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.
In Washington, DC area, Medicare pays $707.67 for 58662 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Washington, DC area · this page$707.67
- Los Angeles, CA · California$668.90−$38.77
- Miami, FL · Florida$771.24+$63.57
- Chicago, IL · Illinois$749.77+$42.10
- Manhattan, NY · New York$745.18+$37.51
- Alaska · Alaska$821.36+$113.69
- Alabama · Alabama$591.55−$116.12
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Merced, CACalifornia | — | $634.43 |
| Modesto, CACalifornia | — | $634.43 |
| Napa, CACalifornia | — | $689.12 |
| Oxnard, CACalifornia | — | $660.43 |
| Redding, CACalifornia | — | $634.43 |
| Rest of CaliforniaCalifornia | — | $634.43 |
| Riverside, CACalifornia | — | $659.18 |
| Sacramento, CACalifornia | — | $653.61 |
| Salinas, CACalifornia | — | $650.93 |
| San Diego, CACalifornia | — | $657.44 |
| Marin County, CACalifornia | — | $714.03 |
| San Francisco, CACalifornia | — | $711.42 |
| San Benito County, CACalifornia | — | $731.45 |
| Santa Clara County, CACalifornia | — | $720.77 |
| San Luis Obispo, CACalifornia | — | $641.91 |
| Santa Cruz, CACalifornia | — | $656.72 |
| Santa Maria, CACalifornia | — | $650.97 |
| Santa Rosa, CACalifornia | — | $662.55 |
| Stockton, CACalifornia | — | $634.43 |
| Vallejo, CACalifornia | — | $685.35 |
| Visalia, CACalifornia | — | $634.43 |
| Yuba City, CACalifornia | — | $634.43 |
| ColoradoColorado | — | $645.70 |
| ConnecticutConnecticut | — | $684.09 |
| DelawareDelaware | — | $638.77 |
| Fort Lauderdale, FLFlorida | — | $710.98 |
| Rest of FloridaFlorida | — | $677.63 |
| Atlanta, GAGeorgia | — | $666.05 |
| Rest of GeorgiaGeorgia | — | $642.60 |
| Hawaii, Guam, HIHawaii | — | $638.14 |
| IowaIowa | — | $585.53 |
| IdahoIdaho | — | $592.23 |
| East St. Louis, ILIllinois | — | $710.62 |
| Rest of IllinoisIllinois | — | $674.75 |
| Suburban Chicago, ILIllinois | — | $713.42 |
| IndianaIndiana | — | $594.45 |
| KansasKansas | — | $591.83 |
| KentuckyKentucky | — | $620.80 |
| New Orleans, LALouisiana | — | $646.82 |
| Rest of LouisianaLouisiana | — | $623.40 |
| Metropolitan Boston, MAMassachusetts | — | $688.18 |
| Rest of MassachusettsMassachusetts | — | $646.60 |
| Baltimore area, MDMaryland | — | $683.88 |
| Rest of MarylandMaryland | — | $646.39 |
| Rest of MaineMaine | — | $603.68 |
| Southern Maine, MEMaine | — | $616.73 |
| Detroit, MIMichigan | — | $693.25 |
| Rest of MichiganMichigan | — | $641.41 |
| MinnesotaMinnesota | — | $597.61 |
| Metropolitan Kansas City, MOMissouri | — | $634.26 |
| Metropolitan St. Louis, MOMissouri | — | $638.44 |
| Rest of MissouriMissouri | — | $620.63 |
| MississippiMississippi | — | $602.40 |
| MontanaMontana | — | $646.49 |
| North CarolinaNorth Carolina | — | $607.25 |
| North DakotaNorth Dakota | — | $601.01 |
| NebraskaNebraska | — | $585.46 |
| New HampshireNew Hampshire | — | $644.17 |
| Northern New JerseyNew Jersey | — | $704.64 |
| Rest of New JerseyNew Jersey | — | $685.93 |
| New MexicoNew Mexico | — | $647.64 |
| NevadaNevada | — | $633.99 |
| NYC suburbs and Long Island, NYNew York | — | $770.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $697.12 |
| Queens, NYNew York | — | $737.60 |
| Rest of New YorkNew York | — | $615.12 |
| OhioOhio | — | $632.12 |
| OklahomaOklahoma | — | $610.89 |
| Portland, OROregon | — | $652.62 |
| Rest of OregonOregon | — | $623.13 |
| Metropolitan Philadelphia, PAPennsylvania | — | $675.73 |
| Rest of PennsylvaniaPennsylvania | — | $628.15 |
| Puerto RicoPuerto Rico | — | $647.40 |
| Rhode IslandRhode Island | — | $651.61 |
| South CarolinaSouth Carolina | — | $621.89 |
| South DakotaSouth Dakota | — | $595.63 |
| TennesseeTennessee | — | $595.24 |
| Austin, TXTexas | — | $648.77 |
| Beaumont, TXTexas | — | $625.53 |
| Brazoria, TXTexas | — | $631.34 |
| Dallas, TXTexas | — | $638.60 |
| Fort Worth, TXTexas | — | $637.86 |
| Galveston, TXTexas | — | $635.38 |
| Houston, TXTexas | — | $677.47 |
| Rest of TexasTexas | — | $630.31 |
| UtahUtah | — | $628.36 |
| VirginiaVirginia | — | $621.10 |
| Virgin Islands, VIUnited States Virgin Islands | — | $647.40 |
| VermontVermont | — | $606.95 |
| Rest of WashingtonWashington | — | $642.65 |
| King County, WAWashington | — | $691.88 |
| WisconsinWisconsin | — | $586.17 |
