No office rate
Use 58552 for the same laparoscopic-assisted vaginal approach and uterus size when removal of one or both tubes or ovaries is included.
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CMS RVU26D · Effective 2026-10-01
58550 Vaginal hysterectomy Medicare reimbursement rates in Rhode Island
Reports laparoscopic-assisted removal of the uterus through the vagina when the uterus weighs 250 g or less, without the separately specified adnexal-removal service. Compare 58550 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 58550 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
$793.33
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 58550: Laparoscopic-assisted vaginal hysterectomy
Reports laparoscopic-assisted removal of the uterus through the vagina when the uterus weighs 250 g or less, without the separately specified adnexal-removal service.
A gynecologic surgeon uses laparoscopy to assist with a vaginal hysterectomy, removing the uterus through the vagina. This approach may be selected for conditions such as symptomatic fibroids, adenomyosis, or persistent abnormal uterine bleeding when the clinical plan and anatomy support vaginal removal. The code applies to a uterus weighing 250 g or less; the laparoscopic assistance is part of the hysterectomy service, not a separate procedure.
Select the code using the documented operative approach and uterine weight, supported by the operative report and specimen or pathology record. When removal of one or both tubes or ovaries is performed, the related code 58552 is the family option for a uterus of this size. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58550
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.72 · 63%
- Practice expense (office) RVU6.21 · 26%
- Malpractice RVU2.62 · 11%
128
Medicare services in 2024 · #4682 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.
58550 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 58553 when the uterus weighs more than 250 g and the service is laparoscopic-assisted vaginal hysterectomy.
No office rate
Use 58570 for total laparoscopic hysterectomy of a uterus 250 g or less, with laparoscopic rather than vaginal removal.
No office rate
Use 58541 for laparoscopic supracervical hysterectomy of a uterus 250 g or less; it differs because the cervix is retained.
Compare 58550 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
$793.33
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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 58550 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,562
- Code
- 58550
- Physician work
- 14.72
- Practice expense
- 6.21
- Malpractice
- 2.62
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.72 | × 1.019 | 14.9997 |
| Practice expense | 6.21 | × 1.033 | 6.4149 |
| Malpractice | 2.62 | × 0.892 | 2.3370 |
| Total RVUs | 23.7516 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$793.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.72 | 1.019 |
| Practice expense | 6.21 | 1.033 |
| Malpractice | 2.62 | 0.892 |
(14.72 × 1.019 + 6.21 × 1.033 + 2.62 × 0.892) × $33.4009 = $793.33
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.
58550 billing questions
How does 58550 differ from 58552?
Both describe laparoscopic-assisted vaginal hysterectomy for a uterus of 250 g or less. Use 58552 when removal of one or both tubes or ovaries is included.
How is the 250 g threshold supported?
Document the operative approach and uterine weight in the operative and specimen or pathology records. The weight determines which size tier in the hysterectomy family applies.
Can the laparoscopic portion be billed separately?
The laparoscopic assistance is included in this hysterectomy service; it is not a separate laparoscopic procedure. CMS endoscopy-family pricing applies when related endoscopies are performed together.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy makes modifier 50 unsuitable.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this code. 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.
6,55958545,,Laparoscopic myomectomy,A,,15.16,6.17,NA,6.17,,2.86,24.19,24.19,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56058546,,Laparo-myomectomy complex,A,,19.44,6.49,NA,6.49,,3.40,29.33,29.33,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56158548,,Lap radical hyst,A,,30.84,14.23,NA,14.23,,6.66,51.73,51.73,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56258550,,Laparo-asst vag hysterectomy,A,,14.72,6.21,NA,6.21,,2.62,23.55,23.55,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,56358552,,Laparo-vag hyst incl t/o,A,,16.49,6.76,NA,6.76,,3.02,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56458553,,Laparo-vag hyst complex,A,,19.56,6.52,NA,6.52,,3.43,29.51,29.51,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,56558554,,Laparo-vag hyst w/t/o compl,A,,22.53,8.13,NA,8.13,,4.12,34.78,34.78,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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