CPT code 58662: Pelvic lesion surgery, laparoscopic excision or ablation2026 Medicare rate & RVUs in Texas
Reports laparoscopic removal or destruction of lesions on the ovary, other pelvic structures, or peritoneal surfaces, including treatment of endometriosis lesions.
CMS doesn’t publish an office rate for 58662 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 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.
Where 58662 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $648.77 |
| Beaumont, TX | Unavailable | $625.53 |
| Brazoria, TX | Unavailable | $631.34 |
| Dallas, TX | Unavailable | $638.60 |
| Fort Worth, TX | Unavailable | $637.86 |
| Galveston, TX | Unavailable | $635.38 |
| Houston, TX | Unavailable | $677.47 |
| Rest of Texas | Unavailable | $630.31 |
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.
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%).
58662 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58660AdhesiolysisFallopian tube or ovary
- Use 58660 for laparoscopic release of adhesions. This code is for excision or destruction of lesions, such as endometriosis implants.
- 58661Adnexal removalOvary and/or fallopian tube
- Use 58661 when an ovary or other adnexal structure is removed. This code describes treatment of lesions, not removal of the adnexa itself.
- 49321Laparoscopic biopsyTissue sampling
- Use 49321 for diagnostic laparoscopic biopsy sampling. This code describes therapeutic excision or destruction of lesions.
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
Fee sheets · Coming soon
Put 58662 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist