CPT code 58544: Laparoscopic hysterectomy, supracervical, uterus over 250 g2026 Medicare rate & RVUs in Montana
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.
In Montana, Medicare pays $801.78 for 58544 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58544 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 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.
How Montana compares for 58544
Across 109 of 109 payment localities, the facility rate for 58544 runs from $730.29 in Arkansas to $1,029.92 in Alaska. Montana pays $801.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$801.78
- Los Angeles, CA · California$830.98+$29.20
- Washington, DC area · District of Columbia$876.00+$74.22
- Miami, FL · Florida$944.72+$142.94
- Chicago, IL · Illinois$920.30+$118.52
- Manhattan, NY · New York$919.33+$117.55
- Alaska · Alaska$1,029.92+$228.14
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $738.07 |
| ArkansasArkansas | — | $730.29 |
| ArizonaArizona | — | $782.92 |
| Bakersfield, CACalifornia | — | $797.05 |
| Chico, CACalifornia | — | $789.62 |
| El Centro, CACalifornia | — | $790.06 |
| Fresno, CACalifornia | — | $789.62 |
| Hanford, CACalifornia | — | $789.62 |
| Madera, CACalifornia | — | $789.62 |
| Merced, CACalifornia | — | $789.62 |
| Modesto, CACalifornia | — | $789.62 |
| Napa, CACalifornia | — | $856.28 |
| Oxnard, CACalifornia | — | $820.57 |
| Redding, CACalifornia | — | $789.62 |
| Rest of CaliforniaCalifornia | — | $789.62 |
| Riverside, CACalifornia | — | $817.97 |
| Sacramento, CACalifornia | — | $813.08 |
| Salinas, CACalifornia | — | $809.71 |
| San Diego, CACalifornia | — | $817.36 |
| Marin County, CACalifornia | — | $887.19 |
| San Francisco, CACalifornia | — | $884.20 |
| San Benito County, CACalifornia | — | $908.17 |
| Santa Clara County, CACalifornia | — | $895.96 |
| San Luis Obispo, CACalifornia | — | $798.48 |
| Santa Cruz, CACalifornia | — | $816.17 |
| Santa Maria, CACalifornia | — | $809.63 |
| Santa Rosa, CACalifornia | — | $823.42 |
| Stockton, CACalifornia | — | $789.62 |
| Vallejo, CACalifornia | — | $851.97 |
| Visalia, CACalifornia | — | $789.62 |
| Yuba City, CACalifornia | — | $789.62 |
| ColoradoColorado | — | $802.00 |
| ConnecticutConnecticut | — | $846.43 |
| DelawareDelaware | — | $793.15 |
| Fort Lauderdale, FLFlorida | — | $875.61 |
| Rest of FloridaFlorida | — | $837.07 |
| Atlanta, GAGeorgia | — | $824.43 |
| Rest of GeorgiaGeorgia | — | $796.56 |
| Hawaii, Guam, HIHawaii | — | $793.21 |
| IowaIowa | — | $731.47 |
| IdahoIdaho | — | $739.17 |
| East St. Louis, ILIllinois | — | $874.54 |
| Rest of IllinoisIllinois | — | $833.48 |
| Suburban Chicago, ILIllinois | — | $878.89 |
| IndianaIndiana | — | $741.76 |
| KansasKansas | — | $738.60 |
| KentuckyKentucky | — | $771.61 |
| New Orleans, LALouisiana | — | $801.74 |
| Rest of LouisianaLouisiana | — | $774.57 |
| Metropolitan Boston, MAMassachusetts | — | $853.10 |
| Rest of MassachusettsMassachusetts | — | $803.17 |
| Baltimore area, MDMaryland | — | $845.95 |
| Rest of MarylandMaryland | — | $802.31 |
| Rest of MaineMaine | — | $752.26 |
| Southern Maine, MEMaine | — | $767.69 |
| Detroit, MIMichigan | — | $855.00 |
| Rest of MichiganMichigan | — | $795.36 |
| MinnesotaMinnesota | — | $746.09 |
| Metropolitan Kansas City, MOMissouri | — | $787.36 |
| Metropolitan St. Louis, MOMissouri | — | $792.24 |
| Rest of MissouriMissouri | — | $771.23 |
| MississippiMississippi | — | $750.38 |
| North CarolinaNorth Carolina | — | $756.44 |
| North DakotaNorth Dakota | — | $749.78 |
| NebraskaNebraska | — | $731.45 |
| New HampshireNew Hampshire | — | $799.42 |
| Northern New JerseyNew Jersey | — | $872.91 |
| Rest of New JerseyNew Jersey | — | $849.76 |
| New MexicoNew Mexico | — | $802.51 |
| NevadaNevada | — | $787.49 |
| NYC suburbs and Long Island, NYNew York | — | $948.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $862.84 |
| Queens, NYNew York | — | $910.80 |
| Rest of New YorkNew York | — | $765.56 |
| OhioOhio | — | $784.73 |
| OklahomaOklahoma | — | $760.32 |
| Portland, OROregon | — | $810.47 |
| Rest of OregonOregon | — | $775.04 |
| Metropolitan Philadelphia, PAPennsylvania | — | $836.50 |
| Rest of PennsylvaniaPennsylvania | — | $780.23 |
| Puerto RicoPuerto Rico | — | $802.90 |
| Rhode IslandRhode Island | — | $808.92 |
| South CarolinaSouth Carolina | — | $773.12 |
| South DakotaSouth Dakota | — | $743.63 |
| TennesseeTennessee | — | $742.53 |
| Austin, TXTexas | — | $804.91 |
| Beaumont, TXTexas | — | $777.17 |
| Brazoria, TXTexas | — | $784.84 |
| Dallas, TXTexas | — | $793.23 |
| Fort Worth, TXTexas | — | $792.31 |
| Galveston, TXTexas | — | $789.47 |
| Houston, TXTexas | — | $837.61 |
| Rest of TexasTexas | — | $782.92 |
