CPT code 58925: Ovarian cystectomy, cyst removal, ovary preserved2026 Medicare rate & RVUs in Utah

Report ovarian cystectomy when a surgeon excises ovarian cyst tissue while preserving the ovary, whether the procedure involves one or both ovaries.

CMS RVU26DEffective Oct 1, 2026One payment locality98 Medicare services in 2024

In Utah, Medicare pays $677.10 for 58925 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$677.10Hospital or facility

Check a contract rate as a % of Medicare · 58925 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 58925 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 58925 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 58925 covers

A gynecologic surgeon removes a cyst from the ovary while preserving ovarian tissue. The procedure is generally performed in an operating room for a persistent, symptomatic, or otherwise surgically managed ovarian cyst. The operative approach matters: this code describes cyst removal by an open approach, while laparoscopic excision of an ovarian lesion is represented by a different code. The surgeon may send the removed tissue for pathologic examination.

Choose this code when the operative report supports cyst excision rather than ovarian biopsy, partial oophorectomy, or removal of the entire ovary. Document the treated ovary or ovaries, the cyst excision, and the extent of ovarian tissue retained. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be available; 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 Utah compares for 58925

Across 109 of 109 payment localities, the facility rate for 58925 runs from $629.04 in Arkansas to $878.18 in Alaska. Utah pays $677.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

58925 in Utah vs other payment areas
  1. Utah · this page$677.10
  2. Los Angeles, CA · California$726.57+$49.47
  3. Washington, DC area · District of Columbia$766.91+$89.81
  4. Miami, FL · Florida$829.88+$152.78
  5. Chicago, IL · Illinois$806.22+$129.12
  6. Manhattan, NY · New York$805.63+$128.53
  7. Alaska · Alaska$878.18+$201.08

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

Every other payment area

58925 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$636.55
ArkansasArkansas—$629.04
ArizonaArizona—$679.89
Bakersfield, CACalifornia—$694.72
Chico, CACalifornia—$688.04
El Centro, CACalifornia—$688.44
Fresno, CACalifornia—$688.04
Hanford, CACalifornia—$688.04

58925 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
58925 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 58925 in every payment locality

How the 58925 rate is calculated

Each of 58925’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 · 58925

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.12

12.12 RVUs× 1.000 GPCI

Practice expense6.37

6.37 RVUs× 1.000 GPCI

Malpractice2.41

2.41 RVUs× 1.000 GPCI

Adjusted RVUs

20.9000

Conversion factor

$33.4009

Medicare rate

$698.08

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,609

Code
58925
Physician work
12.12
Practice expense
6.37
Malpractice
2.41

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 58925 in Utah
ComponentRVULocality factorAdjusted
Physician work12.12× 1.00012.1200
Practice expense6.37× 0.9405.9878
Malpractice2.41× 0.8982.1642
Total RVUs20.2720
Conversion factor× 33.4009

Facility rate, Utah$677.10

Facility: (12.12 × 1 + 6.37 × 0.94 + 2.41 × 0.898) × $33.4009 = $677.10

Open 58925 in the RVU calculator

Payment rules and modifiers for 58925

58925 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58925

Ovarian cystectomy, cyst removal, ovary preserved

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 · 58925

Ovarian cystectomy, cyst removal, ovary preserved

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

58925 without 51 · national facility

$698.08

Ovarian cystectomy, cyst removal, ovary preserved

58925-51 · Second procedure: 50%

$349.04

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 58925 has changed in Utah

58925 · 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$677.10RVU26D
2026-07-01Not available in this setting$677.10RVU26C
2026-04-01Not available in this setting$677.10RVU26B
2026-01-01Not available in this setting$677.10RVU26A
2025-10-01Not available in this setting$727.48RVU25D
2025-07-01Not available in this setting$727.48RVU25C
2025-04-01Not available in this setting$727.48RVU25B
2025-01-01Not available in this setting$727.48RVU25A
2024-10-01Not available in this setting$746.78RVU24D
2024-07-01Not available in this setting$746.78RVU24C
2024-04-01Not available in this setting$746.78RVU24B
2024-03-09Not available in this setting$746.78RVU24AR
2024-01-01Not available in this setting$734.59RVU24A
2023-10-01Not available in this setting$750.09RVU23D
2023-07-01Not available in this setting$750.09RVU23C
2023-04-01Not available in this setting$750.09RVU23B
2023-01-01Not available in this setting$750.09RVU23A
2022-10-01Not available in this setting$753.68RVU22D
2022-07-01Not available in this setting$753.68RVU22C
2022-04-01Not available in this setting$753.68RVU22B
2022-01-01Not available in this setting$753.68RVU22A
2021-10-01Not available in this setting$748.96RVU21D
2021-07-01Not available in this setting$748.96RVU21C
2021-04-01Not available in this setting$748.96RVU21B
2021-01-01Not available in this setting$748.96RVU21A
2020-10-01Not available in this setting$771.33RVU20D
2020-07-01Not available in this setting$771.33RVU20C
2020-04-01Not available in this setting$771.33RVU20B
2020-01-01Not available in this setting$771.33RVU20A
2019-10-01Not available in this setting$766.11RVU19D
2019-07-01Not available in this setting$766.11RVU19C
2019-04-01Not available in this setting$766.11RVU19B
2019-01-01Not available in this setting$766.11RVU19A
2018-10-01Not available in this setting$757.09RVU18D
2018-07-01Not available in this setting$757.09RVU18C
2018-04-01Not available in this setting$757.09RVU18B
2018-01-01Not available in this setting$757.09RVU18AR1
2017-10-01Not available in this setting$757.23RVU17D
2017-07-01Not available in this setting$757.23RVU17C
2017-04-01Not available in this setting$757.23RVU17B
2017-01-01Not available in this setting$757.23RVU17A
2016-10-01Not available in this setting$753.19RVU16D
2016-07-01Not available in this setting$753.19RVU16C
2016-04-01Not available in this setting$753.19RVU16B
2016-01-01Not available in this setting$753.19RVU16A
2015-10-01Not available in this setting$758.94RVU15D
2015-07-01Not available in this setting$758.94RVU15C
2015-04-01Not available in this setting$755.16RVU15B
2015-01-01Not available in this setting$755.16RVU15A
2014-10-01Not available in this setting$759.11RVU14D
2014-07-01Not available in this setting$759.11RVU14C
2014-04-01Not available in this setting$759.11RVU14B
2014-01-01Not available in this setting$759.11RVU14A
2013-10-01Not available in this setting$740.88RVU13D
2013-07-01Not available in this setting$740.88RVU13C
2013-04-01Not available in this setting$740.88RVU13B
2013-01-01Not available in this setting$740.88RVU13AR

Price 58925 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

58925 billing questions

How does this differ from 58920?

Use 58925 for excision of an ovarian cyst with ovarian tissue preserved. Code 58920 describes partial removal of ovarian tissue, such as a wedge resection.

Should modifier 50 be added when both ovaries are treated?

No. CMS prices 58925 as bilateral, and modifier 50 does not increase payment.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

What postoperative care is included?

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

What should the operative report establish?

Document that the surgeon excised an ovarian cyst, identify the ovary or ovaries treated, and clarify whether ovarian tissue was preserved or the ovary was partly or wholly removed.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. 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 58925PPRRVU2026_Oct_nonQPP.csv, line 6,609 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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