No office rate
Both codes concern ovarian abscess drainage. Choose 58822 for percutaneous access and 58820 for open drainage.
On this page
CMS RVU26D · Effective 2026-10-01
58822 Abscess drainage Medicare reimbursement rates in Illinois
Reports percutaneous drainage of an ovarian abscess, with documentation identifying the abscess, treated side, access route, and drainage performed. Compare 58822 office and facility rates across CMS payment localities in Illinois.
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 58822 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$654.88–$723.58
4 of 4 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 58822 pays more and less in Illinois
Gynecologic surgery
About 58822: Percutaneous ovarian abscess drainage
Reports percutaneous drainage of an ovarian abscess, with documentation identifying the abscess, treated side, access route, and drainage performed.
This code represents drainage of an ovarian abscess through a percutaneous route rather than open surgical access. Gynecologic surgeons or other qualified proceduralists may perform it in a hospital or other procedural setting, commonly to evacuate infected fluid from an ovarian collection. The operative or procedure report should establish that the target was an abscess, identify the side treated, and describe the percutaneous access and drainage performed, including any catheter placement.
Report the code for the percutaneous abscess drainage itself, not for drainage of an ovarian cyst. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58822
- 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
- Bilateral procedure with modifier 50 is paid at 150%.
- 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 RVU11.51 · 61%
- Practice expense (office) RVU5.41 · 29%
- Malpractice RVU2.02 · 11%
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.
58822 compared with similar codes
Office rates for Illinois, from the same CMS release.
$352.87–$389.49
This code is for drainage of an ovarian cyst, not an abscess. The documented target and approach determine the applicable code.
No office rate
This code is also for ovarian cyst drainage, rather than ovarian abscess drainage. Do not select it for an abscess based only on the drainage approach.
Compare 58822 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$723.58
East St. Louis →
Office / nonfacility
Unavailable
Facility
$686.57
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$654.88
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$692.27
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58822 billing questions
How is this code different from 58820?
Use 58822 for percutaneous drainage of an ovarian abscess. Code 58820 describes open drainage, so the documented access method distinguishes them.
Can this code be used for an ovarian cyst?
No. This code is for drainage of an ovarian abscess; ovarian cyst drainage is represented by codes such as 58800 or 58805, selected by approach.
What documentation supports reporting 58822?
The report should identify the ovarian abscess and side, describe the percutaneous route, and document the drainage performed and any catheter placement.
How should bilateral drainage be reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
6,60258800,,Drainage of ovarian cyst(s),A,,4.50,5.29,,3.14,,0.79,10.58,8.43,0,090,0.12,0.74,0.14,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60358805,,Drainage of ovarian cyst(s),A,,6.26,4.05,NA,4.05,,1.10,11.41,11.41,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60458820,,Drain ovary abscess open,A,,4.58,3.70,NA,3.70,,0.81,9.09,9.09,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60558822,,Drain ovary abscess percut,A,,11.51,5.41,NA,5.41,,2.02,18.94,18.94,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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