| UtahUtah | — | $780.63 |
| VirginiaVirginia | — | $772.63 |
| Virgin Islands, VIUnited States Virgin Islands | — | $802.90 |
| VermontVermont | — | $756.50 |
| Rest of WashingtonWashington | — | $798.49 |
| King County, WAWashington | — | $858.06 |
| WisconsinWisconsin | — | $732.51 |
| West VirginiaWest Virginia | — | $812.82 |
| WyomingWyoming | — | $779.12 |
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
| 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 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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,558
- Code
- 58544
- Physician work
- 15.21
- Practice expense
- 6.17
- Malpractice
- 2.63
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.21 | × 1.000 | 15.2100 |
| Practice expense | 6.17 | × 1.000 | 6.1700 |
| Malpractice | 2.63 | × 0.998 | 2.6247 |
| Total RVUs | 24.0047 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$801.78
Facility: (15.21 × 1 + 6.17 × 1 + 2.63 × 0.998) × $33.4009 = $801.78
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%).
How 58544 has changed in Montana
58544 · 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 | $801.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $801.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $801.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $801.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $880.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $880.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $880.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $880.24 | RVU25A |
| 2024-10-01 | Not available in this setting | $906.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $906.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $906.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $906.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $892.01 | RVU24A |
| 2023-10-01 | Not available in this setting | $921.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $921.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $921.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $921.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $931.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $931.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $931.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $931.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $932.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $932.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $932.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $932.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $973.29 | RVU20D |
| 2020-07-01 | Not available in this setting | $973.29 | RVU20C |
| 2020-04-01 | Not available in this setting | $973.29 | RVU20B |
| 2020-01-01 | Not available in this setting | $973.29 | RVU20A |
| 2019-10-01 | Not available in this setting | $964.20 | RVU19D |
| 2019-07-01 | Not available in this setting | $964.20 | RVU19C |
| 2019-04-01 | Not available in this setting | $964.20 | RVU19B |
| 2019-01-01 | Not available in this setting | $964.20 | RVU19A |
| 2018-10-01 | Not available in this setting | $960.22 | RVU18D |
| 2018-07-01 | Not available in this setting | $960.22 | RVU18C |
| 2018-04-01 | Not available in this setting | $960.22 | RVU18B |
| 2018-01-01 | Not available in this setting | $960.22 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $950.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $950.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $950.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $950.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $934.41 | RVU16D |
| 2016-07-01 | Not available in this setting | $934.41 | RVU16C |
| 2016-04-01 | Not available in this setting | $934.41 | RVU16B |
| 2016-01-01 | Not available in this setting | $934.41 | RVU16A |
| 2015-10-01 | Not available in this setting | $942.11 | RVU15D |
| 2015-07-01 | Not available in this setting | $942.11 | RVU15C |
| 2015-04-01 | Not available in this setting | $937.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $937.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,124.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,124.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,124.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,124.54 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,093.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,093.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,093.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,093.21 | 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
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
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