CPT code 58953: Cancer debulking, with TAH, BSO, omentectomy2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,684.83 for 58953 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58953 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 58953 covers

Code 58953 represents major cytoreductive surgery for ovarian, fallopian-tube, or primary peritoneal malignancy. The operation includes radical dissection to remove tumor deposits, total abdominal hysterectomy (TAH), bilateral salpingo-oophorectomy (BSO), and omentectomy. A gynecologic oncologist typically performs it in a hospital operating room when the planned cancer operation includes this combination of procedures.

Report the code when the operative record supports radical tumor debulking and documents the hysterectomy, removal of both tubes and ovaries, and omentectomy. These services are represented together by the code rather than reported as separate components of the same operation. The code is priced as bilateral; 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 are performed in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. 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 South Dakota compares for 58953

Across 109 of 109 payment localities, the facility rate for 58953 runs from $1,657.10 in Nebraska to $2,324.59 in Alaska. South Dakota pays $1,684.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58953 rates by state

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

See 58953 in every payment locality

How the 58953 rate is calculated

Each of 58953’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 58953

58953 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 58953

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

How 58953 has changed in South Dakota

Price 58953 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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