$322.45
Both codes describe ovarian cyst drainage; select 58805 for an abdominal route and 58800 for a vaginal route.
On this page
CMS RVU26D · Effective 2026-10-01
58805 Cyst drainage Medicare reimbursement rates in Iowa
Reports operative drainage of an ovarian cyst through an abdominal approach when the surgeon evacuates cyst contents rather than excising the cyst. Compare 58805 office and facility rates across CMS payment localities in Iowa.
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 58805 in Iowa?
Iowa 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
$347.45
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Gynecology surgery
About 58805: Ovarian cyst drainage, abdominal approach
Reports operative drainage of an ovarian cyst through an abdominal approach when the surgeon evacuates cyst contents rather than excising the cyst.
A gynecologic surgeon uses an abdominal route to reach and drain an ovarian cyst, on one or both ovaries. The service is generally performed in an operating room when the cyst is managed by drainage rather than removal of the cyst wall or ovary. The approach distinguishes this service from vaginal drainage and laparoscopic aspiration.
Choose the code based on the abdominal route and the procedure actually performed. The operative report should identify the ovarian site, approach, cyst findings, and drainage performed. CMS assigns 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 58805
- 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 RVU6.26 · 55%
- Practice expense (office) RVU4.05 · 35%
- Malpractice RVU1.10 · 10%
22
Medicare services in 2024 · #5875 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.
58805 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 49322 for laparoscopic aspiration of a cyst. 58805 represents drainage through an abdominal approach rather than laparoscopic aspiration.
No office rate
58805 drains cyst contents. 58925 is for excision of the ovarian cyst.
No office rate
58820 addresses drainage of an ovarian abscess by an open abdominal approach; 58805 is for an ovarian cyst.
Compare 58805 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
Iowa →
Office / nonfacility
Unavailable
Facility
$347.45
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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 58805 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,603
- Code
- 58805
- Physician work
- 6.26
- Practice expense
- 4.05
- Malpractice
- 1.10
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.26 | × 1.000 | 6.2600 |
| Practice expense | 4.05 | × 0.915 | 3.7058 |
| Malpractice | 1.10 | × 0.397 | 0.4367 |
| Total RVUs | 10.4024 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$347.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.26 | 1 |
| Practice expense | 4.05 | 0.915 |
| Malpractice | 1.1 | 0.397 |
(6.26 × 1 + 4.05 × 0.915 + 1.1 × 0.397) × $33.4009 = $347.45
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.
58805 billing questions
When should 58805 be chosen over 58800?
Use 58805 when the ovarian cyst is drained through an abdominal approach. Code 58800 is for drainage through a vaginal approach.
Does 58805 include cyst removal?
It represents drainage, not excision of the cyst. When the surgeon removes the cyst rather than evacuating its contents, consider the applicable cystectomy code, such as 58925.
Should modifier 50 be appended for bilateral drainage?
CMS prices 58805 as bilateral, and modifier 50 does not increase payment. Document the side or sides treated in the operative report.
How does the 90-day global period affect related visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Separate reporting depends on whether a service is outside the included care.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation.
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.
6,60058760,,Fimbrioplasty,A,,13.58,5.73,NA,5.73,,2.38,21.69,21.69,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60158770,,Create new tubal opening,A,,14.40,5.83,NA,5.83,,2.53,22.76,22.76,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60258800,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136