CPT code 58140: Myomectomy, abdominal, limited burden2026 Medicare rate & RVUs in New Mexico

Reports abdominal removal of uterine fibroids while preserving the uterus, for limited intramural fibroid burden or removal of surface fibroids.

CMS RVU26DEffective Oct 1, 2026One payment locality70 Medicare services in 2024

In New Mexico, Medicare pays $813.81 for 58140 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$813.81Hospital or facility

Check a contract rate as a % of Medicare · 58140 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 58140 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 58140 covers

A gynecologic surgeon removes uterine leiomyomas through an abdominal approach while preserving the uterus. The operation may be performed for symptoms such as heavy menstrual bleeding or pelvic pressure, or when fibroids affect reproductive plans. It includes removal of one to four intramural fibroids with a combined weight of 250 g or less, and can also cover removal of surface fibroids. This is generally performed in a hospital or other surgical facility.

Select this code based on the abdominal approach and the documented number, location, and total weight of the fibroids removed. The operative report should support the intramural count and weight, or describe the surface fibroids removed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for this uterine procedure.

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.

How New Mexico compares for 58140

Across 109 of 109 payment localities, the facility rate for 58140 runs from $739.85 in Arkansas to $1,043.22 in Alaska. New Mexico pays $813.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

58140 in New Mexico vs other payment areas
  1. New Mexico · this page$813.81
  2. Los Angeles, CA · California$841.91+$28.10
  3. Washington, DC area · District of Columbia$888.04+$74.23
  4. Miami, FL · Florida$959.41+$145.60
  5. Chicago, IL · Illinois$934.41+$120.60
  6. Manhattan, NY · New York$932.51+$118.70
  7. Alaska · Alaska$1,043.22+$229.41

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

58140 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$747.79
ArkansasArkansas—$739.85
ArizonaArizona—$793.53
Bakersfield, CACalifornia—$807.50
Chico, CACalifornia—$799.89
El Centro, CACalifornia—$800.34
Fresno, CACalifornia—$799.89
Hanford, CACalifornia—$799.89

58140 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
58140 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 58140 in every payment locality

How the 58140 rate is calculated

Each of 58140’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 · 58140

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.40

15.40 RVUs× 1.000 GPCI

Practice expense6.24

6.24 RVUs× 1.000 GPCI

Malpractice2.70

2.70 RVUs× 1.000 GPCI

Adjusted RVUs

24.3400

Conversion factor

$33.4009

Medicare rate

$812.98

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,519

Code
58140
Physician work
15.40
Practice expense
6.24
Malpractice
2.70

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 58140 in New Mexico
ComponentRVULocality factorAdjusted
Physician work15.40× 1.00015.4000
Practice expense6.24× 0.9175.7221
Malpractice2.70× 1.2013.2427
Total RVUs24.3648
Conversion factor× 33.4009

Facility rate, New Mexico$813.81

Facility: (15.4 × 1 + 6.24 × 0.917 + 2.7 × 1.201) × $33.4009 = $813.81

Open 58140 in the RVU calculator

Payment rules and modifiers for 58140

58140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58140

Myomectomy, abdominal, limited burden

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58140

Myomectomy, abdominal, limited burden

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58140 without 51 · national facility

$812.98

Myomectomy, abdominal, limited burden

58140-51 · Second procedure: 50%

$406.49

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%).

When to use modifier 51

How 58140 has changed in New Mexico

58140 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$813.81RVU26D
2026-07-01Not available in this setting$813.81RVU26C
2026-04-01Not available in this setting$813.81RVU26B
2026-01-01Not available in this setting$813.81RVU26A
2025-10-01Not available in this setting$883.48RVU25D
2025-07-01Not available in this setting$883.48RVU25C
2025-04-01Not available in this setting$883.48RVU25B
2025-01-01Not available in this setting$883.48RVU25A
2024-10-01Not available in this setting$911.56RVU24D
2024-07-01Not available in this setting$911.56RVU24C
2024-04-01Not available in this setting$911.56RVU24B
2024-03-09Not available in this setting$911.56RVU24AR
2024-01-01Not available in this setting$896.68RVU24A
2023-10-01Not available in this setting$934.22RVU23D
2023-07-01Not available in this setting$934.22RVU23C
2023-04-01Not available in this setting$934.22RVU23B
2023-01-01Not available in this setting$934.22RVU23A
2022-10-01Not available in this setting$945.17RVU22D
2022-07-01Not available in this setting$945.17RVU22C
2022-04-01Not available in this setting$945.17RVU22B
2022-01-01Not available in this setting$945.17RVU22A
2021-10-01Not available in this setting$942.19RVU21D
2021-07-01Not available in this setting$942.19RVU21C
2021-04-01Not available in this setting$942.19RVU21B
2021-01-01Not available in this setting$942.19RVU21A
2020-10-01Not available in this setting$962.63RVU20D
2020-07-01Not available in this setting$962.63RVU20C
2020-04-01Not available in this setting$962.63RVU20B
2020-01-01Not available in this setting$962.63RVU20A
2019-10-01Not available in this setting$938.83RVU19D
2019-07-01Not available in this setting$938.83RVU19C
2019-04-01Not available in this setting$938.83RVU19B
2019-01-01Not available in this setting$938.83RVU19A
2018-10-01Not available in this setting$930.49RVU18D
2018-07-01Not available in this setting$930.49RVU18C
2018-04-01Not available in this setting$930.49RVU18B
2018-01-01Not available in this setting$930.49RVU18AR1
2017-10-01Not available in this setting$930.78RVU17D
2017-07-01Not available in this setting$930.78RVU17C
2017-04-01Not available in this setting$930.78RVU17B
2017-01-01Not available in this setting$930.78RVU17A
2016-10-01Not available in this setting$927.53RVU16D
2016-07-01Not available in this setting$927.53RVU16C
2016-04-01Not available in this setting$927.53RVU16B
2016-01-01Not available in this setting$927.53RVU16A
2015-10-01Not available in this setting$933.21RVU15D
2015-07-01Not available in this setting$933.21RVU15C
2015-04-01Not available in this setting$928.57RVU15B
2015-01-01Not available in this setting$928.57RVU15A
2014-10-01Not available in this setting$939.55RVU14D
2014-07-01Not available in this setting$939.55RVU14C
2014-04-01Not available in this setting$939.55RVU14B
2014-01-01Not available in this setting$939.55RVU14A
2013-10-01Not available in this setting$910.19RVU13D
2013-07-01Not available in this setting$910.19RVU13C
2013-04-01Not available in this setting$910.19RVU13B
2013-01-01Not available in this setting$910.19RVU13AR

Price 58140 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

58140 billing questions

When is 58140 selected instead of 58146?

Use 58140 for an abdominal approach when there are one to four intramural fibroids weighing 250 g or less in total, or when surface fibroids are removed. 58146 describes a greater intramural fibroid burden.

How does the vaginal approach affect code selection?

58145 is the related vaginal-approach myomectomy code. Select based on the operative approach rather than treating the two codes as interchangeable.

What documentation supports 58140?

The operative report should identify the abdominal approach and describe the fibroids removed. For intramural fibroids, document their number and combined weight; for surface fibroids, document their location and removal.

Does the 90-day global period include routine postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

Can modifier 50 be added for multiple fibroids?

No. Modifier 50 is inappropriate for this uterine procedure; multiple fibroids are addressed through the code’s fibroid-burden criteria.

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
RVUs for 58140PPRRVU2026_Oct_nonQPP.csv, line 6,519 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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