No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
58260 Vaginal hysterectomy Medicare reimbursement rates in Pennsylvania
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. Compare 58260 office and facility rates across CMS payment localities in Pennsylvania.
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 58260 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$720.96–$773.83
2 of 2 localities have a supported rate.
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 58260: Vaginal hysterectomy, uterus 250 grams or less
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.
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.
CMS billing rules for 58260
- 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 RVU13.80 · 62%
- Practice expense (office) RVU6.01 · 27%
- Malpractice RVU2.40 · 11%
3.2K
Medicare services in 2024 · #2126 by national volume
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 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Choose 58290 when the vaginally removed uterus weighs more than 250 grams. This code is for a specimen weighing 250 grams or less.
No office rate
Choose 58270 when enterocele repair is included with the vaginal hysterectomy. This code does not describe that additional repair.
Compare 58260 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$773.83
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$720.96
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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 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.
6,52558200,,Extensive hysterectomy,A,,22.52,10.18,NA,10.18,,4.92,37.62,37.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52658210,,Extensive hysterectomy,A,,30.14,13.56,NA,13.56,,6.53,50.23,50.23,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52758240,,Removal of pelvis contents,A,,48.10,22.25,NA,22.25,,9.82,80.17,80.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52858260,,Vaginal hysterectomy,A,,13.80,6.01,NA,6.01,,2.40,22.21,22.21,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52958262,,Vag hyst including t/o,A,,15.54,6.29,NA,6.29,,2.68,24.51,24.51,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53058263,,Vag hyst w/t/o & vag repair,A,,16.80,6.55,NA,6.55,,2.92,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53158267,,Vag hyst w/urinary repair,A,,17.90,7.11,NA,7.11,,3.13,28.14,28.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00