CPT 58545
Global 090 ActiveLaparoscopic myomectomy
CPT 58545 Billing & Documentation Guide
CPT code 58545 (Laparoscopic myomectomy) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 15.16, a non-facility practice expense RVU of 6.17, and a malpractice RVU of 2.86, a total non-facility RVU of 24.19 and facility RVU of 24.19. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $813.55, though rates vary from $732.58 to $1031.65 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 58545, 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 58545 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 58545 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 58545
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 15.16 | 15.16 |
| Practice Expense RVU | 6.17 | 6.17 |
| Malpractice RVU | 2.86 | 2.86 |
| Total RVU | 24.19 | 24.19 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 58545
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 | $820.16 | $820.16 | $792.04 - $910.43 | 29 |
| Florida | $899.09 | $899.09 | $846.95 - $962.48 | 3 |
| Georgia | $818.02 | $818.02 | $804.05 - $831.99 | 2 |
| Illinois | $889.81 | $889.81 | $843.82 - $936.25 | 4 |
| Michigan | $834.33 | $834.33 | $802.36 - $866.29 | 2 |
| North Carolina | $759.68 | $759.68 | $759.68 - $759.68 | 1 |
| New York | $890.14 | $890.14 | $769.29 - $961.19 | 5 |
| Ohio | $790.8 | $790.8 | $790.8 - $790.8 | 1 |
| Pennsylvania | $814.89 | $814.89 | $785.81 - $843.97 | 2 |
| Texas | $800.77 | $800.77 | $782.64 - $846.49 | 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 58545
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 58545 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 |
| 0404T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 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 |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 58545
What does CPT code 58545 mean? +
CPT code 58545 represents: Laparoscopic myomectomy. It's in the Surgery (Urinary/Reproductive) category with a global period of 090.
What is the Medicare reimbursement for CPT 58545? +
The 2026 Medicare national average non-facility payment for CPT 58545 is $813.55. Rates range from $732.58 to $1031.65 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 58545? +
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 58545? +
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 April 17, 2026.
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