Billing code 58543: HysterectomyMedicare rate & RVUs in Florida
Reports laparoscopic removal of the uterine body while leaving the cervix in place when the uterus weighs more than 250 grams.
CMS doesn’t publish an office rate for 58543 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58543 covers
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.
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.
Where 58543 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $811.65 |
| Miami | Unavailable | $876.49 |
| Rest Of Florida | Unavailable | $775.58 |
How the 58543 rate is calculated
Each of 58543’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58543
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.03Practice expense 5.73Malpractice 2.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58543
58543 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58543
Hysterectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58543
Hysterectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58543 without 51 · national facility
$742.50
Hysterectomy
58543-51 · Second procedure: 50%
$371.25
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58543 compared with similar codes
Compare codes
58543 vs 58544 vs 58541 vs 58572: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58544Laparoscopic hysterectomy
- 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.
- 58541Supracervical hysterectomy
- 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.
- 58572Laparoscopic hysterectomy
- Both are laparoscopic hysterectomies for a uterus over 250 grams. Code 58572 represents removal of the cervix, unlike this supracervical procedure.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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