Billing code 58545: Laparoscopic myomectomyMedicare rate & RVUs in Utah
Reports laparoscopic removal of a limited fibroid burden when the surgeon preserves the uterus and excises qualifying intramural or surface myomas.
CMS doesn’t publish an office rate for 58545 in Utah.
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 58545 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $785.86 |
How the 58545 rate is calculated
Each of 58545’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 · 58545
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.16Practice expense 6.17Malpractice 2.86
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58545
58545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58545
Laparoscopic 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) | 2 | 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 · 58545
Laparoscopic 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
58545 without 51 · national facility
$807.97
Laparoscopic myomectomy
58545-51 · Second procedure: 50%
$403.99
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%).
58545 compared with similar codes
Compare codes
58545 vs 58546 vs 58561 vs 58140: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58546Laparoscopic myomectomy
- 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.
- 58561Myoma removal
- 58561 is for hysteroscopic removal through the cervix and uterine cavity. Use 58545 when the surgeon removes fibroids laparoscopically through abdominal ports.
- 58140Myomectomy
- 58140 describes open abdominal myomectomy for a limited fibroid burden. Use 58545 when the removal is performed laparoscopically.
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 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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