Billing code 58540: Uterine repairMedicare rate & RVUs in Nebraska
Surgical uteroplasty reconstructs the uterus for a congenital malformation, such as a bicornuate configuration, when operative correction is performed.
CMS doesn’t publish an office rate for 58540 in Nebraska.
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 58540 covers
This service is surgical reconstruction of the uterus to correct a congenital structural malformation. A gynecologic surgeon may perform it for an anomaly such as a bicornuate uterus when the planned treatment involves reconstructing the uterine shape. The operative report should identify the malformation and describe the reconstruction performed; this is not a code for removing fibroids or repairing an acute uterine rupture.
Report 58540 for the surgical correction of the congenital malformation, supported by the diagnosis and operative details. Medicare assigns a 90-day global period, which 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. An assistant at surgery may be paid; co-surgeons and team surgery are 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.
58540 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $737.42 |
How the 58540 rate is calculated
Each of 58540’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 · 58540
RVUs × geographic indexes × conversion factor
Work15.32
15.32 RVUs× 1.000 GPCI
Practice expense6.22
6.22 RVUs× 1.000 GPCI
Malpractice2.69
2.69 RVUs× 1.000 GPCI
Adjusted RVUs
24.2300
Conversion factor
$33.4009
Medicare rate
$809.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58540
58540 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58540
Uterine repair
| 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) | 0 | Not 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 · 58540
Uterine repair
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
58540 without 51 · national facility
$809.30
Uterine repair
58540-51 · Second procedure: 50%
$404.65
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%).
58540 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58560Hysteroscopy
- Use 58540 for surgical reconstruction of a congenital uterine malformation. Code 58560 describes hysteroscopic resection of an intrauterine septum.
- 58520Uterine repair
- 58520 is for repair of a ruptured uterus. It is not the code for planned reconstruction of a congenital malformation.
- 58545Laparoscopic myomectomy
- 58545 is laparoscopic removal of uterine fibroids. It does not describe uteroplasty for a congenital uterine anomaly.
58540 billing questions
How does 58540 differ from hysteroscopic septum resection?
58540 is for surgical reconstruction of a uterus with a congenital malformation. For hysteroscopic resection of an intrauterine septum, consider 58560 instead.
Can 58540 be reported for uterine fibroid removal?
No. This code describes correction of a congenital uterine malformation, not myomectomy. Select the applicable myomectomy code when fibroids are removed.
What documentation supports reporting 58540?
Document the congenital uterine malformation and the reconstruction performed. The operative report should make clear that the work corrected the malformation rather than treating a rupture or removing fibroids.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code. An assistant at surgery may be paid, but co-surgeon and team-surgery billing are not permitted.
What postoperative care is included?
The 90-day 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 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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