No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
58541 Supracervical hysterectomy Medicare reimbursement rates in Alabama
Reports laparoscopic removal of the uterine body while retaining the cervix when the uterus weighs 250 g or less. Compare 58541 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 58541 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$597.35
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecologic surgery
About 58541: Laparoscopic supracervical hysterectomy, small uterus
Reports laparoscopic removal of the uterine body while retaining the cervix when the uterus weighs 250 g or less.
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.
CMS billing rules for 58541
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.98 · 62%
- Practice expense (office) RVU5.48 · 28%
- Malpractice RVU1.96 · 10%
201
Medicare services in 2024 · #4324 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.
58541 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
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.
No office rate
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.
No office rate
Myomectomy removes fibroids while preserving the uterus. Code 58541 removes the uterine body and retains the cervix.
Compare 58541 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$597.35
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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 58541 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,555
- Code
- 58541
- Physician work
- 11.98
- Practice expense
- 5.48
- Malpractice
- 1.96
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.98 | × 1.000 | 11.9800 |
| Practice expense | 5.48 | × 0.875 | 4.7950 |
| Malpractice | 1.96 | × 0.566 | 1.1094 |
| Total RVUs | 17.8844 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$597.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.98 | 1 |
| Practice expense | 5.48 | 0.875 |
| Malpractice | 1.96 | 0.566 |
(11.98 × 1 + 5.48 × 0.875 + 1.96 × 0.566) × $33.4009 = $597.35
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.
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 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.
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55558541,,Lsh uterus 250 g or less,A,,11.98,5.48,NA,5.48,,1.96,19.42,19.42,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,55658542,,Lsh w/t/o ut 250 g or less,A,,13.81,5.79,NA,5.79,,2.36,21.96,21.96,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55758543,,Lsh uterus above 250 g,A,,14.03,5.73,NA,5.73,,2.47,22.23,22.23,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55858544,,Lsh w/t/o uterus above 250 g,A,,15.21,6.17,NA,6.17,,2.63,24.01,24.01,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515