CPT code 58545: Laparoscopic myomectomy, limited fibroid burden2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $751.22 for 58545 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58545 nationwide

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

What 58545 covers

A gynecologic surgeon removes uterine fibroids through laparoscopic ports while preserving the uterus. This code fits removal of one to four intramural fibroids with a combined weight of 250 g or less, and/or removal of surface fibroids. It is typically performed in a hospital outpatient or ambulatory surgery setting for patients seeking fibroid treatment without hysterectomy. The operative report should identify the laparoscopic approach, the fibroids removed, their location and number, and the total weight when relevant.

Report the service once for the operative session, not once per fibroid. When more than four intramural fibroids are removed or their combined weight exceeds 250 g, consider 58546 instead. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare may pay for an assistant at surgery, 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 Dakota compares for 58545

Across 109 of 109 payment localities, the facility rate for 58545 runs from $732.58 in Arkansas to $1,031.65 in Alaska. North Dakota pays $751.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58545 rates by state

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

See 58545 in every payment locality

How the 58545 rate is calculated

Each of 58545’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.

Payment rules and modifiers for 58545

58545 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 58545

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 58545 has changed in North Dakota

Price 58545 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates