Billing code 58140: MyomectomyMedicare rate & RVUs in Texas
Reports abdominal removal of uterine fibroids while preserving the uterus, for limited intramural fibroid burden or removal of surface fibroids.
CMS doesn’t publish an office rate for 58140 in Texas.
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 58140 covers
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.
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 58140 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $815.81 |
| Beaumont | Unavailable | $787.82 |
| Brazoria | Unavailable | $795.38 |
| Dallas | Unavailable | $803.97 |
| Fort Worth | Unavailable | $803.06 |
| Galveston | Unavailable | $800.12 |
| Houston | Unavailable | $849.54 |
| Rest Of Texas | Unavailable | $793.60 |
How the 58140 rate is calculated
Each of 58140’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 · 58140
RVUs × geographic indexes × conversion factor
Work15.40
15.40 RVUs× 1.000 GPCI
Practice expense6.24
6.24 RVUs× 1.000 GPCI
Malpractice2.70
2.70 RVUs× 1.000 GPCI
Adjusted RVUs
24.3400
Conversion factor
$33.4009
Medicare rate
$812.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58140
58140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58140
Myomectomy
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 58140
Myomectomy
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
58140 without 51 · national facility
$812.98
Myomectomy
58140-51 · Second procedure: 50%
$406.49
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%).
58140 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58146Myomectomy
- Both describe abdominal myomectomy, but 58146 is for more than four intramural fibroids or a combined intramural fibroid weight above 250 g.
- 58145Myomectomy
- This is the vaginal-approach myomectomy code. Use 58140 when the surgeon removes fibroids through an abdominal approach.
- 58150Hysterectomy
- 58150 reports total hysterectomy, which removes the uterus; 58140 reports fibroid removal with the uterus preserved.
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 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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