CPT 58544
Global 090 ActiveLsh w/t/o uterus above 250 g
CPT 58544 Billing & Documentation Guide
CPT code 58544 (Lsh w/t/o uterus above 250 g) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 15.21, a non-facility practice expense RVU of 6.17, and a malpractice RVU of 2.63, a total non-facility RVU of 24.01 and facility RVU of 24.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $808.68, though rates vary from $730.29 to $1029.92 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 58544, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 58544 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 58544 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 58544
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 15.21 | 15.21 |
| Practice Expense RVU | 6.17 | 6.17 |
| Malpractice RVU | 2.63 | 2.63 |
| Total RVU | 24.01 | 24.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 58544
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $817.73 | $817.73 | $789.62 - $908.17 | 29 |
| Florida | $885.8 | $885.8 | $837.07 - $944.72 | 3 |
| Georgia | $810.49 | $810.49 | $796.56 - $824.43 | 2 |
| Illinois | $876.8 | $876.8 | $833.48 - $920.3 | 4 |
| Michigan | $825.18 | $825.18 | $795.36 - $855 | 2 |
| North Carolina | $756.44 | $756.44 | $756.44 - $756.44 | 1 |
| New York | $881.45 | $881.45 | $765.56 - $948.7 | 5 |
| Ohio | $784.73 | $784.73 | $784.73 - $784.73 | 1 |
| Pennsylvania | $808.37 | $808.37 | $780.23 - $836.5 | 2 |
| Texas | $795.31 | $795.31 | $777.17 - $837.61 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 58544
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 58544 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0664T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0665T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0666T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0667T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 58544
What does CPT code 58544 mean? +
CPT code 58544 represents: Lsh w/t/o uterus above 250 g. It's in the Surgery (Urinary/Reproductive) category with a global period of 090.
What is the Medicare reimbursement for CPT 58544? +
The 2026 Medicare national average non-facility payment for CPT 58544 is $808.68. Rates range from $730.29 to $1029.92 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 58544? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 58544? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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