CPT code 58546: Laparoscopic myomectomy, five or more or 250 g or greater2026 Medicare rate & RVUs in Mississippi
Reports laparoscopic removal of uterine fibroids at the complex level, based on the number of intramural myomas removed or their total weight.
In Mississippi, Medicare pays $919.88 for 58546 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58546 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 58546 covers
A gynecologic surgeon removes uterine fibroids through a laparoscopic approach while preserving the uterus, typically in an operating room. This complex level is selected when the operation involves five or more intramural myomas or the removed myomas meet the 250-gram weight threshold. The surgeon may make incisions in the uterus to remove the fibroids and repair the uterine wall; the operative report should describe the approach and work performed.
Select the level using the documented number of intramural myomas and the total weight of the excised tissue. Record both when available, along with the sites treated, so the basis for this level is clear. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Assistant-at-surgery and co-surgeon payment may be allowed; team-surgery payment is not permitted. Modifier 50 is not appropriate for this uterine procedure.
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 Mississippi compares for 58546
Across 109 of 109 payment localities, the facility rate for 58546 runs from $891.96 in Wisconsin to $1,267.41 in Alaska. Mississippi pays $919.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$919.88
- Los Angeles, CA · California$1,007.78+$87.90
- Washington, DC area · District of Columbia$1,066.13+$146.25
- Miami, FL · Florida$1,162.17+$242.29
- Chicago, IL · Illinois$1,132.34+$212.46
- Manhattan, NY · New York$1,122.87+$202.99
- Alaska · Alaska$1,267.41+$347.53
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $903.27 |
| ArkansasArkansas | — | $894.01 |
| ArizonaArizona | — | $956.58 |
| Bakersfield, CACalifornia | — | $968.39 |
| Chico, CACalifornia | — | $958.80 |
| El Centro, CACalifornia | — | $959.37 |
| Fresno, CACalifornia | — | $958.80 |
| Hanford, CACalifornia | — | $958.80 |
| Madera, CACalifornia | — | $958.80 |
| Merced, CACalifornia | — | $958.80 |
| Modesto, CACalifornia | — | $958.80 |
| Napa, CACalifornia | — | $1,033.62 |
| Oxnard, CACalifornia | — | $994.47 |
| Redding, CACalifornia | — | $958.80 |
| Rest of CaliforniaCalifornia | — | $958.80 |
| Riverside, CACalifornia | — | $995.45 |
| Sacramento, CACalifornia | — | $985.66 |
| Salinas, CACalifornia | — | $981.55 |
| San Diego, CACalifornia | — | $989.60 |
| Marin County, CACalifornia | — | $1,068.77 |
| San Francisco, CACalifornia | — | $1,064.91 |
| San Benito County, CACalifornia | — | $1,094.19 |
| Santa Clara County, CACalifornia | — | $1,078.41 |
| San Luis Obispo, CACalifornia | — | $968.12 |
| Santa Cruz, CACalifornia | — | $987.20 |
| Santa Maria, CACalifornia | — | $981.12 |
| Santa Rosa, CACalifornia | — | $995.86 |
| Stockton, CACalifornia | — | $958.80 |
| Vallejo, CACalifornia | — | $1,028.05 |
| Visalia, CACalifornia | — | $958.80 |
| Yuba City, CACalifornia | — | $958.80 |
| ColoradoColorado | — | $976.44 |
| ConnecticutConnecticut | — | $1,033.17 |
| DelawareDelaware | — | $968.82 |
| Fort Lauderdale, FLFlorida | — | $1,074.23 |
| Rest of FloridaFlorida | — | $1,027.23 |
| Atlanta, GAGeorgia | — | $1,007.89 |
| Rest of GeorgiaGeorgia | — | $978.04 |
| Hawaii, Guam, HIHawaii | — | $961.54 |
| IowaIowa | — | $892.74 |
| IdahoIdaho | — | $902.46 |
| East St. Louis, ILIllinois | — | $1,077.46 |
| Rest of IllinoisIllinois | — | $1,024.73 |
| Suburban Chicago, ILIllinois | — | $1,077.72 |
| IndianaIndiana | — | $905.45 |
| KansasKansas | — | $902.51 |
| KentuckyKentucky | — | $945.93 |
| New Orleans, LALouisiana | — | $982.30 |
| Rest of LouisianaLouisiana | — | $949.95 |
| Metropolitan Boston, MAMassachusetts | — | $1,035.83 |
| Rest of MassachusettsMassachusetts | — | $978.47 |
| Baltimore area, MDMaryland | — | $1,032.78 |
| Rest of MarylandMaryland | — | $979.43 |
| Rest of MaineMaine | — | $919.38 |
| Southern Maine, MEMaine | — | $935.79 |
| Detroit, MIMichigan | — | $1,049.97 |
| Rest of MichiganMichigan | — | $975.44 |
| MinnesotaMinnesota | — | $905.99 |
| Metropolitan Kansas City, MOMissouri | — | $963.81 |
| Metropolitan St. Louis, MOMissouri | — | $969.47 |
| Rest of MissouriMissouri | — | $946.78 |
| MontanaMontana | — | $979.42 |
| North CarolinaNorth Carolina | — | $924.13 |
| North DakotaNorth Dakota | — | $912.19 |
| NebraskaNebraska | — | $892.32 |
| New HampshireNew Hampshire | — | $974.34 |
| Northern New JerseyNew Jersey | — | $1,062.96 |
| Rest of New JerseyNew Jersey | — | $1,036.58 |
| New MexicoNew Mexico | — | $984.48 |
| NevadaNevada | — | $960.90 |
| NYC suburbs and Long Island, NYNew York | — | $1,159.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,053.31 |
| Queens, NYNew York | — | $1,110.85 |
| Rest of New YorkNew York | — | $935.08 |
| OhioOhio | — | $961.70 |
| OklahomaOklahoma | — | $931.13 |
| Portland, OROregon | — | $985.03 |
| Rest of OregonOregon | — | $945.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,022.14 |
| Rest of PennsylvaniaPennsylvania | — | $955.63 |
| Puerto RicoPuerto Rico | — | $980.33 |
| Rhode IslandRhode Island | — | $986.87 |
| South CarolinaSouth Carolina | — | $946.14 |
| South DakotaSouth Dakota | — | $904.24 |
| TennesseeTennessee | — | $907.34 |
| Austin, TXTexas | — | $980.57 |
| Beaumont, TXTexas | — | $952.08 |
| Brazoria, TXTexas | — | $957.91 |
| Dallas, TXTexas | — | $968.50 |
| Fort Worth, TXTexas | — | $967.81 |
| Galveston, TXTexas | — | $963.79 |
| Houston, TXTexas | — | $1,026.03 |
| Rest of TexasTexas | — | $957.58 |
| UtahUtah | — | $955.06 |
| VirginiaVirginia | — | $942.58 |
| Virgin Islands, VIUnited States Virgin Islands | — | $980.33 |
| VermontVermont | — | $921.38 |
| Rest of WashingtonWashington | — | $972.44 |
| King County, WAWashington | — | $1,040.54 |
| WisconsinWisconsin | — | $891.96 |
| West VirginiaWest Virginia | — | $1,000.20 |
| WyomingWyoming | — | $950.12 |
