Both describe abdominal uterine-sparing fibroid removal. Choose 58146 when the intramural fibroid count or total weight meets the complex threshold; 58140 represents the lower level.
On this page
CMS RVU26D · Effective 2026-10-01
58146 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1016.55
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecologic surgery
About 58146: Complex abdominal uterine fibroid removal
Reports abdominal removal of a substantial fibroid burden when the surgeon preserves the uterus and the documented count or weight meets the complex level.
A gynecologic surgeon removes uterine fibroids through an abdominal approach while preserving the uterus. This level is for cases meeting the high-burden threshold by fibroid count or total specimen weight: five or more intramural fibroids, or a total weight over 250 grams. The procedure is generally performed in a hospital or other surgical facility for patients seeking fibroid treatment without hysterectomy.
Select the level from the operative record, including the number of intramural fibroids removed and, when relevant, the total specimen weight. The record should establish the abdominal approach and the uterine-sparing procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other 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. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 58146
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.83 · 65%
- Practice expense (office) RVU7.08 · 23%
- Malpractice RVU3.47 · 11%
40
Medicare services in 2024 · #5504 by national volume
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.
58146 compared with similar codes
Office rates for Austin, from the same CMS release.
This code is for the abdominal approach. Code 58145 is the vaginal-approach option, so the operative route distinguishes them.
Myomectomy removes fibroids while preserving the uterus. Code 58150 is for total abdominal hysterectomy, in which the uterus is removed.
This code preserves the uterus after fibroid removal. Code 58180 describes supracervical abdominal hysterectomy, which removes the uterus while retaining the cervix.
The same code, a different location
How does Austin compare?
58146 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 58146
Office
Unavailable
Facility
$991.42
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 58146
Office
Unavailable
Facility
$1046.21
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58146
Office
Unavailable
Facility
$1105.68
No comparable office rate is available.
Miami
Florida · 58146
Office
Unavailable
Facility
$1201.63
No comparable office rate is available.
Chicago
Illinois · 58146
Office
Unavailable
Facility
$1170.63
No comparable office rate is available.
Manhattan
New York · 58146
Office
Unavailable
Facility
$1163.34
No comparable office rate is available.
Alaska*
Alaska · 58146
Office
Unavailable
Facility
$1309.22
No comparable office rate is available.
Alabama
Alabama · 58146
Office
Unavailable
Facility
$934.86
No comparable office rate is available.
Arkansas
Arkansas · 58146
Office
Unavailable
Facility
$925.16
No comparable office rate is available.
Arizona
Arizona · 58146
Office
Unavailable
Facility
$990.70
No comparable office rate is available.
Bakersfield
California · 58146
Office
Unavailable
Facility
$1004.69
No comparable office rate is available.
Chico
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
El Centro
California · 58146
Office
Unavailable
Facility
$995.48
No comparable office rate is available.
Fresno
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Hanford-Corcoran
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Madera
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Merced
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Modesto
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Napa
California · 58146
Office
Unavailable
Facility
$1074.62
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58146
Office
Unavailable
Facility
$1032.61
No comparable office rate is available.
Redding
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Rest Of California
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58146
Office
Unavailable
Facility
$1032.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58146
Office
Unavailable
Facility
$1023.33
No comparable office rate is available.
Salinas
California · 58146
Office
Unavailable
Facility
$1019.07
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58146
Office
Unavailable
Facility
$1027.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58146
Office
Unavailable
Facility
$1111.90
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58146
Office
Unavailable
Facility
$1107.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58146
Office
Unavailable
Facility
$1138.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58146
Office
Unavailable
Facility
$1122.21
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58146
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58146
Office
Unavailable
Facility
$1025.69
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58146
Office
Unavailable
Facility
$1018.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58146
Office
Unavailable
Facility
$1034.73
No comparable office rate is available.
Stockton
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Vallejo
California · 58146
Office
Unavailable
Facility
$1068.94
No comparable office rate is available.
Visalia
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Yuba City
California · 58146
Office
Unavailable
Facility
$994.90
No comparable office rate is available.
Colorado
Colorado · 58146
Office
Unavailable
Facility
$1012.42
No comparable office rate is available.
