No office rate
Both describe laparoscopic myomectomy. Select 58545 for the limited burden; select 58546 when more than four intramural fibroids are removed or their combined weight exceeds 250 g.
On this page
CMS RVU26D · Effective 2026-10-01
58545 Laparoscopic myomectomy Medicare reimbursement rates in Idaho
Reports laparoscopic removal of a limited fibroid burden when the surgeon preserves the uterus and excises qualifying intramural or surface myomas. Compare 58545 office and facility rates across CMS payment localities in Idaho.
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 58545 in Idaho?
Idaho 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
$741.14
1 of 1 localities have a supported rate.
Payment area: Idaho
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 58545: Laparoscopic uterine fibroid removal
Reports laparoscopic removal of a limited fibroid burden when the surgeon preserves the uterus and excises qualifying intramural or surface myomas.
A gynecologic surgeon removes uterine fibroids through laparoscopic ports while preserving the uterus. This code fits removal of one to four intramural fibroids with a combined weight of 250 g or less, and/or removal of surface fibroids. It is typically performed in a hospital outpatient or ambulatory surgery setting for patients seeking fibroid treatment without hysterectomy. The operative report should identify the laparoscopic approach, the fibroids removed, their location and number, and the total weight when relevant.
Report the service once for the operative session, not once per fibroid. When more than four intramural fibroids are removed or their combined weight exceeds 250 g, consider 58546 instead. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. 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. Medicare may pay for an assistant at surgery, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58545
- 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 RVU15.16 · 63%
- Practice expense (office) RVU6.17 · 26%
- Malpractice RVU2.86 · 12%
178
Medicare services in 2024 · #4432 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.
58545 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
58561 is for hysteroscopic removal through the cervix and uterine cavity. Use 58545 when the surgeon removes fibroids laparoscopically through abdominal ports.
No office rate
58140 describes open abdominal myomectomy for a limited fibroid burden. Use 58545 when the removal is performed laparoscopically.
Compare 58545 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
Idaho →
Office / nonfacility
Unavailable
Facility
$741.14
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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 58545 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,559
- Code
- 58545
- Physician work
- 15.16
- Practice expense
- 6.17
- Malpractice
- 2.86
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.16 | × 1.000 | 15.1600 |
| Practice expense | 6.17 | × 0.920 | 5.6764 |
| Malpractice | 2.86 | × 0.473 | 1.3528 |
| Total RVUs | 22.1892 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$741.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.16 | 1 |
| Practice expense | 6.17 | 0.92 |
| Malpractice | 2.86 | 0.473 |
(15.16 × 1 + 6.17 × 0.92 + 2.86 × 0.473) × $33.4009 = $741.14
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.
58545 billing questions
When should 58546 be used instead?
Use 58546 when the procedure removes more than four intramural fibroids or the combined weight of the intramural fibroids exceeds 250 g. Document the count and weight to support the code selection.
Is 58545 reported once or per fibroid?
Report one service for the operative session, rather than separate units for each fibroid removed. The operative report should describe the number and location of the fibroids and their total weight when relevant.
How does 58545 differ from hysteroscopic fibroid removal?
58545 describes laparoscopic removal through abdominal ports. Hysteroscopic removal, such as 58561, treats fibroids approached through the cervix and uterine cavity.
Can modifier 50 be appended?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What related care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
Can an assistant or co-surgeon be reported?
CMS indicates that an assistant at surgery may be paid and that co-surgeons are permitted. Team surgery is not permitted for this code.
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.
6,55658542,,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
6,56258550,,Laparo-asst vag hysterectomy,A,,14.72,6.21,NA,6.21,,2.62,23.55,23.55,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772