Billing code 58200: Extensive hysterectomyMedicare rate & RVUs in Washington
An abdominal hysterectomy that includes partial vaginal resection and pelvic and para-aortic node sampling, reported for selected gynecologic cancer operations.
CMS doesn’t publish an office rate for 58200 in Washington.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58200 covers
A gynecologic surgeon performs this abdominal operation to remove the uterus and cervix along with a portion of the vagina and sample pelvic and para-aortic lymph nodes. Removal of one or both fallopian tubes or ovaries may be part of the operation. It is typically performed by a gynecologic oncologist in a hospital operating room for selected gynecologic malignancies.
Report the code when the operative record supports the abdominal approach, partial vaginectomy, and the specified nodal sampling; removal of tubes or ovaries is optional. The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not use modifier 50 for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
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.
Where 58200 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $1,245.07 |
| Seattle (King Cnty) | Unavailable | $1,341.26 |
How the 58200 rate is calculated
Each of 58200’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58200
RVUs × geographic indexes × conversion factor
Work22.52
22.52 RVUs× 1.000 GPCI
Practice expense10.18
10.18 RVUs× 1.000 GPCI
Malpractice4.92
4.92 RVUs× 1.000 GPCI
Adjusted RVUs
37.6200
Conversion factor
$33.4009
Medicare rate
$1,256.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58200
58200 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58200
Extensive hysterectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58200
Extensive hysterectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58200 without 51 · national facility
$1,256.54
Extensive hysterectomy
58200-51 · Second procedure: 50%
$628.27
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58200 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58210Radical hysterectomy
- This code describes an extensive abdominal hysterectomy with partial vaginectomy and nodal sampling. 58210 is the radical abdominal procedure with bilateral total pelvic lymphadenectomy and para-aortic sampling.
- 58150Hysterectomy
- 58150 describes abdominal removal of the uterus and cervix without this code's specified partial vaginectomy and pelvic and para-aortic node sampling.
- 58285Radical hysterectomy
- 58285 is a vaginal radical hysterectomy with pelvic lymphadenectomy; this code describes an abdominal approach with partial vaginectomy and pelvic and para-aortic node sampling.
58200 billing questions
How does this differ from 58210?
58210 describes a radical abdominal operation with bilateral total pelvic lymphadenectomy and para-aortic node sampling. Choose based on the documented extent of resection and nodal dissection, not just the cancer diagnosis.
Are the partial vaginectomy and node sampling included?
Yes. Those elements are part of this extensive hysterectomy service and should be supported in the operative report.
Can tubes or ovaries be removed with this procedure?
Yes. Their removal is optional under the code; document which adnexal structures were removed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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