No office rate
Choose 58950 when the malignancy resection includes bilateral tube-and-ovary removal and omentectomy but not abdominal hysterectomy. This code includes the hysterectomy.
On this page
CMS RVU26D · Effective 2026-10-01
58956 Ovarian cancer surgery Medicare reimbursement rates in Florida
This operation treats primary ovarian, fallopian-tube, or peritoneal malignancy through tumor resection with bilateral adnexal removal, omentectomy, and abdominal hysterectomy. Compare 58956 office and facility rates across CMS payment localities in Florida.
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 58956 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1324.72–$1518.36
3 of 3 localities have a supported rate.
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.
Where 58956 pays more and less in Florida
Gynecologic oncology surgery
About 58956: Ovarian malignancy resection with hysterectomy
This operation treats primary ovarian, fallopian-tube, or peritoneal malignancy through tumor resection with bilateral adnexal removal, omentectomy, and abdominal hysterectomy.
A gynecologic oncologist typically performs this abdominal operation to remove a primary malignancy involving the ovary, fallopian tube, or peritoneal surface. The operative work includes removing both tubes and ovaries, the omentum, and the uterus through an abdominal approach. It is used when the planned cancer operation includes all of these components, rather than an isolated ovarian removal or a more extensive radical debulking procedure.
Select the code from the documented operation, not diagnosis alone: the record should support resection of the primary tumor and each included operative component. The code represents bilateral removal already, 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 other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58956
- 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 RVU22.23 · 59%
- Practice expense (office) RVU10.75 · 28%
- Malpractice RVU4.76 · 13%
495
Medicare services in 2024 · #3574 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.
58956 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
58951 describes a radical debulking operation that includes specified lymph-node sampling and limited peritoneal biopsies. This code covers the hysterectomy, bilateral adnexal removal, and omentectomy combination without those stated radical-dissection elements.
No office rate
58940 is for ovary removal as an operation, rather than the combined resection of a primary gynecologic malignancy with omentectomy and abdominal hysterectomy.
Compare 58956 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1393.68
Miami →
Office / nonfacility
Unavailable
Facility
$1518.36
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1324.72
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58956 billing questions
How does this differ from 58950?
This code includes abdominal hysterectomy along with the bilateral tube-and-ovary removal and omentectomy. Use 58950 when the documented malignancy resection includes the latter components but not the hysterectomy.
Should modifier 50 be appended?
The code is already priced as bilateral. Modifier 50 does not increase its payment.
Are the hysterectomy, omentectomy, or bilateral adnexal removal separately reported?
They are components of this combined malignancy operation. Do not separately report an included component as though it were an independent procedure.
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 reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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.
6,61458952,,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
6,61958960,,Exploration of abdomen,A,,15.40,9.28,NA,9.28,,3.57,28.25,28.25,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62058970,,Retrieval of oocyte,A,,3.43,3.08,,1.15,,0.59,7.10,5.17,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00