CPT code 58541: Supracervical hysterectomy, laparoscopic, 250 g or less2026 Medicare rate & RVUs in Montana
Reports laparoscopic removal of the uterine body while retaining the cervix when the uterus weighs 250 g or less.
In Montana, Medicare pays $648.51 for 58541 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58541 nationwide
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 11 sections
What 58541 covers
A gynecologic surgeon removes the uterine body through a laparoscopic approach and leaves the cervix in place. This operation may be performed for benign uterine conditions such as fibroids or abnormal bleeding when hysterectomy is chosen. It is commonly performed in a hospital operating room or ambulatory surgery setting. The uterus weight distinguishes this code from the higher-weight code in the same procedure family.
Report the code for the laparoscopic supracervical hysterectomy when the uterus weighs 250 g or less and tubes or ovaries are not removed as part of the coded service. Document the laparoscopic approach, that the cervix was retained, the extent of the operation, and uterine weight. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Bilateral adjustment is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not. When related endoscopies are performed together, CMS endoscopy-family pricing applies.
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 Montana compares for 58541
Across 109 of 109 payment localities, the facility rate for 58541 runs from $591.09 in Arkansas to $831.22 in Alaska. Montana pays $648.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$648.51
- Los Angeles, CA · California$676.55+$28.04
- Washington, DC area · District of Columbia$710.23+$61.72
- Miami, FL · Florida$756.25+$107.74
- Chicago, IL · Illinois$737.14+$88.63
- Manhattan, NY · New York$742.27+$93.76
- Alaska · Alaska$831.22+$182.71
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $597.35 |
| ArkansasArkansas | — | $591.09 |
| ArizonaArizona | — | $633.54 |
| Bakersfield, CACalifornia | — | $648.22 |
| Chico, CACalifornia | — | $642.64 |
| El Centro, CACalifornia | — | $642.97 |
| Fresno, CACalifornia | — | $642.64 |
| Hanford, CACalifornia | — | $642.64 |
| Madera, CACalifornia | — | $642.64 |
| Merced, CACalifornia | — | $642.64 |
| Modesto, CACalifornia | — | $642.64 |
| Napa, CACalifornia | — | $699.85 |
| Oxnard, CACalifornia | — | $668.48 |
| Redding, CACalifornia | — | $642.64 |
| Rest of CaliforniaCalifornia | — | $642.64 |
| Riverside, CACalifornia | — | $663.80 |
| Sacramento, CACalifornia | — | $662.51 |
| Salinas, CACalifornia | — | $659.78 |
| San Diego, CACalifornia | — | $666.54 |
| Marin County, CACalifornia | — | $726.29 |
| San Francisco, CACalifornia | — | $724.06 |
| San Benito County, CACalifornia | — | $743.19 |
| Santa Clara County, CACalifornia | — | $734.09 |
| San Luis Obispo, CACalifornia | — | $650.51 |
| Santa Cruz, CACalifornia | — | $666.03 |
| Santa Maria, CACalifornia | — | $659.86 |
| Santa Rosa, CACalifornia | — | $672.01 |
| Stockton, CACalifornia | — | $642.64 |
| Vallejo, CACalifornia | — | $696.64 |
| Visalia, CACalifornia | — | $642.64 |
| Yuba City, CACalifornia | — | $642.64 |
| ColoradoColorado | — | $650.82 |
| ConnecticutConnecticut | — | $684.49 |
| DelawareDelaware | — | $641.84 |
| Fort Lauderdale, FLFlorida | — | $703.92 |
| Rest of FloridaFlorida | — | $673.52 |
| Atlanta, GAGeorgia | — | $665.93 |
| Rest of GeorgiaGeorgia | — | $641.45 |
| Hawaii, Guam, HIHawaii | — | $646.16 |
| IowaIowa | — | $593.61 |
| IdahoIdaho | — | $599.50 |
| East St. Louis, ILIllinois | — | $700.38 |
| Rest of IllinoisIllinois | — | $669.58 |
| Suburban Chicago, ILIllinois | — | $706.93 |
| IndianaIndiana | — | $601.63 |
| KansasKansas | — | $598.60 |
| KentuckyKentucky | — | $622.76 |
