CPT code 58544: Laparoscopic hysterectomy, supracervical, uterus over 250 g2026 Medicare rate & RVUs

Reports laparoscopic removal of a uterus weighing more than 250 g while retaining the cervix, with removal of one or both tubes and/or ovaries.

CMS RVU26DEffective Oct 1, 2026109 payment localities91 Medicare services in 2024

Medicare pays $801.96 for 58544 nationally in a facility.

Medicare rate · 58544

Laparoscopic hysterectomy, supracervical, uterus over 250 g

Office or facility?

Work RVUs
15.21
Total RVUs
24.01
Global days
090

National rate · 2026

$801.96

Facility setting, before claim adjustments.

See every locality for 58544 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 58544 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58544 covers

A gynecologic surgeon performs this laparoscopic supracervical hysterectomy for a uterus weighing more than 250 g, removing the uterine body while leaving the cervix in place. The procedure also includes removal of one or both fallopian tubes and/or ovaries. It may be used for conditions such as symptomatic fibroids or abnormal uterine bleeding when hysterectomy is selected. These operations are typically performed in a hospital or ambulatory surgery facility.

Choose this code when the operative approach is laparoscopic, the cervix is retained, the uterus exceeds the 250 g threshold, and tubes and/or ovaries are removed. The operative report should establish the approach, cervical status, adnexal removal, and uterine weight; pathology documentation can support specimen weight. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment does not apply, so modifier 50 is not appropriate. Assistant-at-surgery payment may be available, and co-surgeons are permitted; 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.

Where 58544 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58544 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$738.07
AlaskaUnavailable$1,029.92
ArizonaUnavailable$782.92
ArkansasUnavailable$730.29
Atlanta, GAUnavailable$824.43
Austin, TXUnavailable$804.91
Bakersfield, CAUnavailable$797.05
Baltimore area, MDUnavailable$845.95
Beaumont, TXUnavailable$777.17
Brazoria, TXUnavailable$784.84

58544 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
58544 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

How the 58544 rate is calculated

Each of 58544’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 · 58544

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.21

15.21 RVUs× 1.000 GPCI

Practice expense6.17

6.17 RVUs× 1.000 GPCI

Malpractice2.63

2.63 RVUs× 1.000 GPCI

Adjusted RVUs

24.0100

Conversion factor

$33.4009

Medicare rate

$801.96

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

Payment rules and modifiers for 58544

58544 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58544

Laparoscopic hysterectomy, supracervical, uterus over 250 g

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)2Permitted.
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 · 58544

Laparoscopic hysterectomy, supracervical, uterus over 250 g

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

58544 without 51 · national facility

$801.96

Laparoscopic hysterectomy, supracervical, uterus over 250 g

58544-51 · Second procedure: 50%

$400.98

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

58544 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 58544

    Laparoscopic hysterectomy, supracervical, uterus over 250 g15.21 wRVU

    Not priced

  • 58543

    Hysterectomy, uterus over 250 g14.03 wRVU

    Not priced

  • 58542

    Supracervical hysterectomy, adnexal removal, uterus 250 g or less13.81 wRVU

    Not priced

  • 58573

    Laparoscopic hysterectomy, over 250 grams, with adnexal removal20.27 wRVU

    Not priced

  • 58545

    Laparoscopic myomectomy, limited fibroid burden15.16 wRVU

    Not priced

How to choose

58543HysterectomyUterus over 250 g
Both codes describe laparoscopic supracervical hysterectomy for a uterus over 250 g. Choose 58544 when tubes and/or ovaries are removed; choose 58543 when they are not.
58542Supracervical hysterectomyAdnexal removal, uterus 250 g or less
This is the corresponding laparoscopic supracervical hysterectomy with adnexal removal when the uterus weighs 250 g or less.
58573Laparoscopic hysterectomyOver 250 grams, with adnexal removal
Both involve laparoscopic hysterectomy over 250 g with adnexal removal, but 58573 removes the cervix while 58544 retains it.
58545Laparoscopic myomectomyLimited fibroid burden
58545 removes fibroids laparoscopically while preserving the uterus; 58544 removes the uterine body and retains the cervix.

58544 billing questions

When should 58544 be selected instead of 58543?

Use 58544 when tubes and/or ovaries are removed along with the laparoscopic supracervical hysterectomy. Code 58543 represents the corresponding procedure without that adnexal removal.

Does this code include removal of the tubes or ovaries?

Yes. Removal of one or both tubes and/or ovaries is part of the service represented by 58544; do not separately report that removal as though it were outside the coded procedure.

What documentation supports the 250 g threshold?

The operative report should identify the laparoscopic approach, retained cervix, and adnexal removal. Document the uterine specimen weight, with pathology documentation supporting the weight when available.

Should modifier 50 be appended for removal on both sides?

No. CMS identifies bilateral adjustment as inapplicable to this code, so modifier 50 is not appropriate.

What postoperative care is included?

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

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 58544PPRRVU2026_Oct_nonQPP.csv, line 6,558 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 58544 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 58544 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet