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Billing code 58925: Ovarian cystectomyMedicare rate & RVUs

Report ovarian cystectomy when a surgeon excises ovarian cyst tissue while preserving the ovary, whether the procedure involves one or both ovaries.

CMS RVU26DEffective Oct 1, 2026109 payment localities98 Medicare services in 2024

Medicare pays $698.08 for 58925 nationally in a facility.

Medicare rate · 58925

Ovarian cystectomy

Work RVUs
12.12
Total RVUs
20.90
Global days
090

National rate · 2026

$698.08

Facility setting, before claim adjustments.

See every locality for 58925 →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 58925 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 58925 covers

A gynecologic surgeon removes a cyst from the ovary while preserving ovarian tissue. The procedure is generally performed in an operating room for a persistent, symptomatic, or otherwise surgically managed ovarian cyst. The operative approach matters: this code describes cyst removal by an open approach, while laparoscopic excision of an ovarian lesion is represented by a different code. The surgeon may send the removed tissue for pathologic examination.

Choose this code when the operative report supports cyst excision rather than ovarian biopsy, partial oophorectomy, or removal of the entire ovary. Document the treated ovary or ovaries, the cyst excision, and the extent of ovarian tissue retained. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures 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 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.

Where 58925 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

58925 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$636.55
Alaska*Unavailable$878.18
ArizonaUnavailable$679.89
ArkansasUnavailable$629.04
AtlantaUnavailable$718.88
AustinUnavailable$702.05
BakersfieldUnavailable$694.72
Baltimore/Surr. CntysUnavailable$739.17
BeaumontUnavailable$673.21
BrazoriaUnavailable$681.69

58925 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
58925 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 58925 rate is calculated

Each of 58925’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 · 58925

RVUs × geographic indexes × conversion factor

Work12.12

12.12 RVUs× 1.000 GPCI

Practice expense6.37

6.37 RVUs× 1.000 GPCI

Malpractice2.41

2.41 RVUs× 1.000 GPCI

Adjusted RVUs

20.9000

Conversion factor

$33.4009

Medicare rate

$698.08

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

Payment rules and modifiers for 58925

58925 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58925

Ovarian cystectomy

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 · 58925

Ovarian cystectomy

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

58925 without 51 · national facility

$698.08

Ovarian cystectomy

58925-51 · Second procedure: 50%

$349.04

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

58925 compared with similar codes

Compare codes · National

4 codes, side by side

  • 58925

    Ovarian cystectomy12.12 wRVU

    Not priced

  • 58920

    Ovarian surgery11.65 wRVU

    Not priced

  • 58940

    Oophorectomy8.01 wRVU

    Not priced

  • 58662

    Pelvic lesion surgery11.85 wRVU

    Not priced

How to choose

58920Ovarian surgery
58925 is for cyst excision with ovarian tissue preserved; 58920 represents partial removal of ovarian tissue, such as a wedge resection.
58940Oophorectomy
Choose 58940 when the ovary itself is removed. Choose 58925 when the surgeon excises the cyst and preserves the ovary.
58662Pelvic lesion surgery
58925 describes open ovarian cystectomy; 58662 describes laparoscopic excision of an ovarian or pelvic lesion.

Codes related to 58925

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

Codes related to 58925
CodeHow it relatesNational office range
Same family
58920Ovarian surgeryPartial ovarian resection removes ovarian tissue rather than describing cyst excision with the ovary preserved.No office rate
Used instead
58940OophorectomyUse when the operation removes an ovary rather than excising a cyst while preserving it.No office rate
58662Pelvic lesion surgeryLaparoscopic excision of an ovarian lesion; distinguish by operative approach.No office rate
58900Ovarian biopsyOvarian biopsy samples tissue for diagnosis rather than removing a cyst.No office rate

58925 billing questions

How does this differ from 58920?

Use 58925 for excision of an ovarian cyst with ovarian tissue preserved. Code 58920 describes partial removal of ovarian tissue, such as a wedge resection.

Should modifier 50 be added when both ovaries are treated?

No. CMS prices 58925 as bilateral, and modifier 50 does not increase payment.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

What postoperative care is included?

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

What should the operative report establish?

Document that the surgeon excised an ovarian cyst, identify the ovary or ovaries treated, and clarify whether ovarian tissue was preserved or the ovary was partly or wholly removed.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. 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
RVUs for 58925PPRRVU2026_Oct_nonQPP.csv, line 6,609 (RVU26D)

Open CMS sourceHow we calculate rates

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