CPT code 58662: Pelvic lesion surgery, laparoscopic excision or ablation2026 Medicare rate & RVUs in Washington, DC area

Reports laparoscopic removal or destruction of lesions on the ovary, other pelvic structures, or peritoneal surfaces, including treatment of endometriosis lesions.

CMS RVU26DEffective Oct 1, 2026One payment locality2.6K Medicare services in 2024

In Washington, DC area, Medicare pays $707.67 for 58662 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$707.67Hospital or facility

Check a contract rate as a % of Medicare · 58662 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58662 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 58662 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 58662 covers

The surgeon uses a laparoscope and operative instruments to remove or destroy lesions on the ovary, pelvic viscera, or peritoneal surfaces. A common setting is gynecologic surgery for endometriosis, when implants are excised or ablated rather than simply inspected or sampled. The procedure is typically performed by a gynecologic surgeon in a hospital or ambulatory surgery setting.

Select this code when the operative report supports treatment of lesions by excision or destruction; document the treated sites and work performed. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.

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.

How Washington, DC area compares for 58662

Across 109 of 109 payment localities, the facility rate for 58662 runs from $584.85 in Arkansas to $821.36 in Alaska. Washington, DC area pays $707.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

58662 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$707.67
  2. Los Angeles, CA · California$668.90−$38.77
  3. Miami, FL · Florida$771.24+$63.57
  4. Chicago, IL · Illinois$749.77+$42.10
  5. Manhattan, NY · New York$745.18+$37.51
  6. Alaska · Alaska$821.36+$113.69
  7. Alabama · Alabama$591.55−$116.12

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

58662 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$584.85
ArizonaArizona—$630.18
Bakersfield, CACalifornia—$640.83
Chico, CACalifornia—$634.43
El Centro, CACalifornia—$634.81
Fresno, CACalifornia—$634.43
Hanford, CACalifornia—$634.43
Madera, CACalifornia—$634.43

58662 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
58662 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 58662 in every payment locality

How the 58662 rate is calculated

Each of 58662’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 · 58662

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.85

11.85 RVUs× 1.000 GPCI

Practice expense5.21

5.21 RVUs× 1.000 GPCI

Malpractice2.30

2.30 RVUs× 1.000 GPCI

Adjusted RVUs

19.3600

Conversion factor

$33.4009

Medicare rate

$646.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,588

Code
58662
Physician work
11.85
Practice expense
5.21
Malpractice
2.30

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 58662 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work11.85× 1.05412.4899
Practice expense5.21× 1.1786.1374
Malpractice2.30× 1.1132.5599
Total RVUs21.1872
Conversion factor× 33.4009

Facility rate, Washington, DC area$707.67

Facility: (11.85 × 1.054 + 5.21 × 1.178 + 2.3 × 1.113) × $33.4009 = $707.67

Open 58662 in the RVU calculator

Payment rules and modifiers for 58662

58662 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58662

Pelvic lesion surgery, laparoscopic excision or ablation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58662

Pelvic lesion surgery, laparoscopic excision or ablation

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58662 without 51 · national facility

$646.64

Pelvic lesion surgery, laparoscopic excision or ablation

58662-51 · Second procedure: 50%

$323.32

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%).

When to use modifier 51

How 58662 has changed in Washington, DC area

58662 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$707.67RVU26D
2026-07-01Not available in this setting$707.67RVU26C
2026-04-01Not available in this setting$707.67RVU26B
2026-01-01Not available in this setting$707.67RVU26A
2025-10-01Not available in this setting$774.31RVU25D
2025-07-01Not available in this setting$774.31RVU25C
2025-04-01Not available in this setting$774.31RVU25B
2025-01-01Not available in this setting$774.31RVU25A
2024-10-01Not available in this setting$797.22RVU24D
2024-07-01Not available in this setting$797.22RVU24C
2024-04-01Not available in this setting$797.22RVU24B
2024-03-09Not available in this setting$797.22RVU24AR
2024-01-01Not available in this setting$784.21RVU24A
2023-10-01Not available in this setting$814.44RVU23D
2023-07-01Not available in this setting$814.44RVU23C
2023-04-01Not available in this setting$814.44RVU23B
2023-01-01Not available in this setting$814.44RVU23A
2022-10-01Not available in this setting$832.16RVU22D
2022-07-01Not available in this setting$832.16RVU22C
2022-04-01Not available in this setting$832.16RVU22B
2022-01-01Not available in this setting$832.16RVU22A
2021-10-01Not available in this setting$831.63RVU21D
2021-07-01Not available in this setting$831.63RVU21C
2021-04-01Not available in this setting$831.63RVU21B
2021-01-01Not available in this setting$831.63RVU21A
2020-10-01Not available in this setting$837.61RVU20D
2020-07-01Not available in this setting$837.61RVU20C
2020-04-01Not available in this setting$837.61RVU20B
2020-01-01Not available in this setting$837.61RVU20A
2019-10-01Not available in this setting$811.45RVU19D
2019-07-01Not available in this setting$811.45RVU19C
2019-04-01Not available in this setting$811.45RVU19B
2019-01-01Not available in this setting$811.45RVU19A
2018-10-01Not available in this setting$807.50RVU18D
2018-07-01Not available in this setting$807.50RVU18C
2018-04-01Not available in this setting$807.50RVU18B
2018-01-01Not available in this setting$807.50RVU18AR1
2017-10-01Not available in this setting$810.36RVU17D
2017-07-01Not available in this setting$810.36RVU17C
2017-04-01Not available in this setting$810.36RVU17B
2017-01-01Not available in this setting$810.36RVU17A
2016-10-01Not available in this setting$806.39RVU16D
2016-07-01Not available in this setting$806.39RVU16C
2016-04-01Not available in this setting$806.39RVU16B
2016-01-01Not available in this setting$806.39RVU16A
2015-10-01Not available in this setting$812.52RVU15D
2015-07-01Not available in this setting$812.52RVU15C
2015-04-01Not available in this setting$808.47RVU15B
2015-01-01Not available in this setting$808.47RVU15A
2014-10-01Not available in this setting$815.47RVU14D
2014-07-01Not available in this setting$815.47RVU14C
2014-04-01Not available in this setting$815.47RVU14B
2014-01-01Not available in this setting$815.47RVU14A
2013-10-01Not available in this setting$793.64RVU13D
2013-07-01Not available in this setting$793.64RVU13C
2013-04-01Not available in this setting$793.64RVU13B
2013-01-01Not available in this setting$793.64RVU13AR

Price 58662 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

58662 billing questions

When is this code preferable to laparoscopic adhesiolysis?

Use this code for excision or destruction of lesions. Use 58660 for operative release of adhesions; separately identifiable adhesiolysis may be reported with lesion treatment when both services are performed.

Does this code describe removal of an ovary or adnexa?

No. It describes treatment of lesions while the operation removes or destroys the lesion. Code 58661 describes removal of adnexal structures.

Can a diagnostic laparoscopic biopsy code be used instead?

A diagnostic biopsy code such as 49321 describes sampling for examination, rather than therapeutic excision or destruction of lesions. Choose based on the documented operative work.

Should modifier 50 be appended for bilateral lesions?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery and co-surgeon services may be paid for this procedure. 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
RVUs for 58662PPRRVU2026_Oct_nonQPP.csv, line 6,588 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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