No office rate
Use 58540 for surgical reconstruction of a congenital uterine malformation. Code 58560 describes hysteroscopic resection of an intrauterine septum.
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CMS RVU26D · Effective 2026-10-01
58540 Uterine repair Medicare reimbursement rates in Virginia
Surgical uteroplasty reconstructs the uterus for a congenital malformation, such as a bicornuate configuration, when operative correction is performed. Compare 58540 office and facility rates across CMS payment localities in Virginia.
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 58540 in Virginia?
Virginia 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
$779.36–$884.07
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 58540: Surgical uterine malformation repair
Surgical uteroplasty reconstructs the uterus for a congenital malformation, such as a bicornuate configuration, when operative correction is performed.
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.
CMS billing rules for 58540
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.32 · 63%
- Practice expense (office) RVU6.22 · 26%
- Malpractice RVU2.69 · 11%
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 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
58520 is for repair of a ruptured uterus. It is not the code for planned reconstruction of a congenital malformation.
No office rate
58545 is laparoscopic removal of uterine fibroids. It does not describe uteroplasty for a congenital uterine anomaly.
Compare 58540 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$884.07
Virginia →
Office / nonfacility
Unavailable
Facility
$779.36
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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 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.
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55258410,,Suspension of uterus,A,,13.46,5.75,NA,5.75,,2.36,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55558541,,Lsh uterus 250 g or less,A,,11.98,5.48,NA,5.48,,1.96,19.42,19.42,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,55658542,,Lsh w/t/o ut 250 g or less,A,,13.81,5.79,NA,5.79,,2.36,21.96,21.96,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55758543,,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