Billing code 58720: Salpingo-oophorectomyMedicare rate & RVUs in Delaware
Removal of an ovary together with its fallopian tube on one or both sides, for adnexal disease or another operative indication.
CMS doesn’t publish an office rate for 58720 in Delaware.
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 9 sections
What 58720 covers
This operation removes an ovary and its associated fallopian tube on one or both sides; the resection may be complete or partial. Gynecologic surgeons commonly perform it for an adnexal mass, torsion-related damage, or other disease requiring removal of the tubo-ovarian unit, typically in an operating room. The operative report should identify the structures removed, the side or sides, and the extent of resection.
Report 58720 when the procedure removes ovarian and tubal tissue together; choose based on the work performed, not the diagnosis alone. CMS prices this code as bilateral, so 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 occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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.
58720 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $689.54 |
How the 58720 rate is calculated
Each of 58720’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 · 58720
RVUs × geographic indexes × conversion factor
Work11.86
11.86 RVUs× 1.000 GPCI
Practice expense6.62
6.62 RVUs× 1.000 GPCI
Malpractice2.43
2.43 RVUs× 1.000 GPCI
Adjusted RVUs
20.9100
Conversion factor
$33.4009
Medicare rate
$698.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58720
58720 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58720
Salpingo-oophorectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58720
Salpingo-oophorectomy
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58720 without 51 · national facility
$698.41
Salpingo-oophorectomy
58720-51 · Second procedure: 50%
$349.21
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%).
58720 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58700Salpingectomy
- Use 58700 for fallopian tube removal alone. 58720 includes removal of ovarian tissue with the tube.
- 58940Oophorectomy
- 58940 describes ovarian removal without the associated tube removal represented by 58720.
- 58661Adnexal removal
- 58661 is the laparoscopic code for removal of adnexal structures. Distinguish it from 58720 by the documented operative approach.
58720 billing questions
How does 58720 differ from 58700?
58720 represents removal of an ovary together with its fallopian tube. Use 58700 when the tube is removed without removal of the ovary.
Should modifier 50 be appended for bilateral removal?
CMS prices 58720 as bilateral, and modifier 50 does not increase payment. Document the side or sides treated in the operative report.
What documentation supports 58720?
The operative report should specify the ovary and tube removed, laterality, and whether the resection was partial or complete.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Which code describes laparoscopic removal of adnexal structures?
Compare 58661 for laparoscopic removal of adnexal structures. Select the code that matches the documented operative approach and work.
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
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