No office rate
Use 58950 when the ovarian malignancy resection and associated work are performed without hysterectomy. Code 58952 includes hysterectomy and radical debulking.
On this page
CMS RVU26D · Effective 2026-10-01
58952 Cancer debulking Medicare reimbursement rates in New Jersey
Reports extensive surgery for ovarian, tubal, or primary peritoneal cancer that includes hysterectomy, bilateral adnexal removal, omentectomy, and radical tumor debulking. Compare 58952 office and facility rates across CMS payment localities in New Jersey.
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 58952 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1614.31–$1658.80
2 of 2 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.
Gynecologic oncology surgery
About 58952: Ovarian malignancy resection with radical debulking
Reports extensive surgery for ovarian, tubal, or primary peritoneal cancer that includes hysterectomy, bilateral adnexal removal, omentectomy, and radical tumor debulking.
This operation treats ovarian, fallopian tube, or primary peritoneal malignancy by removing the uterus, both tubes and ovaries, and the omentum, along with visible tumor. The surgeon may dissect tumor from involved pelvic or abdominal structures to achieve cytoreduction. Gynecologic oncologists typically perform it in a hospital operating room, often as part of definitive cancer surgery.
Report the code when the documented procedure includes the hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and radical dissection for debulking represented by this service. The operative report should identify the structures removed and the tumor-dissection work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58952
- 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 RVU26.61 · 58%
- Practice expense (office) RVU13.07 · 29%
- Malpractice RVU5.82 · 13%
544
Medicare services in 2024 · #3481 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.
58952 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Both codes represent extensive ovarian malignancy surgery with hysterectomy and radical tumor dissection. Distinguish them by the additional operative scope documented for 58953.
No office rate
58954 represents the related radical debulking operation with lymph node removal. Use 58952 when that additional nodal work is not part of the documented procedure.
No office rate
58956 is the related combination of bilateral adnexal removal, omentectomy, and hysterectomy; 58952 represents the more extensive radical tumor-debulking work.
Compare 58952 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1658.80
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1614.31
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58952 billing questions
How is 58952 distinguished from 58950?
Choose based on the actual operative scope. Code 58952 represents the hysterectomy and radical debulking components in addition to bilateral adnexal removal and omentectomy; 58950 is the related option without hysterectomy.
Should modifier 50 be appended for bilateral removal?
No. CMS prices 58952 as a bilateral service, and modifier 50 does not increase payment.
Can an assistant-at-surgery or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures performed in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to other procedures performed in that session.
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.
6,61158943,,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
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