No office rate
Both describe abdominal myomectomy, but 58146 is for more than four intramural fibroids or a combined intramural fibroid weight above 250 g.
On this page
CMS RVU26D · Effective 2026-10-01
58140 Myomectomy Medicare reimbursement rates in Pennsylvania
Reports abdominal removal of uterine fibroids while preserving the uterus, for limited intramural fibroid burden or removal of surface fibroids. Compare 58140 office and facility rates across CMS payment localities in Pennsylvania.
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 58140 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$790.93–$848.19
2 of 2 localities have a supported rate.
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 58140: Abdominal myomectomy, limited fibroid burden
Reports abdominal removal of uterine fibroids while preserving the uterus, for limited intramural fibroid burden or removal of surface fibroids.
A gynecologic surgeon removes uterine leiomyomas through an abdominal approach while preserving the uterus. The operation may be performed for symptoms such as heavy menstrual bleeding or pelvic pressure, or when fibroids affect reproductive plans. It includes removal of one to four intramural fibroids with a combined weight of 250 g or less, and can also cover removal of surface fibroids. This is generally performed in a hospital or other surgical facility.
Select this code based on the abdominal approach and the documented number, location, and total weight of the fibroids removed. The operative report should support the intramural count and weight, or describe the surface fibroids removed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for this uterine procedure.
CMS billing rules for 58140
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.40 · 63%
- Practice expense (office) RVU6.24 · 26%
- Malpractice RVU2.70 · 11%
70
Medicare services in 2024 · #5149 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.
58140 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This is the vaginal-approach myomectomy code. Use 58140 when the surgeon removes fibroids through an abdominal approach.
No office rate
58150 reports total hysterectomy, which removes the uterus; 58140 reports fibroid removal with the uterus preserved.
Compare 58140 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$848.19
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$790.93
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58140 billing questions
When is 58140 selected instead of 58146?
Use 58140 for an abdominal approach when there are one to four intramural fibroids weighing 250 g or less in total, or when surface fibroids are removed. 58146 describes a greater intramural fibroid burden.
How does the vaginal approach affect code selection?
58145 is the related vaginal-approach myomectomy code. Select based on the operative approach rather than treating the two codes as interchangeable.
What documentation supports 58140?
The operative report should identify the abdominal approach and describe the fibroids removed. For intramural fibroids, document their number and combined weight; for surface fibroids, document their location and removal.
Does the 90-day global period include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Can modifier 50 be added for multiple fibroids?
No. Modifier 50 is inappropriate for this uterine procedure; multiple fibroids are addressed through the code’s fibroid-burden criteria.
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.
6,51658100,,Biopsy of uterus lining,A,,1.18,1.55,,0.26,,0.21,2.94,1.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51758110,,Bx done w/colposcopy add-on,A,,0.75,0.64,,0.17,,0.14,1.53,1.06,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51858120,,Dilation and curettage,A,,3.50,4.78,,2.13,,0.65,8.93,6.28,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51958140,,Myomectomy abdom method,A,,15.40,6.24,NA,6.24,,2.70,24.34,24.34,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52058145,,Myomectomy vag method,A,,8.69,4.74,NA,4.74,,1.51,14.94,14.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52158146,,Myomectomy abdom complex,A,,19.83,7.08,NA,7.08,,3.47,30.38,30.38,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52258150,,Total hysterectomy,A,,16.88,7.65,NA,7.65,,3.41,27.94,27.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00