Billing code 58952: Cancer debulkingMedicare rate & RVUs

Medicare pays $1,519.74 for 58952 nationally in a facility.

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

What 58952 covers

This operation treats ovarian, fallopian tube, or primary peritoneal malignancy by removing the uterus, both tubes and ovaries, and the omentum, along with visible tumor. The surgeon may dissect tumor from involved pelvic or abdominal structures to achieve cytoreduction. Gynecologic oncologists typically perform it in a hospital operating room, often as part of definitive cancer surgery.

Report the code when the documented procedure includes the hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and radical dissection for debulking represented by this service. The operative report should identify the structures removed and the tumor-dissection work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 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, 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 58952 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

58952 rates by state

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

How the 58952 rate is calculated

Each of 58952’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 58952

58952 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

58952 compared with similar codes

How to choose

58950Cancer resection

Use 58950 when the ovarian malignancy resection and associated work are performed without hysterectomy. Code 58952 includes hysterectomy and radical debulking.

58953Cancer debulking

Both codes represent extensive ovarian malignancy surgery with hysterectomy and radical tumor dissection. Distinguish them by the additional operative scope documented for 58953.

58954Cancer debulking

58954 represents the related radical debulking operation with lymph node removal. Use 58952 when that additional nodal work is not part of the documented procedure.

58956Ovarian cancer surgery

58956 is the related combination of bilateral adnexal removal, omentectomy, and hysterectomy; 58952 represents the more extensive radical tumor-debulking work.

Codes related to 58952

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

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