CPT code 58956: Ovarian cancer surgery, with hysterectomy and omentectomy2026 Medicare rate & RVUs in Montana

This operation treats primary ovarian, fallopian-tube, or peritoneal malignancy through tumor resection with bilateral adnexal removal, omentectomy, and abdominal hysterectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality495 Medicare services in 2024

In Montana, Medicare pays $1,260.23 for 58956 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,260.23Hospital or facility

Check a contract rate as a % of Medicare · 58956 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 58956 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 58956 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 58956 covers

A gynecologic oncologist typically performs this abdominal operation to remove a primary malignancy involving the ovary, fallopian tube, or peritoneal surface. The operative work includes removing both tubes and ovaries, the omentum, and the uterus through an abdominal approach. It is used when the planned cancer operation includes all of these components, rather than an isolated ovarian removal or a more extensive radical debulking procedure.

Select the code from the documented operation, not diagnosis alone: the record should support resection of the primary tumor and each included operative component. The code represents bilateral removal already, so 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 Montana compares for 58956

Across 109 of 109 payment localities, the facility rate for 58956 runs from $1,132.81 in Arkansas to $1,583.75 in Alaska. Montana pays $1,260.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

58956 in Montana vs other payment areas
  1. Montana · this page$1,260.23
  2. Los Angeles, CA · California$1,303.28+$43.05
  3. Washington, DC area · District of Columbia$1,382.52+$122.29
  4. Miami, FL · Florida$1,518.36+$258.13
  5. Chicago, IL · Illinois$1,473.43+$213.20
  6. Manhattan, NY · New York$1,459.40+$199.17
  7. Alaska · Alaska$1,583.75+$323.52

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

Every other payment area

58956 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,146.67
ArkansasArkansas—$1,132.81
ArizonaArizona—$1,226.52
Bakersfield, CACalifornia—$1,246.96
Chico, CACalifornia—$1,233.87
El Centro, CACalifornia—$1,234.67
Fresno, CACalifornia—$1,233.87
Hanford, CACalifornia—$1,233.87

58956 rates by state

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

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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
58956 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 58956 in every payment locality

How the 58956 rate is calculated

Each of 58956’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 · 58956

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.23

22.23 RVUs× 1.000 GPCI

Practice expense10.75

10.75 RVUs× 1.000 GPCI

Malpractice4.76

4.76 RVUs× 1.000 GPCI

Adjusted RVUs

37.7400

Conversion factor

$33.4009

Medicare rate

$1,260.55

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,617

Code
58956
Physician work
22.23
Practice expense
10.75
Malpractice
4.76

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 58956 in Montana
ComponentRVULocality factorAdjusted
Physician work22.23× 1.00022.2300
Practice expense10.75× 1.00010.7500
Malpractice4.76× 0.9984.7505
Total RVUs37.7305
Conversion factor× 33.4009

Facility rate, Montana$1260.23

Facility: (22.23 × 1 + 10.75 × 1 + 4.76 × 0.998) × $33.4009 = $1260.23

Open 58956 in the RVU calculator

Payment rules and modifiers for 58956

58956 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58956

Ovarian cancer surgery, with hysterectomy and omentectomy

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 · 58956

Ovarian cancer surgery, with hysterectomy and 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.

  • 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

58956 without 51 · national facility

$1,260.55

Ovarian cancer surgery, with hysterectomy and omentectomy

58956-51 · Second procedure: 50%

$630.28

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 58956 has changed in Montana

58956 · 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$1,260.23RVU26D
2026-07-01Not available in this setting$1,260.23RVU26C
2026-04-01Not available in this setting$1,260.23RVU26B
2026-01-01Not available in this setting$1,260.23RVU26A
2025-10-01Not available in this setting$1,325.41RVU25D
2025-07-01Not available in this setting$1,325.41RVU25C
2025-04-01Not available in this setting$1,325.41RVU25B
2025-01-01Not available in this setting$1,325.41RVU25A
2024-10-01Not available in this setting$1,362.95RVU24D
2024-07-01Not available in this setting$1,362.95RVU24C
2024-04-01Not available in this setting$1,362.95RVU24B
2024-03-09Not available in this setting$1,362.95RVU24AR
2024-01-01Not available in this setting$1,340.71RVU24A
2023-10-01Not available in this setting$1,374.70RVU23D
2023-07-01Not available in this setting$1,374.70RVU23C
2023-04-01Not available in this setting$1,374.70RVU23B
2023-01-01Not available in this setting$1,374.70RVU23A
2022-10-01Not available in this setting$1,390.58RVU22D
2022-07-01Not available in this setting$1,390.58RVU22C
2022-04-01Not available in this setting$1,390.58RVU22B
2022-01-01Not available in this setting$1,390.58RVU22A
2021-10-01Not available in this setting$1,389.30RVU21D
2021-07-01Not available in this setting$1,389.30RVU21C
2021-04-01Not available in this setting$1,389.30RVU21B
2021-01-01Not available in this setting$1,389.30RVU21A
2020-10-01Not available in this setting$1,452.73RVU20D
2020-07-01Not available in this setting$1,452.73RVU20C
2020-04-01Not available in this setting$1,452.73RVU20B
2020-01-01Not available in this setting$1,452.73RVU20A
2019-10-01Not available in this setting$1,546.59RVU19D
2019-07-01Not available in this setting$1,546.59RVU19C
2019-04-01Not available in this setting$1,546.59RVU19B
2019-01-01Not available in this setting$1,546.59RVU19A
2018-10-01Not available in this setting$1,539.17RVU18D
2018-07-01Not available in this setting$1,539.17RVU18C
2018-04-01Not available in this setting$1,539.17RVU18B
2018-01-01Not available in this setting$1,539.17RVU18AR1
2017-10-01Not available in this setting$1,500.73RVU17D
2017-07-01Not available in this setting$1,500.73RVU17C
2017-04-01Not available in this setting$1,500.73RVU17B
2017-01-01Not available in this setting$1,500.73RVU17A
2016-10-01Not available in this setting$1,454.47RVU16D
2016-07-01Not available in this setting$1,454.47RVU16C
2016-04-01Not available in this setting$1,454.47RVU16B
2016-01-01Not available in this setting$1,454.47RVU16A
2015-10-01Not available in this setting$1,463.24RVU15D
2015-07-01Not available in this setting$1,463.24RVU15C
2015-04-01Not available in this setting$1,455.96RVU15B
2015-01-01Not available in this setting$1,455.96RVU15A
2014-10-01Not available in this setting$1,417.52RVU14D
2014-07-01Not available in this setting$1,417.52RVU14C
2014-04-01Not available in this setting$1,417.52RVU14B
2014-01-01Not available in this setting$1,417.52RVU14A
2013-10-01Not available in this setting$1,370.14RVU13D
2013-07-01Not available in this setting$1,370.14RVU13C
2013-04-01Not available in this setting$1,370.14RVU13B
2013-01-01Not available in this setting$1,370.14RVU13AR

Price 58956 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

58956 billing questions

How does this differ from 58950?

This code includes abdominal hysterectomy along with the bilateral tube-and-ovary removal and omentectomy. Use 58950 when the documented malignancy resection includes the latter components but not the hysterectomy.

Should modifier 50 be appended?

The code is already priced as bilateral. Modifier 50 does not increase its payment.

Are the hysterectomy, omentectomy, or bilateral adnexal removal separately reported?

They are components of this combined malignancy operation. Do not separately report an included component as though it were an independent procedure.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

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 58956PPRRVU2026_Oct_nonQPP.csv, line 6,617 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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