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

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, 2026One payment locality91 Medicare services in 2024

In North Carolina, Medicare pays $756.44 for 58544 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$756.44Hospital or facility

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.

We’ll open 58544 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 58544 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How North Carolina 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. North Carolina pays $756.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

58544 in North Carolina vs other payment areas
  1. North Carolina · this page$756.44
  2. Los Angeles, CA · California$830.98+$74.54
  3. Washington, DC area · District of Columbia$876.00+$119.56
  4. Miami, FL · Florida$944.72+$188.28
  5. Chicago, IL · Illinois$920.30+$163.86
  6. Manhattan, NY · New York$919.33+$162.89
  7. Alaska · Alaska$1,029.92+$273.48

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

58544 in every other Medicare payment locality
Payment localityOfficeFacility
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

58544 rates by state

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

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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

See 58544 in every payment locality

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.

The exact North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 58544 in North Carolina
ComponentRVULocality factorAdjusted
Physician work15.21× 1.00015.2100
Practice expense6.17× 0.9335.7566
Malpractice2.63× 0.6391.6806
Total RVUs22.6472
Conversion factor× 33.4009

Facility rate, North Carolina$756.44

Facility: (15.21 × 1 + 6.17 × 0.933 + 2.63 × 0.639) × $33.4009 = $756.44

Open 58544 in the RVU calculator

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

How 58544 has changed in North Carolina

58544 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$756.44RVU26D
2026-07-01Not available in this setting$756.44RVU26C
2026-04-01Not available in this setting$756.44RVU26B
2026-01-01Not available in this setting$756.44RVU26A
2025-10-01Not available in this setting$832.20RVU25D
2025-07-01Not available in this setting$832.20RVU25C
2025-04-01Not available in this setting$832.20RVU25B
2025-01-01Not available in this setting$832.20RVU25A
2024-10-01Not available in this setting$856.99RVU24D
2024-07-01Not available in this setting$856.99RVU24C
2024-04-01Not available in this setting$856.99RVU24B
2024-03-09Not available in this setting$856.99RVU24AR
2024-01-01Not available in this setting$843.00RVU24A
2023-10-01Not available in this setting$878.31RVU23D
2023-07-01Not available in this setting$878.31RVU23C
2023-04-01Not available in this setting$878.31RVU23B
2023-01-01Not available in this setting$878.31RVU23A
2022-10-01Not available in this setting$895.42RVU22D
2022-07-01Not available in this setting$895.42RVU22C
2022-04-01Not available in this setting$895.42RVU22B
2022-01-01Not available in this setting$895.42RVU22A
2021-10-01Not available in this setting$897.15RVU21D
2021-07-01Not available in this setting$897.15RVU21C
2021-04-01Not available in this setting$897.15RVU21B
2021-01-01Not available in this setting$897.15RVU21A
2020-10-01Not available in this setting$904.60RVU20D
2020-07-01Not available in this setting$904.60RVU20C
2020-04-01Not available in this setting$904.60RVU20B
2020-01-01Not available in this setting$904.60RVU20A
2019-10-01Not available in this setting$878.89RVU19D
2019-07-01Not available in this setting$878.89RVU19C
2019-04-01Not available in this setting$878.89RVU19B
2019-01-01Not available in this setting$878.89RVU19A
2018-10-01Not available in this setting$874.32RVU18D
2018-07-01Not available in this setting$874.32RVU18C
2018-04-01Not available in this setting$874.32RVU18B
2018-01-01Not available in this setting$874.32RVU18AR1
2017-10-01Not available in this setting$880.63RVU17D
2017-07-01Not available in this setting$880.63RVU17C
2017-04-01Not available in this setting$880.63RVU17B
2017-01-01Not available in this setting$880.63RVU17A
2016-10-01Not available in this setting$880.52RVU16D
2016-07-01Not available in this setting$880.52RVU16C
2016-04-01Not available in this setting$880.52RVU16B
2016-01-01Not available in this setting$880.52RVU16A
2015-10-01Not available in this setting$886.51RVU15D
2015-07-01Not available in this setting$886.51RVU15C
2015-04-01Not available in this setting$882.10RVU15B
2015-01-01Not available in this setting$882.10RVU15A
2014-10-01Not available in this setting$1,054.03RVU14D
2014-07-01Not available in this setting$1,054.03RVU14C
2014-04-01Not available in this setting$1,054.03RVU14B
2014-01-01Not available in this setting$1,054.03RVU14A
2013-10-01Not available in this setting$1,024.26RVU13D
2013-07-01Not available in this setting$1,024.26RVU13C
2013-04-01Not available in this setting$1,024.26RVU13B
2013-01-01Not available in this setting$1,024.26RVU13AR

Price 58544 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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