No office rate
Both address uterine suspension; select 58410 for the abdominal route and 58400 for the vaginal route.
On this page
CMS RVU26D · Effective 2026-10-01
58410 Uterine suspension Medicare reimbursement rates in Rhode Island
Reports abdominal surgery that suspends the uterus, with or without round-ligament shortening, to provide support to the uterus itself. Compare 58410 office and facility rates across CMS payment localities in Rhode Island.
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 58410 in Rhode Island?
Rhode Island 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
$726.82
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 58410: Abdominal uterine suspension
Reports abdominal surgery that suspends the uterus, with or without round-ligament shortening, to provide support to the uterus itself.
An abdominal uterine suspension repositions and secures the uterus to provide support; the surgeon may also shorten the round ligaments as part of the repair. Gynecologic surgeons perform it through an abdominal approach when the operative plan is to support the uterus itself, rather than suspend the vaginal apex after hysterectomy. The operative report should identify the route and suspension work.
Choose this code for abdominal uterine suspension; use 58400 when the same uterine support is performed vaginally. Document the indication, route, structures secured, and any round-ligament shortening. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58410
- 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 RVU13.46 · 62%
- Practice expense (office) RVU5.75 · 27%
- Malpractice RVU2.36 · 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.
58410 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code suspends the uterus through an abdominal approach. Code 57280 addresses abdominal support of the vaginal apex, such as after hysterectomy.
No office rate
This code supports the uterus abdominally; 57282 supports the vaginal apex through a vaginal approach.
Compare 58410 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$726.82
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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 58410 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,552
- Code
- 58410
- Physician work
- 13.46
- Practice expense
- 5.75
- Malpractice
- 2.36
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.46 | × 1.019 | 13.7157 |
| Practice expense | 5.75 | × 1.033 | 5.9397 |
| Malpractice | 2.36 | × 0.892 | 2.1051 |
| Total RVUs | 21.7606 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$726.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.46 | 1.019 |
| Practice expense | 5.75 | 1.033 |
| Malpractice | 2.36 | 0.892 |
(13.46 × 1.019 + 5.75 × 1.033 + 2.36 × 0.892) × $33.4009 = $726.82
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.
58410 billing questions
How does this differ from 58400?
Both codes report uterine suspension, but 58410 is for the abdominal approach and 58400 is for the vaginal approach. The operative report should support the route performed.
Is round-ligament shortening separately reported?
The suspension code covers the operation with or without round-ligament shortening. Document the ligament work when performed; do not report it as a separate suspension service.
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.
Can modifier 50 be used?
No. The descriptor and anatomy make modifier 50 inappropriate; report the uterine suspension as a single procedure.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and 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.
6,54958353,,Endometr ablate thermal,A,,3.51,22.55,,1.98,,0.61,26.67,6.10,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537