CPT code 58542: Supracervical hysterectomy2026 Medicare rate & RVUs

Reports laparoscopic removal of the uterine body while leaving the cervix, with removal of one or more tubes and/or ovaries, for a uterus weighing 250 g or less.

CMS RVU26DEffective Oct 1, 2026109 payment localities4K Medicare services in 2024

Medicare pays $733.48 for 58542 nationally in a facility.

Medicare rate · 58542

Supracervical hysterectomy

Work RVUs
13.81
Total RVUs
21.96
Global days
090

National rate · 2026

$733.48

Facility setting, before claim adjustments.

See every locality for 58542 →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 58542 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 58542 covers

A gynecologic surgeon removes the uterine body laparoscopically and leaves the cervix in place. This code is for cases that also include removal of at least one fallopian tube and/or ovary, such as a tube removed during hysterectomy for symptomatic fibroids or abnormal uterine bleeding. The procedure is generally performed in a hospital operating room or an ambulatory surgery setting. The uterine weight determines whether this code or a higher-weight code in the family applies.

Report the code when the operative record supports the supracervical approach, adnexal removal, and uterine weight of 250 g or less; pathology documentation can help substantiate weight. The 90-day global period includes 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. CMS permits assistant-at-surgery and co-surgeon payment; 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.

Where 58542 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

58542 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$675.10
Alaska*Unavailable$941.29
ArizonaUnavailable$716.14
ArkansasUnavailable$667.98
AtlantaUnavailable$753.81
AustinUnavailable$736.64
BakersfieldUnavailable$729.99
Baltimore/Surr. CntysUnavailable$773.66
BeaumontUnavailable$710.48
BrazoriaUnavailable$718.09

58542 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.

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58542 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 58542 rate is calculated

Each of 58542’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 · 58542

RVUs × geographic indexes × conversion factor

Work13.81

13.81 RVUs× 1.000 GPCI

Practice expense5.79

5.79 RVUs× 1.000 GPCI

Malpractice2.36

2.36 RVUs× 1.000 GPCI

Adjusted RVUs

21.9600

Conversion factor

$33.4009

Medicare rate

$733.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 58542

58542 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58542

Supracervical hysterectomy

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 · 58542

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.

  • 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

58542 without 51 · national facility

$733.48

Supracervical hysterectomy

58542-51 · Second procedure: 50%

$366.74

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

58542 compared with similar codes

Compare codes · National

4 codes, side by side

  • 58542

    Supracervical hysterectomy13.81 wRVU

    Not priced

  • 58541

    Supracervical hysterectomy11.98 wRVU

    Not priced

  • 58544

    Laparoscopic hysterectomy15.21 wRVU

    Not priced

  • 58571

    Laparoscopic hysterectomy14.63 wRVU

    Not priced

How to choose

58541Supracervical hysterectomy
Both are laparoscopic supracervical hysterectomies for a uterus 250 g or less. Choose 58542 when one or more tubes and/or ovaries are removed; 58541 describes the procedure without that removal.
58544Laparoscopic hysterectomy
Both include laparoscopic supracervical hysterectomy with adnexal removal. The distinction is uterine weight: 58544 is for a uterus weighing more than 250 g.
58571Laparoscopic hysterectomy
Both describe laparoscopic hysterectomy with adnexal removal for a uterus 250 g or less. Use 58571 when the cervix is removed; 58542 leaves it in place.

58542 billing questions

How does this differ from 58541?

58542 includes removal of one or more fallopian tubes and/or ovaries during the supracervical hysterectomy. Use 58541 when the uterus is 250 g or less and no tube or ovary is removed.

Does the cervix remain?

Yes. This is a supracervical hysterectomy: the uterine body is removed and the cervix is retained.

Can the tube or ovary removal be billed separately?

Removal of one or more tubes and/or ovaries is part of the service represented by 58542. Do not separately report the same adnexal removal as though it were outside this hysterectomy service.

What supports the 250 g threshold?

The operative and pathology records should support the uterine weight and the laparoscopic supracervical approach. Use the higher-weight code when the uterus weighs more than 250 g.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery and co-surgeon payment for this code. Team surgery is not permitted.

Should modifier 50 be appended?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the service.

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 58542PPRRVU2026_Oct_nonQPP.csv, line 6,556 (RVU26D)

Open CMS sourceHow we calculate rates

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