58546 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 58546 rate is calculated
Each of 58546’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 · 58546
RVUs × geographic indexes × conversion factor
Work19.44
19.44 RVUs× 1.000 GPCI
Practice expense6.49
6.49 RVUs× 1.000 GPCI
Malpractice3.40
3.40 RVUs× 1.000 GPCI
Adjusted RVUs
29.3300
Conversion factor
$33.4009
Medicare rate
$979.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,560
- Code
- 58546
- Physician work
- 19.44
- Practice expense
- 6.49
- Malpractice
- 3.40
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.44 | × 1.000 | 19.4400 |
| Practice expense | 6.49 | × 0.861 | 5.5879 |
| Malpractice | 3.40 | × 0.739 | 2.5126 |
| Total RVUs | 27.5405 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$919.88
Facility: (19.44 × 1 + 6.49 × 0.861 + 3.4 × 0.739) × $33.4009 = $919.88
Payment rules and modifiers for 58546
58546 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58546
Laparoscopic myomectomy, five or more or 250 g or greater
| 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 · 58546
Laparoscopic myomectomy, five or more or 250 g or greater
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
58546 without 51 · national facility
$979.65
Laparoscopic myomectomy, five or more or 250 g or greater
58546-51 · Second procedure: 50%
$489.83
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 58546 has changed in Mississippi
58546 · 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 | $919.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $919.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $919.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $919.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,008.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,008.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,008.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,008.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,038.88 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,038.88 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,038.88 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,038.88 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,021.92 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,047.31 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,047.31 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,047.31 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,047.31 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,054.74 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,054.74 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,054.74 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,054.74 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,058.09 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,058.09 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,058.09 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,058.09 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,070.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,070.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,070.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,070.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,043.79 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,043.79 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,043.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,043.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,042.38 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,042.38 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,042.38 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,042.38 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,055.29 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,055.29 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,055.29 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,055.29 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,058.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,058.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,058.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,058.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,065.99 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,065.99 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,060.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,060.69 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,089.97 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,089.97 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,089.97 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,089.97 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,071.73 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,071.73 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,071.73 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,071.73 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
58546 billing questions
How is this code distinguished from 58545?
Use this complex level when five or more intramural myomas are removed or the total excised weight meets the 250-gram threshold. Code 58545 describes the lower myomectomy level.
What documentation supports the complex level?
The operative report should describe the laparoscopic approach and the myomectomy performed. Document the number of intramural myomas removed and the total excised weight to support the level selected.
Can a separate hysteroscopic myomectomy be reported?
A hysteroscopic removal, such as 58561, is a different approach used for myomas treated through the uterine cavity. Do not report it for the same work already included in the laparoscopic myomectomy.
Is modifier 50 appropriate?
No. Modifier 50 is not appropriate for this uterine procedure under the CMS bilateral adjustment rule.
How does the 90-day global period affect follow-up visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are not separately reported as routine visits.
Can an assistant or co-surgeon be paid?
CMS permits assistant-at-surgery and co-surgeon payment for this code. Team-surgery payment is not permitted.
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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