No office rate
Choose 58661 when an ovary or fallopian tube is removed. Choose 58662 for laparoscopic excision of lesions without reporting removal of adnexal structures as the service.
On this page
CMS RVU26D · Effective 2026-10-01
58661 Adnexal removal Medicare reimbursement rates
Report this service when a surgeon uses laparoscopy to remove an ovary, fallopian tube, or both, in part or in full. Compare 58661 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 58661?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 58661 pays more and less
Gynecologic surgery
About 58661: Laparoscopic adnexal structure removal
Report this service when a surgeon uses laparoscopy to remove an ovary, fallopian tube, or both, in part or in full.
A gynecologic surgeon uses laparoscopic instruments to remove an ovary, a fallopian tube, or both, partially or completely. Common clinical situations include removal of an adnexal mass, a diseased or torsed ovary, or a fallopian tube affected by an ectopic pregnancy. The procedure is typically performed in a hospital or ambulatory surgery center operating room. The operative report should identify the structures removed, the side, the extent of removal, and the laparoscopic approach.
Select this code for removal of adnexal structures, not simply for treating a tubal lesion or improving tubal patency. For bilateral surgery, CMS pays modifier 50 at 150%. Related postoperative visits during the 10-day global period are included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58661
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.07 · 63%
- Practice expense (office) RVU4.35 · 25%
- Malpractice RVU2.13 · 12%
12.4K
Medicare services in 2024 · #1368 by national volume
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.
58661 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Code 58660 describes laparoscopic treatment of adhesions. It does not represent removal of an ovary or fallopian tube.
No office rate
Code 58670 is for laparoscopic tubal cautery for sterilization; 58661 represents removal of adnexal structures.
No office rate
Code 58700 represents salpingectomy by an open approach. Use 58661 when the tube or other adnexal structure is removed laparoscopically.
See how rates vary across the country
58661 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 58661 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $537.15 |
| Alaska* | Office Unavailable | Facility $748.56 |
| Arizona | Office Unavailable | Facility $571.44 |
| Arkansas | Office Unavailable | Facility $531.19 |
| Atlanta | Office Unavailable | Facility $603.92 |
| Austin | Office Unavailable | Facility $587.24 |
| Bakersfield | Office Unavailable | Facility $579.34 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $619.57 |
| Beaumont | Office Unavailable | Facility $568.06 |
| Brazoria | Office Unavailable | Facility $572.18 |
| Chicago | Office Unavailable | Facility $681.63 |
| Chico | Office Unavailable | Facility $573.41 |
| Colorado | Office Unavailable | Facility $584.34 |
| Connecticut | Office Unavailable | Facility $619.71 |
| Dallas | Office Unavailable | Facility $578.83 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $640.05 |
| Delaware | Office Unavailable | Facility $579.11 |
| Detroit | Office Unavailable | Facility $629.91 |
| East St. Louis | Office Unavailable | Facility $646.70 |
| El Centro | Office Unavailable | Facility $573.76 |
| Fort Lauderdale | Office Unavailable | Facility $645.56 |
| Fort Worth | Office Unavailable | Facility $578.30 |
| Fresno | Office Unavailable | Facility $573.41 |
| Galveston | Office Unavailable | Facility $575.89 |
| Hanford-Corcoran | Office Unavailable | Facility $573.41 |
| Hawaii, Guam | Office Unavailable | Facility $576.14 |
| Houston | Office Unavailable | Facility $614.88 |
| Idaho | Office Unavailable | Facility $537.07 |
| Indiana | Office Unavailable | Facility $539.01 |
| Iowa | Office Unavailable | Facility $530.94 |
| Kansas | Office Unavailable | Facility $536.95 |
| Kentucky | Office Unavailable | Facility $564.01 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $604.03 |
| Madera | Office Unavailable | Facility $573.41 |
| Manhattan | Office Unavailable | Facility $675.08 |
| Merced | Office Unavailable | Facility $573.41 |
| Metropolitan Boston | Office Unavailable | Facility $621.71 |
| Metropolitan Kansas City | Office Unavailable | Facility $575.69 |
| Metropolitan Philadelphia | Office Unavailable | Facility $612.53 |
| Metropolitan St. Louis | Office Unavailable | Facility $579.35 |
| Miami | Office Unavailable | Facility $700.92 |
| Minnesota | Office Unavailable | Facility $540.31 |
| Mississippi | Office Unavailable | Facility $547.42 |
| Modesto | Office Unavailable | Facility $573.41 |
| Montana** | Office Unavailable | Facility $586.04 |
| Napa | Office Unavailable | Facility $620.68 |
| Nebraska | Office Unavailable | Facility $530.75 |
| Nevada** | Office Unavailable | Facility $574.45 |
| New Hampshire | Office Unavailable | Facility $583.25 |
| New Mexico | Office Unavailable | Facility $588.43 |
| New Orleans | Office Unavailable | Facility $587.29 |
| North Carolina | Office Unavailable | Facility $550.77 |
| North Dakota** | Office Unavailable | Facility $543.93 |
| Northern Nj | Office Unavailable | Facility $637.56 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $698.28 |
| Ohio | Office Unavailable | Facility $574.11 |
| Oklahoma | Office Unavailable | Facility $554.77 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $596.16 |
| Portland | Office Unavailable | Facility $590.02 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $631.57 |
| Puerto Rico | Office Unavailable | Facility $586.72 |
| Queens | Office Unavailable | Facility $667.74 |
| Redding | Office Unavailable | Facility $573.41 |
| Rest Of California | Office Unavailable | Facility $573.41 |
| Rest Of Florida | Office Unavailable | Facility $615.58 |
| Rest Of Georgia | Office Unavailable | Facility $584.15 |
| Rest Of Illinois | Office Unavailable | Facility $613.60 |
| Rest Of Louisiana | Office Unavailable | Facility $566.49 |
| Rest Of Maine | Office Unavailable | Facility $547.67 |
| Rest Of Maryland | Office Unavailable | Facility $585.79 |
| Rest Of Massachusetts | Office Unavailable | Facility $585.36 |
| Rest Of Michigan | Office Unavailable | Facility $582.72 |
| Rest Of Missouri | Office Unavailable | Facility $564.29 |
| Rest Of New Jersey | Office Unavailable | Facility $621.24 |
| Rest Of New York | Office Unavailable | Facility $557.79 |
| Rest Of Oregon | Office Unavailable | Facility $564.47 |
| Rest Of Pennsylvania | Office Unavailable | Facility $570.36 |
| Rest Of Texas | Office Unavailable | Facility $571.87 |
| Rest Of Washington | Office Unavailable | Facility $581.69 |
| Rhode Island | Office Unavailable | Facility $590.32 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $596.33 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $590.17 |
| Salinas | Office Unavailable | Facility $587.74 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $593.17 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $642.39 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $639.97 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $658.07 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $648.18 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $579.66 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $592.18 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $587.65 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $597.39 |
| Seattle (King Cnty) | Office Unavailable | Facility $624.64 |
| South Carolina | Office Unavailable | Facility $564.47 |
| South Dakota** | Office Unavailable | Facility $538.95 |
| Southern Maine | Office Unavailable | Facility $558.63 |
| Stockton | Office Unavailable | Facility $573.41 |
| Suburban Chicago | Office Unavailable | Facility $647.62 |
| Tennessee | Office Unavailable | Facility $540.02 |
| Utah | Office Unavailable | Facility $570.21 |
| Vallejo | Office Unavailable | Facility $617.19 |
| Vermont | Office Unavailable | Facility $549.59 |
| Virgin Islands | Office Unavailable | Facility $586.72 |
| Virginia | Office Unavailable | Facility $562.80 |
| Visalia | Office Unavailable | Facility $573.41 |
| West Virginia | Office Unavailable | Facility $597.82 |
| Wisconsin | Office Unavailable | Facility $530.85 |
| Wyoming** | Office Unavailable | Facility $567.69 |
| Yuba City | Office Unavailable | Facility $573.41 |
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58661 billing questions
When is this code a better fit than 58662?
Use this code when the laparoscopic service removes an ovary or fallopian tube, in part or in full. Code 58662 concerns excision of lesions rather than removal of adnexal structures.
Does this code cover laparoscopic tubal sterilization?
No. Tubal sterilization that leaves the fallopian tube in place is represented by codes such as 58670 or 58671, depending on the technique.
How is bilateral removal handled?
CMS identifies this as a bilateral procedure: report modifier 50 for bilateral surgery, which is paid at 150%.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure's global payment.
Can another laparoscopic procedure be reported at the same session?
A related endoscopic procedure may be reported when separately performed and supported by the operative documentation. CMS endoscopy-family pricing applies when related endoscopies are performed together.
Can an assistant or co-surgeon participate?
CMS permits payment for an assistant at surgery and permits co-surgeons for this code. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,58458611,,Ligate oviduct(s) add-on,A,,1.41,0.30,NA,0.30,,0.24,1.95,1.95,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58558615,,Occlude fallopian tube(s),A,,3.84,2.25,NA,2.25,,0.67,6.76,6.76,0,010,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58658660,,Laparoscopy lysis,A,,11.30,5.12,NA,5.12,,2.37,18.79,18.79,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58758661,,Laparoscopy remove adnexa,A,,11.07,4.35,NA,4.35,,2.13,17.55,17.55,0,010,0.10,0.80,0.10,3,1,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58858662,,Laparoscopy excise lesions,A,,11.85,5.21,NA,5.21,,2.30,19.36,19.36,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58958670,,Laparoscopy tubal cautery,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00