No office rate
58925 is for cyst excision with ovarian tissue preserved; 58920 represents partial removal of ovarian tissue, such as a wedge resection.
On this page
CMS RVU26D · Effective 2026-10-01
58925 Ovarian cystectomy Medicare reimbursement rates in Alabama
Report ovarian cystectomy when a surgeon excises ovarian cyst tissue while preserving the ovary, whether the procedure involves one or both ovaries. Compare 58925 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 58925 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
No supported rate
Facility setting
$636.55
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 58925: Ovarian cystectomy
Report ovarian cystectomy when a surgeon excises ovarian cyst tissue while preserving the ovary, whether the procedure involves one or both ovaries.
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.
CMS billing rules for 58925
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.12 · 58%
- Practice expense (office) RVU6.37 · 30%
- Malpractice RVU2.41 · 12%
98
Medicare services in 2024 · #4902 by national volume
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.
58925 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Choose 58940 when the ovary itself is removed. Choose 58925 when the surgeon excises the cyst and preserves the ovary.
No office rate
58925 describes open ovarian cystectomy; 58662 describes laparoscopic excision of an ovarian or pelvic lesion.
Compare 58925 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
Unavailable
Facility
$636.55
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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 58925 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,609
- Code
- 58925
- Physician work
- 12.12
- Practice expense
- 6.37
- Malpractice
- 2.41
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.12 | × 1.000 | 12.1200 |
| Practice expense | 6.37 | × 0.875 | 5.5738 |
| Malpractice | 2.41 | × 0.566 | 1.3641 |
| Total RVUs | 19.0578 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$636.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.12 | 1 |
| Practice expense | 6.37 | 0.875 |
| Malpractice | 2.41 | 0.566 |
(12.12 × 1 + 6.37 × 0.875 + 2.41 × 0.566) × $33.4009 = $636.55
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.
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 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.
6,60658825,,Transposition ovary(s),A,,11.49,5.29,NA,5.29,,2.01,18.79,18.79,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60758900,,Biopsy of ovary(s),A,,6.43,4.09,NA,4.09,,1.13,11.65,11.65,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60858920,,Partial removal of ovary(s),A,,11.65,5.20,NA,5.20,,2.05,18.90,18.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60958925,,Removal of ovarian cyst(s),A,,12.12,6.37,NA,6.37,,2.41,20.90,20.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61058940,,Removal of ovary(s),A,,8.01,5.75,NA,5.75,,1.67,15.43,15.43,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61158943,,Removal of ovary(s),A,,19.03,10.39,NA,10.39,,4.40,33.82,33.82,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61258950,,Resect ovarian malignancy,A,,17.91,10.17,NA,10.17,,3.91,31.99,31.99,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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