CPT code 58145: Myomectomy, vaginal approach2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $496.01 for 58145 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58145 nationwide

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

What 58145 covers

Code 58145 represents surgical removal of one or more uterine fibroids through the vagina while preserving the uterus. A typical situation is a leiomyoma that has prolapsed through the cervix into the vaginal canal and can be reached for excision. A gynecologist generally performs the operation in a hospital or ambulatory surgery setting.

Choose this code for the vaginal operative route, rather than an abdominal or laparoscopic approach. The operative report should identify the fibroid and describe the vaginal route and excision performed. This major surgery has 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 additional procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this single uterine procedure. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery 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.

How New Mexico compares for 58145

Across 109 of 109 payment localities, the facility rate for 58145 runs from $452.23 in Arkansas to $631.78 in Alaska. New Mexico pays $496.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58145 rates by state

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

See 58145 in every payment locality

How the 58145 rate is calculated

Each of 58145’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.

Payment rules and modifiers for 58145

58145 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 58145

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 58145 has changed in New Mexico

Price 58145 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

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

Open CMS sourceHow we calculate rates