CPT code 58544: Laparoscopic hysterectomy, supracervical, uterus over 250 g2026 Medicare rate & RVUs in Michigan
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 doesn’t publish an office rate for 58544 in Michigan.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | $855.00 |
| Rest of Michigan | Unavailable | $795.36 |
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
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
| 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) | 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 · 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.
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%).
58544 compared with similar codes
Compare codes · National
5 codes, side by side
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
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