No office rate
Both codes describe laparoscopic supracervical hysterectomy for a uterus over 250 g. Choose 58544 when tubes and/or ovaries are removed; choose 58543 when they are not.
On this page
CMS RVU26D · Effective 2026-10-01
58544 Laparoscopic hysterectomy Medicare reimbursement rates in Connecticut
Reports laparoscopic removal of a uterus weighing more than 250 g while retaining the cervix, with removal of one or both tubes and/or ovaries. Compare 58544 office and facility rates across CMS payment localities in Connecticut.
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 58544 in Connecticut?
Connecticut 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
$846.43
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 58544: Laparoscopic supracervical hysterectomy with adnexal removal
Reports laparoscopic removal of a uterus weighing more than 250 g while retaining the cervix, with removal of one or both tubes and/or ovaries.
A gynecologic surgeon performs this laparoscopic supracervical hysterectomy for a uterus weighing more than 250 g, removing the uterine body while leaving the cervix in place. The procedure also includes removal of one or both fallopian tubes and/or ovaries. It may be used for conditions such as symptomatic fibroids or abnormal uterine bleeding when hysterectomy is selected. These operations are typically performed in a hospital or ambulatory surgery facility.
Choose this code when the operative approach is laparoscopic, the cervix is retained, the uterus exceeds the 250 g threshold, and tubes and/or ovaries are removed. The operative report should establish the approach, cervical status, adnexal removal, and uterine weight; pathology documentation can support specimen weight. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment does not apply, so modifier 50 is not appropriate. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58544
- 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 RVU15.21 · 63%
- Practice expense (office) RVU6.17 · 26%
- Malpractice RVU2.63 · 11%
91
Medicare services in 2024 · #4950 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.
58544 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This is the corresponding laparoscopic supracervical hysterectomy with adnexal removal when the uterus weighs 250 g or less.
No office rate
Both involve laparoscopic hysterectomy over 250 g with adnexal removal, but 58573 removes the cervix while 58544 retains it.
No office rate
58545 removes fibroids laparoscopically while preserving the uterus; 58544 removes the uterine body and retains the cervix.
Compare 58544 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$846.43
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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 58544 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,558
- Code
- 58544
- Physician work
- 15.21
- Practice expense
- 6.17
- Malpractice
- 2.63
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.21 | × 1.020 | 15.5142 |
| Practice expense | 6.17 | × 1.077 | 6.6451 |
| Malpractice | 2.63 | × 1.210 | 3.1823 |
| Total RVUs | 25.3416 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$846.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.21 | 1.02 |
| Practice expense | 6.17 | 1.077 |
| Malpractice | 2.63 | 1.21 |
(15.21 × 1.02 + 6.17 × 1.077 + 2.63 × 1.21) × $33.4009 = $846.43
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.
58544 billing questions
When should 58544 be selected instead of 58543?
Use 58544 when tubes and/or ovaries are removed along with the laparoscopic supracervical hysterectomy. Code 58543 represents the corresponding procedure without that adnexal removal.
Does this code include removal of the tubes or ovaries?
Yes. Removal of one or both tubes and/or ovaries is part of the service represented by 58544; do not separately report that removal as though it were outside the coded procedure.
What documentation supports the 250 g threshold?
The operative report should identify the laparoscopic approach, retained cervix, and adnexal removal. Document the uterine specimen weight, with pathology documentation supporting the weight when available.
Should modifier 50 be appended for removal on both sides?
No. CMS identifies bilateral adjustment as inapplicable to this code, so modifier 50 is not appropriate.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,55558541,,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
6,56158548,,Lap radical hyst,A,,30.84,14.23,NA,14.23,,6.66,51.73,51.73,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808