No office rate
Choose 58952 when radical debulking includes BSO and omentectomy but not TAH. The hysterectomy is included in 58953.
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CMS RVU26D · Effective 2026-10-01
58953 Cancer debulking Medicare reimbursement rates in Alaska
This major cytoreductive operation treats ovarian, fallopian-tube, or primary peritoneal cancer when radical tumor debulking includes hysterectomy, bilateral adnexal removal, and omentectomy. Compare 58953 office and facility rates across CMS payment localities in Alaska.
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 58953 in Alaska?
Alaska 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
$2324.59
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 oncology surgery
About 58953: Radical ovarian cancer debulking with hysterectomy
This major cytoreductive operation treats ovarian, fallopian-tube, or primary peritoneal cancer when radical tumor debulking includes hysterectomy, bilateral adnexal removal, and omentectomy.
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.
CMS billing rules for 58953
- 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 RVU33.28 · 60%
- Practice expense (office) RVU14.73 · 27%
- Malpractice RVU7.24 · 13%
1.7K
Medicare services in 2024 · #2578 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.
58953 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
Choose 58954 when pelvic lymphadenectomy is also part of the radical debulking operation. That additional dissection distinguishes it from 58953.
No office rate
58950 describes debulking with BSO and omentectomy without radical dissection or TAH. Use 58953 when the documented operation includes radical dissection and TAH.
No office rate
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.
Compare 58953 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$2324.59
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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 58953 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
6,615
- Code
- 58953
- Physician work
- 33.28
- Practice expense
- 14.73
- Malpractice
- 7.24
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.28 | × 1.500 | 49.9200 |
| Practice expense | 14.73 | × 1.065 | 15.6875 |
| Malpractice | 7.24 | × 0.551 | 3.9892 |
| Total RVUs | 69.5967 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$2324.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.28 | 1.5 |
| Practice expense | 14.73 | 1.065 |
| Malpractice | 7.24 | 0.551 |
(33.28 × 1.5 + 14.73 × 1.065 + 7.24 × 0.551) × $33.4009 = $2324.59
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.
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 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.
6,61258950,,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
6,61358951,,Resect ovarian malignancy,A,,23.65,11.07,NA,11.07,,5.12,39.84,39.84,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61458952,,Resect ovarian malignancy,A,,26.61,13.07,NA,13.07,,5.82,45.50,45.50,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61558953,,Tah rad dissect for debulk,A,,33.28,14.73,NA,14.73,,7.24,55.25,55.25,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61658954,,Tah rad debulk/lymph remove,A,,36.20,15.68,NA,15.68,,7.84,59.72,59.72,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61758956,,Bso omentectomy w/tah,A,,22.23,10.75,NA,10.75,,4.76,37.74,37.74,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61858958,,Resc recr ovr tbl pp utr mal,A,,28.49,10.03,NA,10.03,,4.99,43.51,43.51,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609