No office rate
Use 58943 for malignancy-related removal that includes associated fallopian tube removal. Use 58940 for ovary removal without that specific malignancy-related tube-removal service.
On this page
CMS RVU26D · Effective 2026-10-01
58943 Ovary and tube removal Medicare reimbursement rates in Kentucky
Reports removal of one or both ovaries with associated fallopian tube removal when surgery is directed at ovarian, tubal, or primary peritoneal malignancy. Compare 58943 office and facility rates across CMS payment localities in Kentucky.
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 58943 in Kentucky?
Kentucky 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
$1078.61
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 surgery
About 58943: Malignancy-related ovary and tube removal
Reports removal of one or both ovaries with associated fallopian tube removal when surgery is directed at ovarian, tubal, or primary peritoneal malignancy.
This operation removes one or both ovaries and the associated fallopian tube or tubes in surgery for ovarian, tubal, or primary peritoneal malignancy. Gynecologic oncologists most often perform it in a hospital operating room. The code identifies this malignancy-related removal, rather than ovarian cyst excision or a biopsy that samples tissue without removing the ovary and tube. The operative report should establish the malignancy-related indication and document which organs and sides were removed.
CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For additional procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. The descriptor and anatomy make modifier 50 inappropriate; do not use it to represent bilateral work. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery billing is not permitted.
CMS billing rules for 58943
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU19.03 · 56%
- Practice expense (office) RVU10.39 · 31%
- Malpractice RVU4.40 · 13%
68
Medicare services in 2024 · #5165 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.
58943 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
58925 is for ovarian cyst removal. It does not describe the malignancy-related ovary and tube removal captured by 58943.
No office rate
58950 represents a broader ovarian, tubal, or primary peritoneal malignancy resection service. Select it when the documented operation meets that broader scope rather than reporting only the service represented by 58943.
No office rate
58900 is for ovarian biopsy and tissue sampling. Choose 58943 when the operation removes the ovary or ovaries and associated tube or tubes for malignancy, rather than taking a diagnostic sample.
Compare 58943 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1078.61
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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 58943 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,611
- Code
- 58943
- Physician work
- 19.03
- Practice expense
- 10.39
- Malpractice
- 4.40
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.03 | × 1.000 | 19.0300 |
| Practice expense | 10.39 | × 0.889 | 9.2367 |
| Malpractice | 4.40 | × 0.915 | 4.0260 |
| Total RVUs | 32.2927 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1078.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.03 | 1 |
| Practice expense | 10.39 | 0.889 |
| Malpractice | 4.4 | 0.915 |
(19.03 × 1 + 10.39 × 0.889 + 4.4 × 0.915) × $33.4009 = $1078.61
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.
58943 billing questions
How is 58943 different from 58940?
58943 is for malignancy-related surgery that removes an ovary or ovaries along with the associated fallopian tube or tubes. 58940 describes ovary removal without that malignancy-related tube-removal detail.
Should modifier 50 be added when both sides are removed?
No. The descriptor and anatomy make modifier 50 inappropriate for this service.
What documentation supports reporting 58943?
The operative report should support the ovarian, tubal, or primary peritoneal malignancy indication and identify the ovary or ovaries and fallopian tube or tubes removed.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery billing is not permitted.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures 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.
6,60858920,,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
6,60958925,,Removal of ovarian cyst(s),A,,12.12,6.37,NA,6.37,,2.41,20.90,20.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631