No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
58543 Hysterectomy Medicare reimbursement rates in Colorado
Reports laparoscopic removal of the uterine body while leaving the cervix in place when the uterus weighs more than 250 grams. Compare 58543 office and facility rates across CMS payment localities in Colorado.
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 58543 in Colorado?
Colorado 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
$742.31
1 of 1 localities have a supported rate.
Payment area: Colorado
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 58543: Laparoscopic supracervical hysterectomy, large uterus
Reports laparoscopic removal of the uterine body while leaving the cervix in place when the uterus weighs more than 250 grams.
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.
CMS billing rules for 58543
- 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 RVU14.03 · 63%
- Practice expense (office) RVU5.73 · 26%
- Malpractice RVU2.47 · 11%
28
Medicare services in 2024 · #5714 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.
58543 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
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.
No office rate
Both are laparoscopic hysterectomies for a uterus over 250 grams. Code 58572 represents removal of the cervix, unlike this supracervical procedure.
Compare 58543 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
Colorado →
Office / nonfacility
Unavailable
Facility
$742.31
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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 58543 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,557
- Code
- 58543
- Physician work
- 14.03
- Practice expense
- 5.73
- Malpractice
- 2.47
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.03 | × 1.012 | 14.1984 |
| Practice expense | 5.73 | × 1.064 | 6.0967 |
| Malpractice | 2.47 | × 0.781 | 1.9291 |
| Total RVUs | 22.2241 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$742.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.03 | 1.012 |
| Practice expense | 5.73 | 1.064 |
| Malpractice | 2.47 | 0.781 |
(14.03 × 1.012 + 5.73 × 1.064 + 2.47 × 0.781) × $33.4009 = $742.31
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.
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 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.
6,55458540,,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
6,56058546,,Laparo-myomectomy complex,A,,19.44,6.49,NA,6.49,,3.40,29.33,29.33,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899