CPT code 58740: Adhesiolysis, tube or ovary2026 Medicare rate & RVUs in New Mexico

Reports surgical release of adhesions tethering a fallopian tube or ovary when the adhesiolysis is a distinct, nonlaparoscopic procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality131 Medicare services in 2024

In New Mexico, Medicare pays $824.51 for 58740 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$824.51Hospital or facility

Check a contract rate as a % of Medicare · 58740 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 58740 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 58740 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 58740 covers

A gynecologic surgeon uses 58740 to release pelvic adhesions that restrict or tether a fallopian tube or ovary, such as adhesions encountered during surgery for pelvic disease or after prior surgery. This code describes nonlaparoscopic adhesiolysis; laparoscopic release of adhesions involving these structures is reported with a different code. The operative note should identify the affected adnexal structures, describe the adhesions and the work performed, and explain why the release was a distinct part of the operation.

Because adhesiolysis is designated a separate procedure, do not report it when the release is incidental or integral to the primary operation. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and 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 New Mexico compares for 58740

Across 109 of 109 payment localities, the facility rate for 58740 runs from $743.56 in Arkansas to $1,039.61 in Alaska. New Mexico pays $824.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

58740 in New Mexico vs other payment areas
  1. New Mexico · this page$824.51
  2. Los Angeles, CA · California$856.44+$31.93
  3. Washington, DC area · District of Columbia$905.33+$80.82
  4. Miami, FL · Florida$984.05+$159.54
  5. Chicago, IL · Illinois$955.91+$131.40
  6. Manhattan, NY · New York$952.44+$127.93
  7. Alaska · Alaska$1,039.61+$215.10

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

58740 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$752.40
ArkansasArkansas—$743.56
ArizonaArizona—$803.45
Bakersfield, CACalifornia—$819.34
Chico, CACalifornia—$811.25
El Centro, CACalifornia—$811.73
Fresno, CACalifornia—$811.25
Hanford, CACalifornia—$811.25

58740 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
58740 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 58740 in every payment locality

How the 58740 rate is calculated

Each of 58740’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 · 58740

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.53

14.53 RVUs× 1.000 GPCI

Practice expense7.25

7.25 RVUs× 1.000 GPCI

Malpractice2.92

2.92 RVUs× 1.000 GPCI

Adjusted RVUs

24.7000

Conversion factor

$33.4009

Medicare rate

$825.00

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,597

Code
58740
Physician work
14.53
Practice expense
7.25
Malpractice
2.92

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 58740 in New Mexico
ComponentRVULocality factorAdjusted
Physician work14.53× 1.00014.5300
Practice expense7.25× 0.9176.6482
Malpractice2.92× 1.2013.5069
Total RVUs24.6852
Conversion factor× 33.4009

Facility rate, New Mexico$824.51

Facility: (14.53 × 1 + 7.25 × 0.917 + 2.92 × 1.201) × $33.4009 = $824.51

Open 58740 in the RVU calculator

Payment rules and modifiers for 58740

58740 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58740

Adhesiolysis, tube or ovary

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)0The 150% bilateral adjustment doesn’t apply.
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 · 58740

Adhesiolysis, tube or ovary

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

58740 without 51 · national facility

$825.00

Adhesiolysis, tube or ovary

58740-51 · Second procedure: 50%

$412.50

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 58740 has changed in New Mexico

58740 · 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$824.51RVU26D
2026-07-01Not available in this setting$824.51RVU26C
2026-04-01Not available in this setting$824.51RVU26B
2026-01-01Not available in this setting$824.51RVU26A
2025-10-01Not available in this setting$869.90RVU25D
2025-07-01Not available in this setting$869.90RVU25C
2025-04-01Not available in this setting$869.90RVU25B
2025-01-01Not available in this setting$869.90RVU25A
2024-10-01Not available in this setting$891.92RVU24D
2024-07-01Not available in this setting$891.92RVU24C
2024-04-01Not available in this setting$891.92RVU24B
2024-03-09Not available in this setting$891.92RVU24AR
2024-01-01Not available in this setting$877.36RVU24A
2023-10-01Not available in this setting$901.37RVU23D
2023-07-01Not available in this setting$901.37RVU23C
2023-04-01Not available in this setting$901.37RVU23B
2023-01-01Not available in this setting$901.37RVU23A
2022-10-01Not available in this setting$910.90RVU22D
2022-07-01Not available in this setting$910.90RVU22C
2022-04-01Not available in this setting$910.90RVU22B
2022-01-01Not available in this setting$910.90RVU22A
2021-10-01Not available in this setting$908.72RVU21D
2021-07-01Not available in this setting$908.72RVU21C
2021-04-01Not available in this setting$908.72RVU21B
2021-01-01Not available in this setting$908.72RVU21A
2020-10-01Not available in this setting$928.00RVU20D
2020-07-01Not available in this setting$928.00RVU20C
2020-04-01Not available in this setting$928.00RVU20B
2020-01-01Not available in this setting$928.00RVU20A
2019-10-01Not available in this setting$918.46RVU19D
2019-07-01Not available in this setting$918.46RVU19C
2019-04-01Not available in this setting$918.46RVU19B
2019-01-01Not available in this setting$918.46RVU19A
2018-10-01Not available in this setting$906.92RVU18D
2018-07-01Not available in this setting$906.92RVU18C
2018-04-01Not available in this setting$906.92RVU18B
2018-01-01Not available in this setting$906.92RVU18AR1
2017-10-01Not available in this setting$897.76RVU17D
2017-07-01Not available in this setting$897.76RVU17C
2017-04-01Not available in this setting$897.76RVU17B
2017-01-01Not available in this setting$897.76RVU17A
2016-10-01Not available in this setting$889.26RVU16D
2016-07-01Not available in this setting$889.26RVU16C
2016-04-01Not available in this setting$889.26RVU16B
2016-01-01Not available in this setting$889.26RVU16A
2015-10-01Not available in this setting$896.22RVU15D
2015-07-01Not available in this setting$896.22RVU15C
2015-04-01Not available in this setting$891.76RVU15B
2015-01-01Not available in this setting$891.76RVU15A
2014-10-01Not available in this setting$892.60RVU14D
2014-07-01Not available in this setting$892.60RVU14C
2014-04-01Not available in this setting$892.60RVU14B
2014-01-01Not available in this setting$892.60RVU14A
2013-10-01Not available in this setting$868.88RVU13D
2013-07-01Not available in this setting$868.88RVU13C
2013-04-01Not available in this setting$868.88RVU13B
2013-01-01Not available in this setting$868.88RVU13AR

Price 58740 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

58740 billing questions

How is 58740 distinguished from 58660?

58740 is for nonlaparoscopic adhesiolysis involving a fallopian tube or ovary. Use 58660 for the laparoscopic approach.

Can 58740 be reported when adhesions are encountered during another operation?

Only when the release is a distinct service rather than incidental work integral to the primary operation. The operative note should document the structures involved and the separate work performed.

Should modifier 50 be used when adhesions involve both sides?

No. Modifier 50 is inappropriate for this code; report the service without a bilateral adjustment.

How does the multiple-procedure payment rule affect 58740?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

What postoperative care is included in the global period?

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

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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 58740PPRRVU2026_Oct_nonQPP.csv, line 6,597 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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