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Billing code 58953: Cancer debulkingMedicare rate & RVUs

This major cytoreductive operation treats ovarian, fallopian-tube, or primary peritoneal cancer when radical tumor debulking includes hysterectomy, bilateral adnexal removal, and omentectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.7K Medicare services in 2024

Medicare pays $1,845.40 for 58953 nationally in a facility.

Medicare rate · 58953

Cancer debulking

Swap in your local Medicare rate.

Work RVUs
33.28
Total RVUs
55.25
Global days
090

National rate · 2026

$1,845.40

Facility setting, before claim adjustments.

See every locality for 58953 → · 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 58953 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 58953 covers

Code 58953 represents major cytoreductive surgery for ovarian, fallopian-tube, or primary peritoneal malignancy. The operation includes radical dissection to remove tumor deposits, total abdominal hysterectomy (TAH), bilateral salpingo-oophorectomy (BSO), and omentectomy. A gynecologic oncologist typically performs it in a hospital operating room when the planned cancer operation includes this combination of procedures.

Report the code when the operative record supports radical tumor debulking and documents the hysterectomy, removal of both tubes and ovaries, and omentectomy. These services are represented together by the code rather than reported as separate components of the same operation. The code is priced as bilateral; 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 one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. 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 58953 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

58953 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,678.95
Alaska*Unavailable$2,324.59
ArizonaUnavailable$1,795.33
ArkansasUnavailable$1,658.74
AtlantaUnavailable$1,905.21
AustinUnavailable$1,848.59
BakersfieldUnavailable$1,819.20
Baltimore/Surr. CntysUnavailable$1,956.41
BeaumontUnavailable$1,783.95
BrazoriaUnavailable$1,796.66

58953 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
58953 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 58953 rate is calculated

Each of 58953’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 · 58953

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 33.28Practice expense 14.73Malpractice 7.24

55.2500 adjusted RVUs×$33.4009 conversion factor=$1,845.40

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

Payment rules and modifiers for 58953

58953 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58953

Cancer debulking

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 · 58953

Cancer debulking

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

58953 without 51 · national facility

$1,845.40

Cancer debulking

58953-51 · Second procedure: 50%

$922.70

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

58953 compared with similar codes

Compare codes

58953 vs 58952 vs 58954 vs 58950 vs 58951: national Medicare rates

Swap in your local Medicare rate.

  • 58953
    Cancer debulking · 33.28 wRVU
    —
  • 58952
    Cancer debulking · 26.61 wRVU
    —
  • 58954
    Cancer debulking · 36.2 wRVU
    —
  • 58950
    Cancer resection · 17.91 wRVU
    —
  • 58951
    Ovarian cancer surgery · 23.65 wRVU
    —

How to choose

58952Cancer debulking
Choose 58952 when radical debulking includes BSO and omentectomy but not TAH. The hysterectomy is included in 58953.
58954Cancer debulking
Choose 58954 when pelvic lymphadenectomy is also part of the radical debulking operation. That additional dissection distinguishes it from 58953.
58950Cancer resection
58950 describes debulking with BSO and omentectomy without radical dissection or TAH. Use 58953 when the documented operation includes radical dissection and TAH.
58951Ovarian cancer surgery
58951 includes TAH, BSO, omentectomy, and pelvic lymphadenectomy but not the radical debulking designation. The documented extent of tumor dissection helps distinguish it from 58953.

Codes related to 58953

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

Codes related to 58953
CodeHow it relatesNational office range
Same family
58952Cancer debulkingRadical debulking with BSO and omentectomy, without the hysterectomy included in 58953.No office rate
58954Cancer debulkingAdds pelvic lymphadenectomy to radical debulking with TAH, BSO, and omentectomy.No office rate
58950Cancer resectionDebulking with BSO and omentectomy, without radical dissection or TAH.No office rate
58951Ovarian cancer surgeryIncludes TAH, BSO, omentectomy, and pelvic lymphadenectomy without the radical debulking designation.No office rate

58953 billing questions

How is 58953 distinguished from 58952?

58953 includes a total abdominal hysterectomy in addition to radical debulking, BSO, and omentectomy. 58952 describes the radical debulking operation without the hysterectomy.

When would 58954 be the better code?

Use 58954 when the radical debulking operation also includes pelvic lymphadenectomy. Code 58953 does not include that additional lymph node dissection.

Can the hysterectomy, BSO, and omentectomy be billed separately?

They are included in 58953 when performed as part of the same radical debulking operation; do not separately report those components for that operation.

Should modifier 50 be appended for the bilateral removal?

The code is already priced as bilateral, and modifier 50 does not increase its payment.

What global and multiple-procedure rules affect payment?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. 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 58953PPRRVU2026_Oct_nonQPP.csv, line 6,615 (RVU26D)

Open CMS sourceHow we calculate rates

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