CPT code 58740: Adhesiolysis, tube or ovary2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $826.20 for 58740 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $826.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58740 rates by state

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

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.

Payment rules and modifiers for 58740

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

What modifiers do to the payment

When to use modifier 51

Codes related to 58740

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

How 58740 has changed in Puerto Rico

Price 58740 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates