CPT code 58953: Cancer debulking, with TAH, BSO, omentectomy2026 Medicare rate & RVUs in Texas
This major cytoreductive operation treats ovarian, fallopian-tube, or primary peritoneal cancer when radical tumor debulking includes hysterectomy, bilateral adnexal removal, and omentectomy.
CMS doesn’t publish an office rate for 58953 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 58953 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,848.59 |
| Beaumont, TX | Unavailable | $1,783.95 |
| Brazoria, TX | Unavailable | $1,796.66 |
| Dallas, TX | Unavailable | $1,819.10 |
| Fort Worth, TX | Unavailable | $1,817.32 |
| Galveston, TX | Unavailable | $1,809.25 |
| Houston, TX | Unavailable | $1,941.77 |
| Rest of Texas | Unavailable | $1,796.85 |
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.
How the rate is built · 58953
RVUs × geographic indexes × conversion factor
Work33.28
33.28 RVUs× 1.000 GPCI
Practice expense14.73
14.73 RVUs× 1.000 GPCI
Malpractice7.24
7.24 RVUs× 1.000 GPCI
Adjusted RVUs
55.2500
Conversion factor
$33.4009
Medicare rate
$1,845.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58953
58953 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58953
Cancer debulking, with TAH, BSO, omentectomy
| 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 · 58953
Cancer debulking, with TAH, BSO, omentectomy
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
58953 without 51 · national facility
$1,845.40
Cancer debulking, with TAH, BSO, omentectomy
58953-51 · Second procedure: 50%
$922.70
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%).
58953 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58952Cancer debulkingWith hysterectomy
- Choose 58952 when radical debulking includes BSO and omentectomy but not TAH. The hysterectomy is included in 58953.
- 58954Cancer debulkingHysterectomy and lymph nodes
- Choose 58954 when pelvic lymphadenectomy is also part of the radical debulking operation. That additional dissection distinguishes it from 58953.
- 58950Cancer resectionWith BSO and omentectomy
- 58950 describes debulking with BSO and omentectomy without radical dissection or TAH. Use 58953 when the documented operation includes radical dissection and TAH.
- 58951Ovarian cancer surgeryPelvic lymphadenectomy
- 58951 includes TAH, BSO, omentectomy, and pelvic lymphadenectomy but not the radical debulking designation. The documented extent of tumor dissection helps distinguish it from 58953.
58953 billing questions
How is 58953 distinguished from 58952?
58953 includes a total abdominal hysterectomy in addition to radical debulking, BSO, and omentectomy. 58952 describes the radical debulking operation without the hysterectomy.
When would 58954 be the better code?
Use 58954 when the radical debulking operation also includes pelvic lymphadenectomy. Code 58953 does not include that additional lymph node dissection.
Can the hysterectomy, BSO, and omentectomy be billed separately?
They are included in 58953 when performed as part of the same radical debulking operation; do not separately report those components for that operation.
Should modifier 50 be appended for the bilateral removal?
The code is already priced as bilateral, and modifier 50 does not increase its payment.
What global and multiple-procedure rules affect payment?
The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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
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