| New Orleans, LALouisiana | — | $646.75 |
| Rest of LouisianaLouisiana | — | $624.85 |
| Metropolitan Boston, MAMassachusetts | — | $693.36 |
| Rest of MassachusettsMassachusetts | — | $651.46 |
| Baltimore area, MDMaryland | — | $683.92 |
| Rest of MarylandMaryland | — | $649.48 |
| Rest of MaineMaine | — | $609.26 |
| Southern Maine, MEMaine | — | $622.84 |
| Detroit, MIMichigan | — | $687.15 |
| Rest of MichiganMichigan | — | $641.17 |
| MinnesotaMinnesota | — | $607.87 |
| Metropolitan Kansas City, MOMissouri | — | $635.97 |
| Metropolitan St. Louis, MOMissouri | — | $639.99 |
| Rest of MissouriMissouri | — | $621.68 |
| MississippiMississippi | — | $606.12 |
| North CarolinaNorth Carolina | — | $612.75 |
| North DakotaNorth Dakota | — | $609.76 |
| NebraskaNebraska | — | $593.83 |
| New HampshireNew Hampshire | — | $647.97 |
| Northern New JerseyNew Jersey | — | $707.59 |
| Rest of New JerseyNew Jersey | — | $687.84 |
| New MexicoNew Mexico | — | $646.61 |
| NevadaNevada | — | $637.90 |
| NYC suburbs and Long Island, NYNew York | — | $764.95 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $697.79 |
| Queens, NYNew York | — | $736.50 |
| Rest of New YorkNew York | — | $620.05 |
| OhioOhio | — | $633.24 |
| OklahomaOklahoma | — | $614.46 |
| Portland, OROregon | — | $658.61 |
| Rest of OregonOregon | — | $628.47 |
| Metropolitan Philadelphia, PAPennsylvania | — | $675.99 |
| Rest of PennsylvaniaPennsylvania | — | $630.04 |
| Puerto RicoPuerto Rico | — | $649.68 |
| Rhode IslandRhode Island | — | $655.22 |
| South CarolinaSouth Carolina | — | $624.91 |
| South DakotaSouth Dakota | — | $605.18 |
| TennesseeTennessee | — | $601.68 |
| Austin, TXTexas | — | $652.60 |
| Beaumont, TXTexas | — | $627.52 |
| Brazoria, TXTexas | — | $635.80 |
| Dallas, TXTexas | — | $642.22 |
| Fort Worth, TXTexas | — | $641.24 |
| Galveston, TXTexas | — | $639.31 |
| Houston, TXTexas | — | $675.18 |
| Rest of TexasTexas | — | $632.96 |
| UtahUtah | — | $630.99 |
| VirginiaVirginia | — | $626.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $649.68 |
| VermontVermont | — | $614.48 |
| Rest of WashingtonWashington | — | $647.90 |
| King County, WAWashington | — | $698.22 |
| WisconsinWisconsin | — | $595.66 |
| West VirginiaWest Virginia | — | $652.88 |
| WyomingWyoming | — | $631.62 |
58541 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 58541 rate is calculated
Each of 58541’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 · 58541
RVUs × geographic indexes × conversion factor
Work11.98
11.98 RVUs× 1.000 GPCI
Practice expense5.48
5.48 RVUs× 1.000 GPCI
Malpractice1.96
1.96 RVUs× 1.000 GPCI
Adjusted RVUs
19.4200
Conversion factor
$33.4009
Medicare rate
$648.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,555
- Code
- 58541
- Physician work
- 11.98
- Practice expense
- 5.48
- Malpractice
- 1.96
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.98 | × 1.000 | 11.9800 |
| Practice expense | 5.48 | × 1.000 | 5.4800 |
| Malpractice | 1.96 | × 0.998 | 1.9561 |
| Total RVUs | 19.4161 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$648.51
Facility: (11.98 × 1 + 5.48 × 1 + 1.96 × 0.998) × $33.4009 = $648.51
Payment rules and modifiers for 58541
58541 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58541
Supracervical hysterectomy, laparoscopic, 250 g or less
| 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 | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| 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 · 58541
Supracervical hysterectomy, laparoscopic, 250 g or less
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
58541 without 51 · national facility
$648.65
Supracervical hysterectomy, laparoscopic, 250 g or less
58541-51 · Second procedure: 50%
$324.33
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%).
