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Billing code 58662: Pelvic lesion surgeryMedicare rate & RVUs

Reports laparoscopic removal or destruction of lesions on the ovary, other pelvic structures, or peritoneal surfaces, including treatment of endometriosis lesions.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.6K Medicare services in 2024

Medicare pays $646.64 for 58662 nationally in a facility.

Medicare rate · 58662

Pelvic lesion surgery

Swap in your local Medicare rate.

Work RVUs
11.85
Total RVUs
19.36
Global days
090

National rate · 2026

$646.64

Facility setting, before claim adjustments.

See every locality for 58662 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 58662 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58662 covers

The surgeon uses a laparoscope and operative instruments to remove or destroy lesions on the ovary, pelvic viscera, or peritoneal surfaces. A common setting is gynecologic surgery for endometriosis, when implants are excised or ablated rather than simply inspected or sampled. The procedure is typically performed by a gynecologic surgeon in a hospital or ambulatory surgery setting.

Select this code when the operative report supports treatment of lesions by excision or destruction; document the treated sites and work performed. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon services may be paid; 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 58662 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58662 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$591.55
Alaska*Unavailable$821.36
ArizonaUnavailable$630.18
ArkansasUnavailable$584.85
AtlantaUnavailable$666.05
AustinUnavailable$648.77
BakersfieldUnavailable$640.83
Baltimore/Surr. CntysUnavailable$683.88
BeaumontUnavailable$625.53
BrazoriaUnavailable$631.34

58662 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
58662 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

How the 58662 rate is calculated

Each of 58662’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 · 58662

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.85Practice expense 5.21Malpractice 2.30

19.3600 adjusted RVUs×$33.4009 conversion factor=$646.64

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58662

58662 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58662

Pelvic lesion surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58662

Pelvic lesion surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

58662 without 51 · national facility

$646.64

Pelvic lesion surgery

58662-51 · Second procedure: 50%

$323.32

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

58662 compared with similar codes

Compare codes

58662 vs 58660 vs 58661 vs 49321: national Medicare rates

Swap in your local Medicare rate.

  • 58662
    Pelvic lesion surgery · 11.85 wRVU
    —
  • 58660
    Adhesiolysis · 11.3 wRVU
    —
  • 58661
    Adnexal removal · 11.07 wRVU
    —
  • 49321
    Laparoscopic biopsy · 5.3 wRVU
    —

How to choose

58660Adhesiolysis
Use 58660 for laparoscopic release of adhesions. This code is for excision or destruction of lesions, such as endometriosis implants.
58661Adnexal removal
Use 58661 when an ovary or other adnexal structure is removed. This code describes treatment of lesions, not removal of the adnexa itself.
49321Laparoscopic biopsy
Use 49321 for diagnostic laparoscopic biopsy sampling. This code describes therapeutic excision or destruction of lesions.

Codes related to 58662

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

Codes related to 58662
CodeHow it relatesNational office range
Often billed with
58660AdhesiolysisMay be reported for separately performed adhesiolysis alongside lesion treatment.No office rate
Used instead
58661Adnexal removalDescribes removal of adnexal structures rather than focal lesion treatment.No office rate
49321Laparoscopic biopsyDescribes diagnostic laparoscopic biopsy rather than therapeutic lesion removal or destruction.No office rate

58662 billing questions

When is this code preferable to laparoscopic adhesiolysis?

Use this code for excision or destruction of lesions. Use 58660 for operative release of adhesions; separately identifiable adhesiolysis may be reported with lesion treatment when both services are performed.

Does this code describe removal of an ovary or adnexa?

No. It describes treatment of lesions while the operation removes or destroys the lesion. Code 58661 describes removal of adnexal structures.

Can a diagnostic laparoscopic biopsy code be used instead?

A diagnostic biopsy code such as 49321 describes sampling for examination, rather than therapeutic excision or destruction of lesions. Choose based on the documented operative work.

Should modifier 50 be appended for bilateral lesions?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery and co-surgeon services may be paid for this procedure. 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
RVUs for 58662PPRRVU2026_Oct_nonQPP.csv, line 6,588 (RVU26D)

Open CMS sourceHow we calculate rates

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