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Billing code 58541: Supracervical hysterectomyMedicare rate & RVUs

Reports laparoscopic removal of the uterine body while retaining the cervix when the uterus weighs 250 g or less.

CMS RVU26DEffective Oct 1, 2026109 payment localities201 Medicare services in 2024

Medicare pays $648.65 for 58541 nationally in a facility.

Medicare rate · 58541

Supracervical hysterectomy

Swap in your local Medicare rate.

Work RVUs
11.98
Total RVUs
19.42
Global days
090

National rate · 2026

$648.65

Facility setting, before claim adjustments.

See every locality for 58541 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 58541 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58541 covers

A gynecologic surgeon removes the uterine body through a laparoscopic approach and leaves the cervix in place. This operation may be performed for benign uterine conditions such as fibroids or abnormal bleeding when hysterectomy is chosen. It is commonly performed in a hospital operating room or ambulatory surgery setting. The uterus weight distinguishes this code from the higher-weight code in the same procedure family.

Report the code for the laparoscopic supracervical hysterectomy when the uterus weighs 250 g or less and tubes or ovaries are not removed as part of the coded service. Document the laparoscopic approach, that the cervix was retained, the extent of the operation, and uterine weight. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Bilateral adjustment is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not. When related endoscopies are performed together, CMS endoscopy-family pricing applies.

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.

Where 58541 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58541 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$597.35
Alaska*Unavailable$831.22
ArizonaUnavailable$633.54
ArkansasUnavailable$591.09
AtlantaUnavailable$665.93
AustinUnavailable$652.60
BakersfieldUnavailable$648.22
Baltimore/Surr. CntysUnavailable$683.92
BeaumontUnavailable$627.52
BrazoriaUnavailable$635.80

58541 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
58541 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

How the 58541 rate is calculated

Each of 58541’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 · 58541

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.98Practice expense 5.48Malpractice 1.96

19.4200 adjusted RVUs×$33.4009 conversion factor=$648.65

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58541

58541 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58541

Supracervical hysterectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
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 · 58541

Supracervical hysterectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

58541 without 51 · national facility

$648.65

Supracervical hysterectomy

58541-51 · Second procedure: 50%

$324.33

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

58541 compared with similar codes

Compare codes

58541 vs 58542 vs 58543 vs 58570 vs 58545: national Medicare rates

Swap in your local Medicare rate.

  • 58541
    Supracervical hysterectomy · 11.98 wRVU
    —
  • 58542
    Supracervical hysterectomy · 13.81 wRVU
    —
  • 58543
    Hysterectomy · 14.03 wRVU
    —
  • 58570
    Laparoscopic hysterectomy · 13.03 wRVU
    —
  • 58545
    Laparoscopic myomectomy · 15.16 wRVU
    —

How to choose

58542Supracervical hysterectomy
Both describe laparoscopic supracervical hysterectomy for a uterus weighing 250 g or less. Choose 58542 when removal of one or more tubes and/or ovaries is part of the procedure.
58543Hysterectomy
This is the higher-weight counterpart. Use 58541 when the uterus weighs 250 g or less; use 58543 when it weighs more than 250 g.
58570Laparoscopic hysterectomy
Both are laparoscopic hysterectomies for a uterus weighing 250 g or less. Code 58570 is for total hysterectomy, which removes the cervix; 58541 retains it.
58545Laparoscopic myomectomy
Myomectomy removes fibroids while preserving the uterus. Code 58541 removes the uterine body and retains the cervix.

Codes related to 58541

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

Codes related to 58541
CodeHow it relatesNational office range
Same family
58542Supracervical hysterectomySupracervical laparoscopic hysterectomy at this weight level with removal of tube(s) and/or ovary(s).No office rate
58543HysterectomySupracervical laparoscopic hysterectomy when the uterus weighs more than 250 g.No office rate
58544Laparoscopic hysterectomyHigher-weight counterpart with removal of tube(s) and/or ovary(s).No office rate
Used instead
58570Laparoscopic hysterectomyTotal laparoscopic hysterectomy for a uterus weighing 250 g or less; the cervix is removed.No office rate
58571Laparoscopic hysterectomyTotal laparoscopic hysterectomy at this weight level with removal of tube(s) and/or ovary(s).No office rate
58545Laparoscopic myomectomyLaparoscopic myomectomy removes fibroids while preserving the uterus rather than removing its body.No office rate

58541 billing questions

How is this code distinguished from 58542?

Use 58541 for the laparoscopic supracervical hysterectomy when tubes or ovaries are not removed as part of the coded service. Code 58542 describes the corresponding procedure with removal of one or more tubes and/or ovaries.

Does the operation remove the cervix?

No. This is a supracervical hysterectomy: the uterine body is removed while the cervix remains.

How is the 250 g threshold supported?

Document the uterus weight and the operative details that establish the procedure performed. The 250 g threshold separates this code from 58543.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

CMS permits payment for an assistant at surgery and co-surgeons. Team surgery 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
RVUs for 58541PPRRVU2026_Oct_nonQPP.csv, line 6,555 (RVU26D)

Open CMS sourceHow we calculate rates

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