CPT code 58952: Cancer debulking, with hysterectomy2026 Medicare rate & RVUs in North Carolina
Reports extensive surgery for ovarian, tubal, or primary peritoneal cancer that includes hysterectomy, bilateral adnexal removal, omentectomy, and radical tumor debulking.
In North Carolina, Medicare pays $1,420.32 for 58952 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58952 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 58952 covers
This operation treats ovarian, fallopian tube, or primary peritoneal malignancy by removing the uterus, both tubes and ovaries, and the omentum, along with visible tumor. The surgeon may dissect tumor from involved pelvic or abdominal structures to achieve cytoreduction. Gynecologic oncologists typically perform it in a hospital operating room, often as part of definitive cancer surgery.
Report the code when the documented procedure includes the hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and radical dissection for debulking represented by this service. The operative report should identify the structures removed and the tumor-dissection work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; 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 North Carolina compares for 58952
Across 109 of 109 payment localities, the facility rate for 58952 runs from $1,363.91 in Arkansas to $1,905.23 in Alaska. North Carolina pays $1,420.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$1,420.32
- Los Angeles, CA · California$1,570.75+$150.43
- Washington, DC area · District of Columbia$1,667.41+$247.09
- Miami, FL · Florida$1,834.87+$414.55
- Chicago, IL · Illinois$1,779.88+$359.56
- Manhattan, NY · New York$1,761.26+$340.94
- Alaska · Alaska$1,905.23+$484.91
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,380.81 |
| ArkansasArkansas | — | $1,363.91 |
| ArizonaArizona | — | $1,478.22 |
| Bakersfield, CACalifornia | — | $1,502.53 |
| Chico, CACalifornia | — | $1,486.56 |
| El Centro, CACalifornia | — | $1,487.53 |
| Fresno, CACalifornia | — | $1,486.56 |
| Hanford, CACalifornia | — | $1,486.56 |
| Madera, CACalifornia | — | $1,486.56 |
| Merced, CACalifornia | — | $1,486.56 |
| Modesto, CACalifornia | — | $1,486.56 |
| Napa, CACalifornia | — | $1,618.92 |
| Oxnard, CACalifornia | — | $1,550.79 |
| Redding, CACalifornia | — | $1,486.56 |
| Rest of CaliforniaCalifornia | — | $1,486.56 |
| Riverside, CACalifornia | — | $1,549.07 |
| Sacramento, CACalifornia | — | $1,532.70 |
| Salinas, CACalifornia | — | $1,526.51 |
| San Diego, CACalifornia | — | $1,542.94 |
| Marin County, CACalifornia | — | $1,678.00 |
| San Francisco, CACalifornia | — | $1,671.39 |
| San Benito County, CACalifornia | — | $1,720.27 |
| Santa Clara County, CACalifornia | — | $1,693.24 |
| San Luis Obispo, CACalifornia | — | $1,505.33 |
| Santa Cruz, CACalifornia | — | $1,542.07 |
| Santa Maria, CACalifornia | — | $1,526.90 |
| Santa Rosa, CACalifornia | — | $1,555.74 |
| Stockton, CACalifornia | — | $1,486.56 |
| Vallejo, CACalifornia | — | $1,609.39 |
| Visalia, CACalifornia | — | $1,486.56 |
| Yuba City, CACalifornia | — | $1,486.56 |
| ColoradoColorado | — | $1,515.77 |
| ConnecticutConnecticut | — | $1,611.95 |
| DelawareDelaware | — | $1,499.31 |
| Fort Lauderdale, FLFlorida | — | $1,682.49 |
| Rest of FloridaFlorida | — | $1,598.31 |
| Atlanta, GAGeorgia | — | $1,568.47 |
| Rest of GeorgiaGeorgia | — | $1,509.92 |
| Hawaii, Guam, HIHawaii | — | $1,497.71 |
| IowaIowa | — | $1,365.42 |
| IdahoIdaho | — | $1,382.37 |
| East St. Louis, ILIllinois | — | $1,681.93 |
| Rest of IllinoisIllinois | — | $1,591.20 |
| Suburban Chicago, ILIllinois | — | $1,687.82 |
| IndianaIndiana | — | $1,387.95 |
| KansasKansas | — | $1,381.41 |
| KentuckyKentucky | — | $1,454.76 |
| New Orleans, LALouisiana | — | $1,520.42 |
| Rest of LouisianaLouisiana | — | $1,461.37 |
| Metropolitan Boston, MAMassachusetts | — | $1,619.49 |
| Rest of MassachusettsMassachusetts | — | $1,517.64 |
| Baltimore area, MDMaryland | — | $1,611.90 |
| Rest of MarylandMaryland | — | $1,517.93 |
| Rest of MaineMaine | — | $1,411.34 |
| Southern Maine, MEMaine | — | $1,444.08 |
| Detroit, MIMichigan | — | $1,637.82 |
| Rest of MichiganMichigan | — | $1,506.84 |
| MinnesotaMinnesota | — | $1,395.55 |
| Metropolitan Kansas City, MOMissouri | — | $1,488.64 |
| Metropolitan St. Louis, MOMissouri | — | $1,499.18 |
| Rest of MissouriMissouri | — | $1,454.44 |
| MississippiMississippi | — | $1,408.32 |
| MontanaMontana | — | $1,519.35 |
| North DakotaNorth Dakota | — | $1,404.27 |
| NebraskaNebraska | — | $1,365.21 |
| New HampshireNew Hampshire | — | $1,513.34 |
| Northern New JerseyNew Jersey | — | $1,658.80 |
| Rest of New JerseyNew Jersey | — | $1,614.31 |
| New MexicoNew Mexico | — | $1,522.58 |
| NevadaNevada | — | $1,487.71 |
| NYC suburbs and Long Island, NYNew York | — | $1,825.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,642.03 |
| Queens, NYNew York | — | $1,742.00 |
| Rest of New YorkNew York | — | $1,440.18 |
| OhioOhio | — | $1,483.32 |
| OklahomaOklahoma | — | $1,429.68 |
| Portland, OROregon | — | $1,532.65 |
| Rest of OregonOregon | — | $1,460.26 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,591.16 |
| Rest of PennsylvaniaPennsylvania | — | $1,473.25 |
| Puerto RicoPuerto Rico | — | $1,521.63 |
| Rhode IslandRhode Island | — | $1,530.04 |
| South CarolinaSouth Carolina | — | $1,457.40 |
| South DakotaSouth Dakota | — | $1,390.66 |
| TennesseeTennessee | — | $1,390.01 |
| Austin, TXTexas | — | $1,524.68 |
| Beaumont, TXTexas | — | $1,466.65 |
| Brazoria, TXTexas | — | $1,480.16 |
| Dallas, TXTexas | — | $1,498.39 |
| Fort Worth, TXTexas | — | $1,496.55 |
| Galveston, TXTexas | — | $1,490.36 |
| Houston, TXTexas | — | $1,596.89 |
| Rest of TexasTexas | — | $1,478.62 |
| UtahUtah | — | $1,473.72 |
| VirginiaVirginia | — | $1,455.17 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,521.63 |
