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See a sample rate comparisonCPT 58546 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laparo Myomectomy Complex, Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural Myomas And Or Intramural Myomas With Total Weight Greater Than 250 G
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58546 |
| Medicaid Fee Schedule | View Medicaid rates for 58546 |
National average reimbursement for CPT 58546 by major payers:
$1,427.40
$1,512.22
$1,556.34
$1,811.61
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CPT 58546
5 of 25 sample ratesHigher to lower in this preview
Leigh Orthopedic Surgery Center, LLC
Leigh Orthopedic Surgery Center LLC
$10,211.00Published rateGrand Rapids Surgical Suites LLC
Grand Rapids Surgical Suites, PLLC
$6,492.00Published rateLexington Surgery Center Ltd
$3,800.00Published rateRama Chilukuri
Deaconess Hospital Inc
$1,963.05Published rateCoffee County Center For Digestive Diseases LLC
$967.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58546 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58546 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 58546 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 58110-CPT | Low | Biopsy Of The Uterine Lining, A Procedure To Remove A Sample Of Tissue From The Lining Of The Uterus For Testing (Biopsy). The Procedure May Include Examining The Cervix With A Scope (Colposcopy). |
| 58146-CPT | High | Myomectomy Abdom Complex, Myomectomy Excision Of Fibroid Tumor(S) Of Uterus 5 Or More Intramural Myomas And/Or Intramural Myomas With Total Weight Greater Than 250 Grams Abdominal Approach |
| 58545-CPT | High | Laparoscopic Myomectomy, Laparoscopy Surgical Myomectomy Excision; 1 To 4 Intramural Myomas With Total Weight Of 250 Grams Or Less And/Or Removal Of Surface Myomas |
| 58546-CPT | High | Laparo Myomectomy Complex, Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural Myomas And Or Intramural Myomas With Total Weight Greater Than 250 G |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58546 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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