| West VirginiaWest Virginia | — | $656.96 |
| WyomingWyoming | — | $626.67 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.85 | × 1.054 | 12.4899 |
| Practice expense | 5.21 | × 1.178 | 6.1374 |
| Malpractice | 2.30 | × 1.113 | 2.5599 |
| Total RVUs | 21.1872 | ||
| 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
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
| 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) | 0.09/0.84/0.07 | Share 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.
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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $707.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $707.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $707.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $707.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $774.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $774.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $774.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $774.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $797.22 | RVU24D |
| 2024-07-01 | Not available in this setting | $797.22 | RVU24C |
| 2024-04-01 | Not available in this setting | $797.22 | RVU24B |
| 2024-03-09 | Not available in this setting | $797.22 | RVU24AR |
| 2024-01-01 | Not available in this setting | $784.21 | RVU24A |
| 2023-10-01 | Not available in this setting | $814.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $814.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $814.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $814.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $832.16 | RVU22D |
| 2022-07-01 | Not available in this setting | $832.16 | RVU22C |
| 2022-04-01 | Not available in this setting | $832.16 | RVU22B |
| 2022-01-01 | Not available in this setting | $832.16 | RVU22A |
| 2021-10-01 | Not available in this setting | $831.63 | RVU21D |
| 2021-07-01 | Not available in this setting | $831.63 | RVU21C |
| 2021-04-01 | Not available in this setting | $831.63 | RVU21B |
| 2021-01-01 | Not available in this setting | $831.63 | RVU21A |
| 2020-10-01 | Not available in this setting | $837.61 | RVU20D |
| 2020-07-01 | Not available in this setting | $837.61 | RVU20C |
| 2020-04-01 | Not available in this setting | $837.61 | RVU20B |
| 2020-01-01 | Not available in this setting | $837.61 | RVU20A |
| 2019-10-01 | Not available in this setting | $811.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $811.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $811.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $811.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $807.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $807.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $807.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $807.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $810.36 | RVU17D |
| 2017-07-01 | Not available in this setting | $810.36 | RVU17C |
| 2017-04-01 | Not available in this setting | $810.36 | RVU17B |
| 2017-01-01 | Not available in this setting | $810.36 | RVU17A |
| 2016-10-01 | Not available in this setting | $806.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $806.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $806.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $806.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $812.52 | RVU15D |
| 2015-07-01 | Not available in this setting | $812.52 | RVU15C |
| 2015-04-01 | Not available in this setting | $808.47 | RVU15B |
| 2015-01-01 | Not available in this setting | $808.47 | RVU15A |
| 2014-10-01 | Not available in this setting | $815.47 | RVU14D |
| 2014-07-01 | Not available in this setting | $815.47 | RVU14C |
| 2014-04-01 | Not available in this setting | $815.47 | RVU14B |
| 2014-01-01 | Not available in this setting | $815.47 | RVU14A |
| 2013-10-01 | Not available in this setting | $793.64 | RVU13D |
| 2013-07-01 | Not available in this setting | $793.64 | RVU13C |
| 2013-04-01 | Not available in this setting | $793.64 | RVU13B |
| 2013-01-01 | Not available in this setting | $793.64 | RVU13AR |
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
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
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