No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
58542 Supracervical hysterectomy Medicare reimbursement rates in Arkansas
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. Compare 58542 office and facility rates across CMS payment localities in Arkansas.
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 58542 in Arkansas?
Arkansas 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
$667.98
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 58542: Laparoscopic supracervical hysterectomy with adnexal removal
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.
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.
CMS billing rules for 58542
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.81 · 63%
- Practice expense (office) RVU5.79 · 26%
- Malpractice RVU2.36 · 11%
4K
Medicare services in 2024 · #1995 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.
58542 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Both include laparoscopic supracervical hysterectomy with adnexal removal. The distinction is uterine weight: 58544 is for a uterus weighing more than 250 g.
No office rate
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.
Compare 58542 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$667.98
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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 58542 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
6,556
- Code
- 58542
- Physician work
- 13.81
- Practice expense
- 5.79
- Malpractice
- 2.36
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.81 | × 1.000 | 13.8100 |
| Practice expense | 5.79 | × 0.859 | 4.9736 |
| Malpractice | 2.36 | × 0.515 | 1.2154 |
| Total RVUs | 19.9990 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$667.98
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.81 | 1 |
| Practice expense | 5.79 | 0.859 |
| Malpractice | 2.36 | 0.515 |
(13.81 × 1 + 5.79 × 0.859 + 2.36 × 0.515) × $33.4009 = $667.98
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.
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 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.
6,55358520,,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
6,55958545,,Laparoscopic myomectomy,A,,15.16,6.17,NA,6.17,,2.86,24.19,24.19,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541