Connecticut
Connecticut · 58146
Office
Unavailable
Facility
$1070.51
No comparable office rate is available.
Delaware
Delaware · 58146
Office
Unavailable
Facility
$1003.49
No comparable office rate is available.
Fort Lauderdale
Florida · 58146
Office
Unavailable
Facility
$1111.44
No comparable office rate is available.
Rest Of Florida
Florida · 58146
Office
Unavailable
Facility
$1062.61
No comparable office rate is available.
Atlanta
Georgia · 58146
Office
Unavailable
Facility
$1043.79
No comparable office rate is available.
Rest Of Georgia
Georgia · 58146
Office
Unavailable
Facility
$1011.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58146
Office
Unavailable
Facility
$998.32
No comparable office rate is available.
Iowa
Iowa · 58146
Office
Unavailable
Facility
$924.73
No comparable office rate is available.
Idaho
Idaho · 58146
Office
Unavailable
Facility
$934.72
No comparable office rate is available.
East St. Louis
Illinois · 58146
Office
Unavailable
Facility
$1113.32
No comparable office rate is available.
Rest Of Illinois
Illinois · 58146
Office
Unavailable
Facility
$1059.40
No comparable office rate is available.
Suburban Chicago
Illinois · 58146
Office
Unavailable
Facility
$1115.22
No comparable office rate is available.
Indiana
Indiana · 58146
Office
Unavailable
Facility
$937.88
No comparable office rate is available.
Kansas
Kansas · 58146
Office
Unavailable
Facility
$934.53
No comparable office rate is available.
Kentucky
Kentucky · 58146
Office
Unavailable
Facility
$978.62
No comparable office rate is available.
New Orleans
Louisiana · 58146
Office
Unavailable
Facility
$1016.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58146
Office
Unavailable
Facility
$982.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58146
Office
Unavailable
Facility
$1075.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58146
Office
Unavailable
Facility
$1014.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58146
Office
Unavailable
Facility
$1070.05
No comparable office rate is available.
Rest Of Maryland
Maryland · 58146
Office
Unavailable
Facility
$1014.68
No comparable office rate is available.
Rest Of Maine
Maine · 58146
Office
Unavailable
Facility
$951.99
No comparable office rate is available.
Southern Maine
Maine · 58146
Office
Unavailable
Facility
$969.82
No comparable office rate is available.
Detroit
Michigan · 58146
Office
Unavailable
Facility
$1085.95
No comparable office rate is available.
Rest Of Michigan
Michigan · 58146
Office
Unavailable
Facility
$1009.10
No comparable office rate is available.
Minnesota
Minnesota · 58146
Office
Unavailable
Facility
$939.98
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58146
Office
Unavailable
Facility
$997.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58146
Office
Unavailable
Facility
$1003.60
No comparable office rate is available.
Rest Of Missouri
Missouri · 58146
Office
Unavailable
Facility
$979.07
No comparable office rate is available.
Mississippi
Mississippi · 58146
Office
Unavailable
Facility
$951.60
No comparable office rate is available.
Montana**
Montana · 58146
Office
Unavailable
Facility
$1014.49
No comparable office rate is available.
North Carolina
North Carolina · 58146
Office
Unavailable
Facility
$957.03
No comparable office rate is available.
North Dakota**
North Dakota · 58146
Office
Unavailable
Facility
$945.87
No comparable office rate is available.
Nebraska
Nebraska · 58146
Office
Unavailable
Facility
$924.42
No comparable office rate is available.
New Hampshire
New Hampshire · 58146
Office
Unavailable
Facility
$1009.93
No comparable office rate is available.
Northern Nj
New Jersey · 58146
Office
Unavailable
Facility
$1102.16
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58146
Office
Unavailable
Facility
$1074.21
No comparable office rate is available.
New Mexico
New Mexico · 58146
Office
Unavailable
Facility
$1018.39
No comparable office rate is available.
Nevada**
Nevada · 58146
Office
Unavailable
Facility
$995.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58146
Office
Unavailable
Facility
$1201.13
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58146
Office
Unavailable
Facility
$1091.33
No comparable office rate is available.
