No office rate
Use 58548 for a radical hysterectomy with bilateral pelvic lymphadenectomy and para-aortic node sampling. Code 58575 describes laparoscopic total hysterectomy for malignancy with staging when the operation is not radical.
On this page
CMS RVU26D · Effective 2026-10-01
58548 Radical hysterectomy Medicare reimbursement rates in Utah
Reports laparoscopic radical hysterectomy with bilateral pelvic lymphadenectomy and para-aortic node sampling, commonly performed for selected gynecologic cancers. Compare 58548 office and facility rates across CMS payment localities in Utah.
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 58548 in Utah?
Utah 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
$1676.62
1 of 1 localities have a supported rate.
Payment area: Utah
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 58548: Laparoscopic radical hysterectomy with nodal staging
Reports laparoscopic radical hysterectomy with bilateral pelvic lymphadenectomy and para-aortic node sampling, commonly performed for selected gynecologic cancers.
A gynecologic oncologist typically performs this hospital operating-room procedure for a patient requiring radical removal of the uterus and cervix, including surrounding supporting tissue and upper vagina. The operation also includes bilateral pelvic lymph node dissection and para-aortic node sampling; removal of the fallopian tubes and ovaries is included when performed. Cervical cancer is a common clinical context, though code selection follows the operation performed, not diagnosis alone.
The operative report should establish the laparoscopic approach, radical extent, bilateral pelvic node dissection, and para-aortic sampling. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. The code is priced as bilateral, so modifier 50 does not increase payment. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Assistant-at-surgery and co-surgeon payment are permitted; team-surgery payment is not.
CMS billing rules for 58548
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU30.84 · 60%
- Practice expense (office) RVU14.23 · 28%
- Malpractice RVU6.66 · 13%
622
Medicare services in 2024 · #3359 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.
58548 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 58571 describes total laparoscopic hysterectomy with adnexal removal for a uterus 250 g or less. It does not represent the radical dissection and nodal work described by 58548.
No office rate
Code 58552 is a laparoscopic-assisted vaginal hysterectomy with adnexal removal. Its vaginal completion and nonradical scope distinguish it from laparoscopic radical hysterectomy with nodal staging.
Compare 58548 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
Utah →
Office / nonfacility
Unavailable
Facility
$1676.62
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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 58548 in Utah.
PPRRVU2026_Oct_nonQPP.csv
6,561
- Code
- 58548
- Physician work
- 30.84
- Practice expense
- 14.23
- Malpractice
- 6.66
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.84 | × 1.000 | 30.8400 |
| Practice expense | 14.23 | × 0.940 | 13.3762 |
| Malpractice | 6.66 | × 0.898 | 5.9807 |
| Total RVUs | 50.1969 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1676.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.84 | 1 |
| Practice expense | 14.23 | 0.94 |
| Malpractice | 6.66 | 0.898 |
(30.84 × 1 + 14.23 × 0.94 + 6.66 × 0.898) × $33.4009 = $1676.62
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.
58548 billing questions
How does this differ from laparoscopic hysterectomy for malignancy with staging?
This code describes a radical hysterectomy with bilateral pelvic lymphadenectomy and para-aortic node sampling. Choose based on the documented operative extent; a cancer diagnosis alone does not establish a radical procedure.
Are pelvic node dissection and para-aortic sampling included?
Yes. Both are part of the service described by this code, so they are not separately reported as independent nodal procedures for the same operative work.
Can the tubes and ovaries be reported separately?
Removal of the fallopian tubes and ovaries is included when performed as part of this operation. The operative report should identify whether they were removed.
Should modifier 50 be appended for the bilateral lymphadenectomy?
The code is already priced as bilateral, and modifier 50 does not increase payment. Document the bilateral dissection in the operative report.
What global period and multiple-procedure payment rules apply?
The 90-day global includes the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Can an assistant or co-surgeon be paid?
CMS permits payment for an assistant at surgery and for co-surgeons. Team-surgery payment 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.
6,55858544,,Lsh w/t/o uterus above 250 g,A,,15.21,6.17,NA,6.17,,2.63,24.01,24.01,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55958545,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985