CPT code 58954: Cancer debulking, hysterectomy and lymph nodes2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $1,994.18 for 58954 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 58954 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 58954 covers

This code describes an extensive operation to remove ovarian, fallopian-tube, or primary peritoneal malignancy. The procedure combines tumor cytoreduction with abdominal hysterectomy, removal of both ovaries and fallopian tubes, omentectomy, and lymph-node removal. Gynecologic oncologists typically perform it in a hospital operating room when the operative plan and findings call for this combined extent of cancer surgery.

Select the code from the procedures actually performed and documented, including the hysterectomy, bilateral adnexal removal, omentectomy, tumor debulking, and lymph-node work. These components are represented in the combined service rather than separately reported as independent procedures. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 made; co-surgeon payment requires supporting documentation. Team-surgery payment 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 Montana compares for 58954

Across 109 of 109 payment localities, the facility rate for 58954 runs from $1,791.50 in Nebraska to $2,515.72 in Alaska. Montana pays $1,994.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

58954 rates by state

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

See 58954 in every payment locality

How the 58954 rate is calculated

Each of 58954’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 58954

58954 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 58954

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

How 58954 has changed in Montana

Price 58954 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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