No office rate
Both codes describe ovarian cyst drainage; choose 58800 for the vaginal approach and 58805 for the abdominal approach.
On this page
CMS RVU26D · Effective 2026-10-01
58800 Ovarian cyst drainage Medicare reimbursement rates in Alabama
Reports drainage of one or more ovarian cysts through a vaginal approach, performed by a gynecologist when cyst drainage rather than excision is undertaken. Compare 58800 office and facility rates across CMS payment localities in Alabama.
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 58800 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$319.84
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$257.01
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Gynecologic surgery
About 58800: Vaginal approach ovarian cyst drainage
Reports drainage of one or more ovarian cysts through a vaginal approach, performed by a gynecologist when cyst drainage rather than excision is undertaken.
A gynecologist reports this service when one or more ovarian cysts are drained through a vaginal approach. The operative work is directed at the cyst or cysts and their fluid contents, rather than removing the cyst wall as a cystectomy. The code includes unilateral or bilateral drainage, so the approach and the procedure performed should be clear in the operative report.
Document the ovarian cyst diagnosis, vaginal route, side or sides treated, and drainage performed. This major-surgery code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 58800
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.50 · 43%
- Practice expense (office) RVU5.29 · 50%
- Malpractice RVU0.79 · 7%
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.
58800 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
58820 describes open drainage of an ovarian abscess, not drainage of an ovarian cyst.
No office rate
58822 describes percutaneous drainage of an ovarian abscess; 58800 is for ovarian cyst drainage through a vaginal approach.
No office rate
58925 is ovarian cystectomy, which removes the cyst; 58800 drains the cyst through a vaginal approach.
Compare 58800 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
$319.84
Facility
$257.01
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58800 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,602
- Code
- 58800
- Physician work
- 4.50
- Practice expense
- 5.29
- Malpractice
- 0.79
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.50 | × 1.000 | 4.5000 |
| Practice expense | 5.29 | × 0.875 | 4.6288 |
| Malpractice | 0.79 | × 0.566 | 0.4471 |
| Total RVUs | 9.5759 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$319.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.5 | 1 |
| Practice expense | 5.29 | 0.875 |
| Malpractice | 0.79 | 0.566 |
(4.5 × 1 + 5.29 × 0.875 + 0.79 × 0.566) × $33.4009 = $319.84
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.5 | 1 |
| Practice expense | 3.14 | 0.875 |
| Malpractice | 0.79 | 0.566 |
(4.5 × 1 + 3.14 × 0.875 + 0.79 × 0.566) × $33.4009 = $257.01
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
58800 billing questions
When should 58800 be chosen over 58805?
Use 58800 for drainage through a vaginal approach. Code 58805 describes ovarian cyst drainage through an abdominal approach.
Does bilateral drainage require modifier 50?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
Is postoperative care separately reported during the global period?
Related postoperative care for 90 days is included, along with the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Is drainage of an ovarian abscess reported with 58800?
No. This code is for ovarian cyst drainage; ovarian abscess drainage is described by codes such as 58820 or 58822, depending on the approach.
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.
6,59958752,,Revise ovarian tube(s),A,,15.25,6.01,NA,6.01,,2.67,23.93,23.93,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60058760,,Fimbrioplasty,A,,13.58,5.73,NA,5.73,,2.38,21.69,21.69,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60158770,,Create new tubal opening,A,,14.40,5.83,NA,5.83,,2.53,22.76,22.76,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60258800,,Drainage of ovarian cyst(s),A,,4.50,5.29,,3.14,,0.79,10.58,8.43,0,090,0.12,0.74,0.14,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60358805,,Drainage of ovarian cyst(s),A,,6.26,4.05,NA,4.05,,1.10,11.41,11.41,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60458820,,Drain ovary abscess open,A,,4.58,3.70,NA,3.70,,0.81,9.09,9.09,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60558822,,Drain ovary abscess percut,A,,11.51,5.41,NA,5.41,,2.02,18.94,18.94,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515