No office rate
This code is for a uterus weighing more than 250 grams. Code 58570 describes the corresponding laparoscopic total hysterectomy when the uterus weighs 250 grams or less.
On this page
CMS RVU26D · Effective 2026-10-01
58572 Laparoscopic hysterectomy Medicare reimbursement rates in Rhode Island
Reports laparoscopic removal of the uterus and cervix when the uterus weighs more than 250 grams and tubes or ovaries are not removed. Compare 58572 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 58572 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
$952.37
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 58572: Total laparoscopic hysterectomy, large uterus
Reports laparoscopic removal of the uterus and cervix when the uterus weighs more than 250 grams and tubes or ovaries are not removed.
A gynecologic surgeon uses laparoscopic access to remove the uterus and cervix when the uterus weighs more than 250 grams. The operation may be performed for conditions such as symptomatic fibroids or abnormal uterine bleeding, typically in a hospital operating room. The removed specimen may be extracted vaginally or through an incision, depending on the operative plan.
Choose this code based on the weight of the uterus and the extent of the procedure; document the operative approach, removal of the uterus and cervix, specimen weight, and whether tubes or ovaries were also removed. When tubes and/or ovaries are removed, the corresponding code for the larger uterus is 58573. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for removal of a single uterus. Assistant-at-surgery payment may be available, co-surgeons are permitted, and team-surgery billing is not permitted.
CMS billing rules for 58572
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.27 · 61%
- Practice expense (office) RVU7.57 · 27%
- Malpractice RVU3.47 · 12%
124
Medicare services in 2024 · #4708 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.
58572 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 58573 when tubes and/or ovaries are removed along with the uterus weighing more than 250 grams. Code 58572 is for the larger-uterus procedure without that adnexal removal.
No office rate
Code 58543 describes laparoscopic supracervical hysterectomy for a large uterus, retaining the cervix. This code describes total hysterectomy, including removal of the cervix.
No office rate
Code 58550 is for a laparoscopic-assisted vaginal approach. This code describes total hysterectomy performed laparoscopically for a uterus weighing more than 250 grams.
Compare 58572 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
$952.37
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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 58572 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,576
- Code
- 58572
- Physician work
- 17.27
- Practice expense
- 7.57
- Malpractice
- 3.47
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.27 | × 1.019 | 17.5981 |
| Practice expense | 7.57 | × 1.033 | 7.8198 |
| Malpractice | 3.47 | × 0.892 | 3.0952 |
| Total RVUs | 28.5132 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$952.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.27 | 1.019 |
| Practice expense | 7.57 | 1.033 |
| Malpractice | 3.47 | 0.892 |
(17.27 × 1.019 + 7.57 × 1.033 + 3.47 × 0.892) × $33.4009 = $952.37
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.
58572 billing questions
How is this code distinguished from 58570?
Both describe laparoscopic removal of the uterus and cervix without tube or ovary removal. Use 58572 when the uterus weighs more than 250 grams; 58570 is for a uterus weighing 250 grams or less.
What if tubes or ovaries are removed during the same operation?
When one or both tubes and/or ovaries are removed with the larger uterus, use 58573 rather than 58572.
What documentation supports the larger-uterus code?
Document the laparoscopic approach, removal of the uterus and cervix, uterine specimen weight, and whether tubes or ovaries were removed. The specimen weight distinguishes the 250-gram threshold.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate because the procedure removes one uterus, not a paired structure.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team-surgery billing is not permitted for this code.
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.
6,57358565,,Hysteroscopy sterilization,A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57458570,,Tlh uterus 250 g or less,A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57558571,,Tlh w/t/o 250 g or less,A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57658572,,Tlh uterus over 250 g,A,,17.27,7.57,NA,7.57,,3.47,28.31,28.31,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57758573,,Tlh w/t/o uterus over 250 g,A,,20.27,8.74,NA,8.74,,4.09,33.10,33.10,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57858575,,Laps tot hyst resj mal,A,,31.79,14.52,NA,14.52,,6.85,53.16,53.16,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57958578,,Unlisted laps px uterus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,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