| VermontVermont | — | $1,419.35 |
| Rest of WashingtonWashington | — | $1,507.97 |
| King County, WAWashington | — | $1,627.70 |
| WisconsinWisconsin | — | $1,366.89 |
| West VirginiaWest Virginia | — | $1,546.34 |
| WyomingWyoming | — | $1,469.20 |
58952 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 58952 rate is calculated
Each of 58952’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 · 58952
RVUs × geographic indexes × conversion factor
Work26.61
26.61 RVUs× 1.000 GPCI
Practice expense13.07
13.07 RVUs× 1.000 GPCI
Malpractice5.82
5.82 RVUs× 1.000 GPCI
Adjusted RVUs
45.5000
Conversion factor
$33.4009
Medicare rate
$1,519.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,614
- Code
- 58952
- Physician work
- 26.61
- Practice expense
- 13.07
- Malpractice
- 5.82
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.61 | × 1.000 | 26.6100 |
| Practice expense | 13.07 | × 0.933 | 12.1943 |
| Malpractice | 5.82 | × 0.639 | 3.7190 |
| Total RVUs | 42.5233 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$1420.32
Facility: (26.61 × 1 + 13.07 × 0.933 + 5.82 × 0.639) × $33.4009 = $1420.32
Payment rules and modifiers for 58952
58952 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58952
Cancer debulking, with hysterectomy
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58952
Cancer debulking, with hysterectomy
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
58952 without 51 · national facility
$1,519.74
Cancer debulking, with hysterectomy
58952-51 · Second procedure: 50%
$759.87
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%).
How 58952 has changed in North Carolina
58952 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,420.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,420.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,420.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,420.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,512.20 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,512.20 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,512.20 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,512.20 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,557.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,557.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,557.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,557.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,532.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,586.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,586.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,586.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,586.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,619.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,619.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,619.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,619.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,612.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,612.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,612.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,612.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,618.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,618.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,618.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,618.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,623.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,623.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,623.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,623.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,607.59 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,607.59 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,607.59 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,607.59 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,611.21 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,611.21 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,611.21 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,611.21 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,605.45 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,605.45 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,605.45 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,605.45 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,612.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,612.19 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,604.17 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,604.17 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,571.62 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,571.62 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,571.62 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,571.62 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,518.71 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,518.71 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,518.71 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,518.71 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
58952 billing questions
How is 58952 distinguished from 58950?
Choose based on the actual operative scope. Code 58952 represents the hysterectomy and radical debulking components in addition to bilateral adnexal removal and omentectomy; 58950 is the related option without hysterectomy.
Should modifier 50 be appended for bilateral removal?
No. CMS prices 58952 as a bilateral service, and modifier 50 does not increase payment.
Can an assistant-at-surgery or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures performed in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to other procedures performed in that session.
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
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