix?
Yes. This is a total hysterectomy, so the uterus and cervix are removed; a supracervical procedure that leaves the cervix is different.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate because the code describes removal of a single uterus.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
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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