No office rate
Both are total laparoscopic hysterectomy codes for a uterus over 250 grams. Choose 58573 when tube or ovary tissue is removed; choose 58572 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
58573 Laparoscopic hysterectomy Medicare reimbursement rates in Tennessee
Report this service for laparoscopic removal of the uterus and cervix weighing over 250 grams when one or more fallopian tubes or ovaries are also removed. Compare 58573 office and facility rates across CMS payment localities in Tennessee.
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 58573 in Tennessee?
Tennessee 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
$1015.75
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 58573: Laparoscopic total hysterectomy over 250 grams with adnexal removal
Report this service for laparoscopic removal of the uterus and cervix weighing over 250 grams when one or more fallopian tubes or ovaries are also removed.
A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or both fallopian tubes, one or both ovaries, or both types of adnexa. The code is for a uterine specimen weighing more than 250 grams. A common clinical setting is surgery for a markedly enlarged, fibroid uterus causing bleeding or bulk symptoms. The procedure is typically performed in a hospital operating room or ambulatory surgery center.
Select the code when the operative report supports a total laparoscopic approach, removal of adnexal tissue, and a uterine weight over 250 grams. Document the structures removed and the specimen weight; report the procedure once, not separately for each tube or ovary. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 58573
- 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 RVU20.27 · 61%
- Practice expense (office) RVU8.74 · 26%
- Malpractice RVU4.09 · 12%
2.4K
Medicare services in 2024 · #2321 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.
58573 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
This is the corresponding total laparoscopic hysterectomy with adnexal removal when the uterus weighs 250 grams or less. The weight threshold separates it from 58573.
No office rate
This code describes a laparoscopic-assisted vaginal hysterectomy for a uterus over 250 grams with adnexal removal. Use 58573 for the total laparoscopic approach.
No office rate
This is a laparoscopic supracervical hysterectomy over 250 grams with adnexal removal. In contrast, 58573 removes the cervix as part of a total hysterectomy.
Compare 58573 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1015.75
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 58573 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
6,577
- Code
- 58573
- Physician work
- 20.27
- Practice expense
- 8.74
- Malpractice
- 4.09
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.27 | × 1.000 | 20.2700 |
| Practice expense | 8.74 | × 0.909 | 7.9447 |
| Malpractice | 4.09 | × 0.537 | 2.1963 |
| Total RVUs | 30.4110 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1015.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.27 | 1 |
| Practice expense | 8.74 | 0.909 |
| Malpractice | 4.09 | 0.537 |
(20.27 × 1 + 8.74 × 0.909 + 4.09 × 0.537) × $33.4009 = $1015.75
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.
58573 billing questions
How does this differ from 58572?
Both describe total laparoscopic hysterectomy for a uterus over 250 grams. Use 58573 when one or more fallopian tubes or ovaries are also removed; 58572 is for the hysterectomy without that adnexal removal.
Is the tube or ovary removal billed separately?
Removal of one or more fallopian tubes or ovaries is included in this procedure. Report the code once, whether one or several of those structures are removed.
Should modifier 50 be added when both sides are removed?
No. CMS indicates that bilateral adjustment does not apply and modifier 50 is inappropriate for this code, including when both sides are treated.
What documentation supports the over-250-gram code?
The operative report should establish the laparoscopic total hysterectomy and identify the tube or ovary tissue removed. Document the uterine specimen weight to support selection over the 250-gram threshold.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS also applies its standard multiple-procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
CMS allows payment for an assistant at surgery and permits co-surgeons. Team surgery 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.
6,57458570,,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
6,58058579,,Unlisted hystsc 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
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780