No office rate
Both describe laparoscopic myomectomy. Choose 58546 for five or more intramural myomas or when the total excised weight meets its threshold; 58545 represents the lower level.
On this page
CMS RVU26D · Effective 2026-10-01
58546 Laparoscopic myomectomy Medicare reimbursement rates in Rhode Island
Reports laparoscopic removal of uterine fibroids at the complex level, based on the number of intramural myomas removed or their total weight. Compare 58546 office and facility rates across CMS payment localities in Rhode Island.
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 58546 in Rhode Island?
Rhode Island 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
$986.87
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 58546: Complex laparoscopic uterine myomectomy
Reports laparoscopic removal of uterine fibroids at the complex level, based on the number of intramural myomas removed or their total weight.
A gynecologic surgeon removes uterine fibroids through a laparoscopic approach while preserving the uterus, typically in an operating room. This complex level is selected when the operation involves five or more intramural myomas or the removed myomas meet the 250-gram weight threshold. The surgeon may make incisions in the uterus to remove the fibroids and repair the uterine wall; the operative report should describe the approach and work performed.
Select the level using the documented number of intramural myomas and the total weight of the excised tissue. Record both when available, along with the sites treated, so the basis for this level is clear. CMS assigns a 90-day global period, including 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% reduction. Assistant-at-surgery and co-surgeon payment may be allowed; team-surgery payment is not permitted. Modifier 50 is not appropriate for this uterine procedure.
CMS billing rules for 58546
- 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 RVU19.44 · 66%
- Practice expense (office) RVU6.49 · 22%
- Malpractice RVU3.40 · 12%
31
Medicare services in 2024 · #5653 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.
58546 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
58561 is hysteroscopic removal of a uterine myoma through the uterine cavity. 58546 is laparoscopic myomectomy, not hysteroscopic treatment.
No office rate
58572 reports total laparoscopic hysterectomy for a uterus over 250 g. It applies when the uterus is removed, unlike 58546, which removes myomas while preserving the uterus.
Compare 58546 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$986.87
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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 58546 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,560
- Code
- 58546
- Physician work
- 19.44
- Practice expense
- 6.49
- Malpractice
- 3.40
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.44 | × 1.019 | 19.8094 |
| Practice expense | 6.49 | × 1.033 | 6.7042 |
| Malpractice | 3.40 | × 0.892 | 3.0328 |
| Total RVUs | 29.5463 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$986.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.44 | 1.019 |
| Practice expense | 6.49 | 1.033 |
| Malpractice | 3.4 | 0.892 |
(19.44 × 1.019 + 6.49 × 1.033 + 3.4 × 0.892) × $33.4009 = $986.87
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.
58546 billing questions
How is this code distinguished from 58545?
Use this complex level when five or more intramural myomas are removed or the total excised weight meets the 250-gram threshold. Code 58545 describes the lower myomectomy level.
What documentation supports the complex level?
The operative report should describe the laparoscopic approach and the myomectomy performed. Document the number of intramural myomas removed and the total excised weight to support the level selected.
Can a separate hysteroscopic myomectomy be reported?
A hysteroscopic removal, such as 58561, is a different approach used for myomas treated through the uterine cavity. Do not report it for the same work already included in the laparoscopic myomectomy.
Is modifier 50 appropriate?
No. Modifier 50 is not appropriate for this uterine procedure under the CMS bilateral adjustment rule.
How does the 90-day global period affect follow-up visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are not separately reported as routine visits.
Can an assistant or co-surgeon be paid?
CMS permits assistant-at-surgery and co-surgeon payment for this code. Team-surgery payment is not permitted.
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.
6,55758543,,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
6,56358552,,Laparo-vag hyst incl t/o,A,,16.49,6.76,NA,6.76,,3.02,26.27,26.27,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537