How 58541 has changed in Montana
58541 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $648.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $648.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $648.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $648.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $711.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $711.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $711.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $711.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $732.22 | RVU24D |
| 2024-07-01 | Not available in this setting | $732.22 | RVU24C |
| 2024-04-01 | Not available in this setting | $732.22 | RVU24B |
| 2024-03-09 | Not available in this setting | $732.22 | RVU24AR |
| 2024-01-01 | Not available in this setting | $720.27 | RVU24A |
| 2023-10-01 | Not available in this setting | $741.07 | RVU23D |
| 2023-07-01 | Not available in this setting | $741.07 | RVU23C |
| 2023-04-01 | Not available in this setting | $741.07 | RVU23B |
| 2023-01-01 | Not available in this setting | $741.07 | RVU23A |
| 2022-10-01 | Not available in this setting | $750.17 | RVU22D |
| 2022-07-01 | Not available in this setting | $750.17 | RVU22C |
| 2022-04-01 | Not available in this setting | $750.17 | RVU22B |
| 2022-01-01 | Not available in this setting | $750.17 | RVU22A |
| 2021-10-01 | Not available in this setting | $749.42 | RVU21D |
| 2021-07-01 | Not available in this setting | $749.42 | RVU21C |
| 2021-04-01 | Not available in this setting | $749.42 | RVU21B |
| 2021-01-01 | Not available in this setting | $749.42 | RVU21A |
| 2020-10-01 | Not available in this setting | $780.45 | RVU20D |
| 2020-07-01 | Not available in this setting | $780.45 | RVU20C |
| 2020-04-01 | Not available in this setting | $780.45 | RVU20B |
| 2020-01-01 | Not available in this setting | $780.45 | RVU20A |
| 2019-10-01 | Not available in this setting | $765.01 | RVU19D |
| 2019-07-01 | Not available in this setting | $765.01 | RVU19C |
| 2019-04-01 | Not available in this setting | $765.01 | RVU19B |
| 2019-01-01 | Not available in this setting | $765.01 | RVU19A |
| 2018-10-01 | Not available in this setting | $761.34 | RVU18D |
| 2018-07-01 | Not available in this setting | $761.34 | RVU18C |
| 2018-04-01 | Not available in this setting | $761.34 | RVU18B |
| 2018-01-01 | Not available in this setting | $761.34 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $753.38 | RVU17D |
| 2017-07-01 | Not available in this setting | $753.38 | RVU17C |
| 2017-04-01 | Not available in this setting | $753.38 | RVU17B |
| 2017-01-01 | Not available in this setting | $753.38 | RVU17A |
| 2016-10-01 | Not available in this setting | $738.56 | RVU16D |
| 2016-07-01 | Not available in this setting | $738.56 | RVU16C |
| 2016-04-01 | Not available in this setting | $738.56 | RVU16B |
| 2016-01-01 | Not available in this setting | $738.56 | RVU16A |
| 2015-10-01 | Not available in this setting | $744.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $744.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $741.04 | RVU15B |
| 2015-01-01 | Not available in this setting | $741.04 | RVU15A |
| 2014-10-01 | Not available in this setting | $911.25 | RVU14D |
| 2014-07-01 | Not available in this setting | $911.25 | RVU14C |
| 2014-04-01 | Not available in this setting | $911.25 | RVU14B |
| 2014-01-01 | Not available in this setting | $911.25 | RVU14A |
| 2013-10-01 | Not available in this setting | $889.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $889.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $889.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $889.14 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
58541 billing questions
How is this code distinguished from 58542?
Use 58541 for the laparoscopic supracervical hysterectomy when tubes or ovaries are not removed as part of the coded service. Code 58542 describes the corresponding procedure with removal of one or more tubes and/or ovaries.
Does the operation remove the cervix?
No. This is a supracervical hysterectomy: the uterine body is removed while the cervix remains.
How is the 250 g threshold supported?
Document the uterus weight and the operative details that establish the procedure performed. The 250 g threshold separates this code from 58543.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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 paid?
CMS permits payment for an assistant at surgery and co-surgeons. 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 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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