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Billing code 58545: Laparoscopic myomectomyMedicare rate & RVUs

Reports laparoscopic removal of a limited fibroid burden when the surgeon preserves the uterus and excises qualifying intramural or surface myomas.

CMS RVU26DEffective Oct 1, 2026109 payment localities178 Medicare services in 2024

Medicare pays $807.97 for 58545 nationally in a facility.

Medicare rate · 58545

Laparoscopic myomectomy

Swap in your local Medicare rate.

Work RVUs
15.16
Total RVUs
24.19
Global days
090

National rate · 2026

$807.97

Facility setting, before claim adjustments.

See every locality for 58545 → · 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 58545 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 58545 covers

A gynecologic surgeon removes uterine fibroids through laparoscopic ports while preserving the uterus. This code fits removal of one to four intramural fibroids with a combined weight of 250 g or less, and/or removal of surface fibroids. It is typically performed in a hospital outpatient or ambulatory surgery setting for patients seeking fibroid treatment without hysterectomy. The operative report should identify the laparoscopic approach, the fibroids removed, their location and number, and the total weight when relevant.

Report the service once for the operative session, not once per fibroid. When more than four intramural fibroids are removed or their combined weight exceeds 250 g, consider 58546 instead. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. 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. Medicare may pay for an assistant at surgery, 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 58545 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

58545 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$740.75
Alaska*Unavailable$1,031.65
ArizonaUnavailable$787.82
ArkansasUnavailable$732.58
AtlantaUnavailable$831.99
AustinUnavailable$810.04
BakersfieldUnavailable$800.02
Baltimore/Surr. CntysUnavailable$853.75
BeaumontUnavailable$782.64
BrazoriaUnavailable$789.15

58545 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.

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
58545 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 58545 rate is calculated

Each of 58545’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 · 58545

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.16Practice expense 6.17Malpractice 2.86

24.1900 adjusted RVUs×$33.4009 conversion factor=$807.97

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

Payment rules and modifiers for 58545

58545 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58545

Laparoscopic myomectomy

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 · 58545

Laparoscopic myomectomy

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

58545 without 51 · national facility

$807.97

Laparoscopic myomectomy

58545-51 · Second procedure: 50%

$403.99

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

58545 compared with similar codes

Compare codes

58545 vs 58546 vs 58561 vs 58140: national Medicare rates

Swap in your local Medicare rate.

  • 58545
    Laparoscopic myomectomy · 15.16 wRVU
    —
  • 58546
    Laparoscopic myomectomy · 19.44 wRVU
    —
  • 58561
    Myoma removal · 6.44 wRVU
    —
  • 58140
    Myomectomy · 15.4 wRVU
    —

How to choose

58546Laparoscopic myomectomy
Both describe laparoscopic myomectomy. Select 58545 for the limited burden; select 58546 when more than four intramural fibroids are removed or their combined weight exceeds 250 g.
58561Myoma removal
58561 is for hysteroscopic removal through the cervix and uterine cavity. Use 58545 when the surgeon removes fibroids laparoscopically through abdominal ports.
58140Myomectomy
58140 describes open abdominal myomectomy for a limited fibroid burden. Use 58545 when the removal is performed laparoscopically.

Codes related to 58545

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

Codes related to 58545
CodeHow it relatesNational office range
Same family
58546Laparoscopic myomectomyLaparoscopic myomectomy for a greater intramural fibroid count or total weight.No office rate
Used instead
58561Myoma removalHysteroscopic removal for fibroids approached through the uterine cavity.No office rate
58140MyomectomyOpen abdominal myomectomy for a limited fibroid burden.No office rate
58146MyomectomyOpen abdominal myomectomy for a greater fibroid count or total weight.No office rate

58545 billing questions

When should 58546 be used instead?

Use 58546 when the procedure removes more than four intramural fibroids or the combined weight of the intramural fibroids exceeds 250 g. Document the count and weight to support the code selection.

Is 58545 reported once or per fibroid?

Report one service for the operative session, rather than separate units for each fibroid removed. The operative report should describe the number and location of the fibroids and their total weight when relevant.

How does 58545 differ from hysteroscopic fibroid removal?

58545 describes laparoscopic removal through abdominal ports. Hysteroscopic removal, such as 58561, treats fibroids approached through the cervix and uterine cavity.

Can modifier 50 be appended?

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

What related care is included in the global period?

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

Can an assistant or co-surgeon be reported?

CMS indicates that an assistant at surgery may be paid and that co-surgeons are permitted. Team surgery is not permitted for this code.

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 58545PPRRVU2026_Oct_nonQPP.csv, line 6,559 (RVU26D)

Open CMS sourceHow we calculate rates

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