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CPT code 58720: Salpingo-oophorectomy, unilateral or bilateral2026 Medicare rate & RVUs

Removal of an ovary together with its fallopian tube on one or both sides, for adnexal disease or another operative indication.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $698.41 for 58720 nationally in a facility.

Medicare rate · 58720

Salpingo-oophorectomy, unilateral or bilateral

Office or facility?

Work RVUs
11.86
Total RVUs
20.91
Global days
090

National rate · 2026

$698.41

Facility setting, before claim adjustments.

See every locality for 58720 →Billed by an NP, PA or therapist? →

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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 58720 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58720 covers

This operation removes an ovary and its associated fallopian tube on one or both sides; the resection may be complete or partial. Gynecologic surgeons commonly perform it for an adnexal mass, torsion-related damage, or other disease requiring removal of the tubo-ovarian unit, typically in an operating room. The operative report should identify the structures removed, the side or sides, and the extent of resection.

Report 58720 when the procedure removes ovarian and tubal tissue together; choose based on the work performed, not the diagnosis alone. CMS prices this code as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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 58720 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58720 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$635.55
AlaskaUnavailable$874.41
ArizonaUnavailable$679.87
ArkansasUnavailable$627.87
Atlanta, GAUnavailable$719.45
Austin, TXUnavailable$702.78
Bakersfield, CAUnavailable$695.43
Baltimore area, MDUnavailable$740.13
Beaumont, TXUnavailable$672.75
Brazoria, TXUnavailable$681.74

58720 rates by state

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

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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
58720 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

How the 58720 rate is calculated

Each of 58720’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 · 58720

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.86

11.86 RVUs× 1.000 GPCI

Practice expense6.62

6.62 RVUs× 1.000 GPCI

Malpractice2.43

2.43 RVUs× 1.000 GPCI

Adjusted RVUs

20.9100

Conversion factor

$33.4009

Medicare rate

$698.41

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

Payment rules and modifiers for 58720

58720 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58720

Salpingo-oophorectomy, unilateral or bilateral

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58720

Salpingo-oophorectomy, unilateral or bilateral

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

58720 without 51 · national facility

$698.41

Salpingo-oophorectomy, unilateral or bilateral

58720-51 · Second procedure: 50%

$349.21

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

58720 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 58720

    Salpingo-oophorectomy, unilateral or bilateral11.86 wRVU

    Not priced

  • 58700

    Salpingectomy, complete or partial removal12.63 wRVU

    Not priced

  • 58940

    Oophorectomy, partial or total, one or both8.01 wRVU

    Not priced

  • 58661

    Adnexal removal, ovary and/or fallopian tube11.07 wRVU

    Not priced

How to choose

58700SalpingectomyComplete or partial removal
Use 58700 for fallopian tube removal alone. 58720 includes removal of ovarian tissue with the tube.
58940OophorectomyPartial or total, one or both
58940 describes ovarian removal without the associated tube removal represented by 58720.
58661Adnexal removalOvary and/or fallopian tube
58661 is the laparoscopic code for removal of adnexal structures. Distinguish it from 58720 by the documented operative approach.

Codes related to 58720

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 58720
CodeHow it relatesNational office range
Used instead
58700Salpingectomy, complete or partial removalRemoval of the fallopian tube without corresponding ovarian removal.No office rate
58940Oophorectomy, partial or total, one or bothRemoval of ovarian tissue without removal of the fallopian tube.No office rate
58661Adnexal removal, ovary and/or fallopian tubeLaparoscopic removal of adnexal structures, including ovarian and/or tubal tissue.No office rate

58720 billing questions

How does 58720 differ from 58700?

58720 represents removal of an ovary together with its fallopian tube. Use 58700 when the tube is removed without removal of the ovary.

Should modifier 50 be appended for bilateral removal?

CMS prices 58720 as bilateral, and modifier 50 does not increase payment. Document the side or sides treated in the operative report.

What documentation supports 58720?

The operative report should specify the ovary and tube removed, laterality, and whether the resection was partial or complete.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

Which code describes laparoscopic removal of adnexal structures?

Compare 58661 for laparoscopic removal of adnexal structures. Select the code that matches the documented operative approach and work.

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 58720PPRRVU2026_Oct_nonQPP.csv, line 6,596 (RVU26D)

Open CMS sourceHow we calculate rates

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