CPT code 58546: Laparoscopic myomectomy, five or more or 250 g or greater2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $942.58 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.

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 Virginia 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. Virginia pays $942.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58546 rates by state

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

See 58546 in every payment locality

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.

Payment rules and modifiers for 58546

58546 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 58546

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

How 58546 has changed in Virginia

Price 58546 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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