FeeBase
Log inGet started
Menu

Billing code 58543: HysterectomyMedicare rate & RVUs

Reports laparoscopic removal of the uterine body while leaving the cervix in place when the uterus weighs more than 250 grams.

CMS RVU26DEffective Oct 1, 2026109 payment localities28 Medicare services in 2024

Medicare pays $742.50 for 58543 nationally in a facility.

Medicare rate · 58543

Hysterectomy

Swap in your local Medicare rate.

Work RVUs
14.03
Total RVUs
22.23
Global days
090

National rate · 2026

$742.50

Facility setting, before claim adjustments.

See every locality for 58543 → · 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 58543 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 58543 covers

A gynecologic surgeon performs this laparoscopic operation to remove the uterine body while retaining the cervix. It may be used for conditions such as symptomatic fibroids or abnormal uterine bleeding when a supracervical approach is selected. This code represents a uterus weighing more than 250 grams and does not include removal of a fallopian tube or ovary as part of the coded procedure. The operation is typically performed in a hospital or ambulatory surgery setting; the code is not selected based on the number or size of fibroids alone.

Choose the code based on the documented weight of the removed uterus and whether tubes or ovaries were removed. The operative report should identify the laparoscopic approach, retained cervix, adnexal work, and uterine specimen weight. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment is not appropriate. Assistant-at-surgery payment 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.

Where 58543 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

58543 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$682.77
Alaska*Unavailable$952.21
ArizonaUnavailable$724.69
ArkansasUnavailable$675.50
AtlantaUnavailable$763.55
AustinUnavailable$745.13
BakersfieldUnavailable$737.52
Baltimore/Surr. CntysUnavailable$783.52
BeaumontUnavailable$719.42
BrazoriaUnavailable$726.38

58543 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
58543 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 58543 rate is calculated

Each of 58543’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 · 58543

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.03Practice expense 5.73Malpractice 2.47

22.2300 adjusted RVUs×$33.4009 conversion factor=$742.50

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

Payment rules and modifiers for 58543

58543 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58543

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 · 58543

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

58543 without 51 · national facility

$742.50

Hysterectomy

58543-51 · Second procedure: 50%

$371.25

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

58543 compared with similar codes

Compare codes

58543 vs 58544 vs 58541 vs 58572: national Medicare rates

Swap in your local Medicare rate.

  • 58543
    Hysterectomy · 14.03 wRVU
    —
  • 58544
    Laparoscopic hysterectomy · 15.21 wRVU
    —
  • 58541
    Supracervical hysterectomy · 11.98 wRVU
    —
  • 58572
    Laparoscopic hysterectomy · 17.27 wRVU
    —

How to choose

58544Laparoscopic hysterectomy
Both are laparoscopic supracervical procedures for a uterus over 250 grams. Choose 58544 when the operation includes removal of one or both tubes and/or ovaries.
58541Supracervical hysterectomy
This code is for a uterus over 250 grams; 58541 is for 250 grams or less. Both describe a laparoscopic supracervical procedure without adnexal removal.
58572Laparoscopic hysterectomy
Both are laparoscopic hysterectomies for a uterus over 250 grams. Code 58572 represents removal of the cervix, unlike this supracervical procedure.

Codes related to 58543

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

Codes related to 58543
CodeHow it relatesNational office range
Same family
58541Supracervical hysterectomyLaparoscopic supracervical hysterectomy for a uterus weighing 250 grams or less, without adnexal removal.No office rate
58542Supracervical hysterectomySame laparoscopic supracervical approach for a uterus 250 grams or less, with tube and/or ovary removal.No office rate
58544Laparoscopic hysterectomyLarge-uterus laparoscopic supracervical hysterectomy when tube and/or ovary removal is included.No office rate
Used instead
58572Laparoscopic hysterectomyTotal laparoscopic hysterectomy for a uterus over 250 grams; the cervix is removed.No office rate
58573Laparoscopic hysterectomyTotal laparoscopic hysterectomy for a uterus over 250 grams with tube and/or ovary removal.No office rate

58543 billing questions

How is this code distinguished from 58541?

Both describe laparoscopic supracervical hysterectomy without removal of tubes or ovaries as part of the coded procedure. Use this code when the removed uterus weighs more than 250 grams; 58541 is for 250 grams or less.

When should 58544 be reported instead?

Use 58544 when the uterus weighs more than 250 grams and the procedure includes removal of one or both tubes and/or ovaries. This code represents the large-uterus procedure without that adnexal removal.

What documentation supports the weight category?

The operative report should describe the laparoscopic supracervical approach and retained cervix. Use the documented weight of the removed uterine specimen to support the greater-than-250-gram category.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not report modifier 50 for this hysterectomy.

How does the global period affect postoperative reporting?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. CMS also permits assistant-at-surgery payment and co-surgeons, but not team surgery.

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 58543PPRRVU2026_Oct_nonQPP.csv, line 6,557 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 58543 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 58543 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →