Billing code 58541: Supracervical hysterectomyMedicare rate & RVUs in Washington
Reports laparoscopic removal of the uterine body while retaining the cervix when the uterus weighs 250 g or less.
CMS doesn’t publish an office rate for 58541 in Washington.
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 58541 covers
A gynecologic surgeon removes the uterine body through a laparoscopic approach and leaves the cervix in place. This operation may be performed for benign uterine conditions such as fibroids or abnormal bleeding when hysterectomy is chosen. It is commonly performed in a hospital operating room or ambulatory surgery setting. The uterus weight distinguishes this code from the higher-weight code in the same procedure family.
Report the code for the laparoscopic supracervical hysterectomy when the uterus weighs 250 g or less and tubes or ovaries are not removed as part of the coded service. Document the laparoscopic approach, that the cervix was retained, the extent of the operation, and uterine weight. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Bilateral adjustment is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not. When related endoscopies are performed together, CMS endoscopy-family pricing applies.
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 58541 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $647.90 |
| Seattle (King Cnty) | Unavailable | $698.22 |
How the 58541 rate is calculated
Each of 58541’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 · 58541
RVUs × geographic indexes × conversion factor
Work11.98
11.98 RVUs× 1.000 GPCI
Practice expense5.48
5.48 RVUs× 1.000 GPCI
Malpractice1.96
1.96 RVUs× 1.000 GPCI
Adjusted RVUs
19.4200
Conversion factor
$33.4009
Medicare rate
$648.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58541
58541 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58541
Supracervical hysterectomy
| 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 | 3 | Endoscopy family rules apply. |
| 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 · 58541
Supracervical hysterectomy
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
58541 without 51 · national facility
$648.65
Supracervical hysterectomy
58541-51 · Second procedure: 50%
$324.33
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%).
58541 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58542Supracervical hysterectomy
- Both describe laparoscopic supracervical hysterectomy for a uterus weighing 250 g or less. Choose 58542 when removal of one or more tubes and/or ovaries is part of the procedure.
- 58543Hysterectomy
- This is the higher-weight counterpart. Use 58541 when the uterus weighs 250 g or less; use 58543 when it weighs more than 250 g.
- 58570Laparoscopic hysterectomy
- Both are laparoscopic hysterectomies for a uterus weighing 250 g or less. Code 58570 is for total hysterectomy, which removes the cervix; 58541 retains it.
- 58545Laparoscopic myomectomy
- Myomectomy removes fibroids while preserving the uterus. Code 58541 removes the uterine body and retains the cervix.
58541 billing questions
How is this code distinguished from 58542?
Use 58541 for the laparoscopic supracervical hysterectomy when tubes or ovaries are not removed as part of the coded service. Code 58542 describes the corresponding procedure with removal of one or more tubes and/or ovaries.
Does the operation remove the cervix?
No. This is a supracervical hysterectomy: the uterine body is removed while the cervix remains.
How is the 250 g threshold supported?
Document the uterus weight and the operative details that establish the procedure performed. The 250 g threshold separates this code from 58543.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
CMS permits payment for an assistant at surgery and co-surgeons. Team surgery 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 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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