No office rate
Use 58260 for the applicable vaginal hysterectomy without the vaginal revision represented by 58280. The operative report must support the additional vaginal work for 58280.
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CMS RVU26D · Effective 2026-10-01
58280 Vaginal hysterectomy Medicare reimbursement rates in Vermont
Reports vaginal removal of the uterus performed with revision of the vagina as part of the same operation. Compare 58280 office and facility rates across CMS payment localities in Vermont.
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 58280 in Vermont?
Vermont 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
$878.60
1 of 1 localities have a supported rate.
Payment area: Vermont
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 58280: Vaginal hysterectomy with vaginal revision
Reports vaginal removal of the uterus performed with revision of the vagina as part of the same operation.
A gynecologic surgeon removes the uterus through the vagina and performs the vaginal revision included in this combined procedure. The operation is generally performed in a hospital or other surgical facility; the operative report should identify the hysterectomy route and describe the vaginal work performed. This code is for the combined service, not a vaginal hysterectomy alone or a separately performed later vaginal procedure.
Select the code from the documented operation and the applicable CPT descriptor, including the extent of the vaginal work and the other procedures performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58280
- 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 RVU17.87 · 64%
- Practice expense (office) RVU6.92 · 25%
- Malpractice RVU3.13 · 11%
26
Medicare services in 2024 · #5766 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.
58280 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
58290 is in the vaginal hysterectomy family for a uterus greater than 250 grams. Distinguish the codes using the documented uterine weight and applicable procedure descriptor.
No office rate
Both are vaginal hysterectomy codes associated with vaginal work; select between them from the specific operation documented and the applicable CPT descriptor.
Compare 58280 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
Vermont →
Office / nonfacility
Unavailable
Facility
$878.60
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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 58280 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,534
- Code
- 58280
- Physician work
- 17.87
- Practice expense
- 6.92
- Malpractice
- 3.13
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.87 | × 1.000 | 17.8700 |
| Practice expense | 6.92 | × 0.990 | 6.8508 |
| Malpractice | 3.13 | × 0.506 | 1.5838 |
| Total RVUs | 26.3046 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$878.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.87 | 1 |
| Practice expense | 6.92 | 0.99 |
| Malpractice | 3.13 | 0.506 |
(17.87 × 1 + 6.92 × 0.99 + 3.13 × 0.506) × $33.4009 = $878.60
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.
58280 billing questions
When is this code appropriate instead of a vaginal hysterectomy code without revision?
Use this code when the operative report supports vaginal hysterectomy with the vaginal revision represented by this combined service. A hysterectomy alone does not support the combined code.
Can the vaginal revision be billed separately?
The vaginal work represented by this combined procedure is included in the service. A separate code should not duplicate that same operative work.
Does this code have a 90-day global period?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.
What documentation supports assistant or co-surgeon payment?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.
6,53158267,,Vag hyst w/urinary repair,A,,17.90,7.11,NA,7.11,,3.13,28.14,28.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53258270,,Vag hyst w/enterocele repair,A,,14.92,6.19,NA,6.19,,2.65,23.76,23.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53358275,,Hysterectomy/revise vagina,A,,16.60,6.70,NA,6.70,,2.92,26.22,26.22,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53458280,,Hysterectomy/revise vagina,A,,17.87,6.92,NA,6.92,,3.13,27.92,27.92,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53558285,,Extensive hysterectomy,A,,22.80,11.71,NA,11.71,,5.27,39.78,39.78,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53658290,,Vag hyst complex,A,,19.76,7.06,NA,7.06,,3.46,30.28,30.28,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,53758291,,Vag hyst incl t/o complex,A,,21.51,7.43,NA,7.43,,3.77,32.71,32.71,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817