No office rate
Choose 58951 when pelvic lymphadenectomy is part of the malignancy resection; 58950 represents the related operation without that node dissection.
On this page
CMS RVU26D · Effective 2026-10-01
58951 Ovarian cancer surgery Medicare reimbursement rates in Delaware
Reports ovarian, tubal, or primary peritoneal cancer resection with bilateral ovary and tube removal, omentectomy, and pelvic lymphadenectomy. Compare 58951 office and facility rates across CMS payment localities in Delaware.
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 58951 in Delaware?
Delaware 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
$1312.93
1 of 1 localities have a supported rate.
Payment area: Delaware
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 58951: Ovarian Cancer Resection with Lymphadenectomy
Reports ovarian, tubal, or primary peritoneal cancer resection with bilateral ovary and tube removal, omentectomy, and pelvic lymphadenectomy.
This major gynecologic oncology operation removes the malignancy along with both ovaries and fallopian tubes, the omentum, and pelvic lymph nodes. A total abdominal hysterectomy may also be performed as part of the operation. Gynecologic oncologists typically perform it in a hospital operating room for a patient with ovarian, tubal, or primary peritoneal cancer when the surgical plan includes pelvic lymphadenectomy but not the radical debulking work represented by higher-level family codes.
Report the code for the complete operative service, supported by the operative report’s description of the malignancy resection, bilateral adnexal removal, omentectomy, and pelvic node dissection. The code is priced 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 are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team-surgery payment is not permitted.
CMS billing rules for 58951
- 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 RVU23.65 · 59%
- Practice expense (office) RVU11.07 · 28%
- Malpractice RVU5.12 · 13%
334
Medicare services in 2024 · #3910 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.
58951 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
58952 includes radical dissection for debulking but not the pelvic lymphadenectomy represented by 58951.
No office rate
58953 represents radical debulking with pelvic lymphadenectomy; 58951 represents pelvic lymphadenectomy without that radical debulking work.
No office rate
58954 represents radical debulking with pelvic lymphadenectomy and para-aortic node sampling, a broader combination than 58951.
Compare 58951 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
Delaware →
Office / nonfacility
Unavailable
Facility
$1312.93
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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 58951 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,613
- Code
- 58951
- Physician work
- 23.65
- Practice expense
- 11.07
- Malpractice
- 5.12
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.65 | × 1.005 | 23.7682 |
| Practice expense | 11.07 | × 0.988 | 10.9372 |
| Malpractice | 5.12 | × 0.899 | 4.6029 |
| Total RVUs | 39.3083 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1312.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.65 | 1.005 |
| Practice expense | 11.07 | 0.988 |
| Malpractice | 5.12 | 0.899 |
(23.65 × 1.005 + 11.07 × 0.988 + 5.12 × 0.899) × $33.4009 = $1312.93
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.
58951 billing questions
How does 58951 differ from 58950?
58951 includes pelvic lymphadenectomy with the cancer resection, bilateral salpingo-oophorectomy, and omentectomy. 58950 represents the corresponding resection without pelvic lymphadenectomy.
Is a hysterectomy separately reported?
A total abdominal hysterectomy may be part of the service represented by 58951 when performed. Review the operative report and the applicable coding guidance before considering a separate hysterectomy code.
Should modifier 50 be appended?
The code is already priced as bilateral, so modifier 50 does not increase payment.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.
What documentation supports choosing 58951?
The operative report should support resection for ovarian, tubal, or primary peritoneal malignancy and document bilateral salpingo-oophorectomy, omentectomy, and pelvic lymphadenectomy. It should distinguish the work performed from radical debulking services in this code family.
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.
6,61058940,,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
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503