Queens
New York · 58146
Office
Unavailable
Facility
$1151.38
No comparable office rate is available.
Rest Of New York
New York · 58146
Office
Unavailable
Facility
$968.47
No comparable office rate is available.
Ohio
Ohio · 58146
Office
Unavailable
Facility
$995.07
No comparable office rate is available.
Oklahoma
Oklahoma · 58146
Office
Unavailable
Facility
$963.57
No comparable office rate is available.
Portland
Oregon · 58146
Office
Unavailable
Facility
$1021.90
No comparable office rate is available.
Rest Of Oregon
Oregon · 58146
Office
Unavailable
Facility
$979.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58146
Office
Unavailable
Facility
$1058.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58146
Office
Unavailable
Facility
$988.95
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58146
Office
Unavailable
Facility
$1015.58
No comparable office rate is available.
Rhode Island
Rhode Island · 58146
Office
Unavailable
Facility
$1022.59
No comparable office rate is available.
South Carolina
South Carolina · 58146
Office
Unavailable
Facility
$979.36
No comparable office rate is available.
South Dakota**
South Dakota · 58146
Office
Unavailable
Facility
$937.76
No comparable office rate is available.
Tennessee
Tennessee · 58146
Office
Unavailable
Facility
$939.54
No comparable office rate is available.
Utah
Utah · 58146
Office
Unavailable
Facility
$988.71
No comparable office rate is available.
Virginia
Virginia · 58146
Office
Unavailable
Facility
$976.62
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58146
Office
Unavailable
Facility
$1015.58
No comparable office rate is available.
Vermont
Vermont · 58146
Office
Unavailable
Facility
$955.10
No comparable office rate is available.
Rest Of Washington
Washington · 58146
Office
Unavailable
Facility
$1008.16
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58146
Office
Unavailable
Facility
$1080.31
No comparable office rate is available.
Wisconsin
Wisconsin · 58146
Office
Unavailable
Facility
$924.58
No comparable office rate is available.
West Virginia
West Virginia · 58146
Office
Unavailable
Facility
$1033.69
No comparable office rate is available.
Wyoming**
Wyoming · 58146
Office
Unavailable
Facility
$984.59
No comparable office rate is available.
See how rates vary across the country
58146 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 58146 in Austin
Multiple payment areas
- 58146 in Barton Creek
- 58146 in Bee Cave
- 58146 in Briarcliff
- 58146 in Cedar Park
Multiple payment areas
- 58146 in Creedmoor
Multiple payment areas
- 58146 in Elgin
Multiple payment areas
- 58146 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58146 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1118.21
$1016.55 × 110% = $1118.21
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58146 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,521
- Code
- 58146
- Physician work
- 19.83
- Practice expense
- 7.08
- Malpractice
- 3.47
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.83 | × 1.002 | 19.8697 |
| Practice expense | 7.08 | × 1.058 | 7.4906 |
| Malpractice | 3.47 | × 0.886 | 3.0744 |
| Total RVUs | 30.4347 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1016.55
Open 58146 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.83 | 1.002 |
| Practice expense | 7.08 | 1.058 |
| Malpractice | 3.47 | 0.886 |
(19.83 × 1.002 + 7.08 × 1.058 + 3.47 × 0.886) × $33.4009 = $1016.55
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
58146 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1016.55 | RVU26D |
| 2026-07-01 | Not available in this setting | $1016.55 | RVU26C |
| 2026-04-01 | Not available in this setting | $1016.55 | RVU26B |
| 2026-01-01 | Not available in this setting | $1016.55 | RVU26A |
| 2025-10-01 | Not available in this setting | $1128.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $1128.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $1128.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $1128.85 | RVU25A |
58146 billing questions
How is this level distinguished from 58140?
Use this complex level when the case meets the threshold by count or weight: five or more intramural fibroids, or total specimen weight over 250 grams. Code 58140 is the lower abdominal myomectomy level.
Does the fibroid count or total weight determine the level?
Either qualifying measure supports the complex level. Document the intramural fibroid count and specimen weight when available so the operative record supports the selected code.
Is modifier 50 appropriate for fibroids on both sides of the uterus?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor and anatomy do not support modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
