Billing code 58954: Cancer debulkingMedicare rate & RVUs in Ohio
Reports extensive surgery for ovarian, tubal, or primary peritoneal malignancy combining tumor debulking, hysterectomy, bilateral adnexal removal, omentectomy, and lymph-node removal.
CMS doesn’t publish an office rate for 58954 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58954 covers
This code describes an extensive operation to remove ovarian, fallopian-tube, or primary peritoneal malignancy. The procedure combines tumor cytoreduction with abdominal hysterectomy, removal of both ovaries and fallopian tubes, omentectomy, and lymph-node removal. Gynecologic oncologists typically perform it in a hospital operating room when the operative plan and findings call for this combined extent of cancer surgery.
Select the code from the procedures actually performed and documented, including the hysterectomy, bilateral adnexal removal, omentectomy, tumor debulking, and lymph-node work. These components are represented in the combined service rather than separately reported as independent procedures. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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 payment may be made; co-surgeon payment requires supporting documentation. Team-surgery payment is not permitted.
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.
58954 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,951.23 |
How the 58954 rate is calculated
Each of 58954’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58954
RVUs × geographic indexes × conversion factor
Work36.20
36.20 RVUs× 1.000 GPCI
Practice expense15.68
15.68 RVUs× 1.000 GPCI
Malpractice7.84
7.84 RVUs× 1.000 GPCI
Adjusted RVUs
59.7200
Conversion factor
$33.4009
Medicare rate
$1,994.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58954
58954 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58954
Cancer debulking
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58954
Cancer debulking
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58954 without 51 · national facility
$1,994.70
Cancer debulking
58954-51 · Second procedure: 50%
$997.35
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58954 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58953Cancer debulking
- Both are extensive cytoreductive procedures for gynecologic malignancy. Choose 58954 when the documented operation supports its hysterectomy and lymph-node-removal combination; verify the specific included work against the operative report.
- 58951Ovarian cancer surgery
- This is a related malignancy-resection code with a different package of included surgical work. Select 58954 only when the operative record supports the broader combination represented by this code.
- 58950Cancer resection
- This sibling code represents a different combination of malignancy-resection procedures. The documented debulking and lymph-node work help distinguish it from 58954.
58954 billing questions
What distinguishes this code from 58953?
Both describe extensive cytoreductive surgery for gynecologic malignancy. Use 58954 when the documented operation supports this code’s combination of abdominal hysterectomy and lymph-node removal; compare the full operative scope with 58953.
Are the hysterectomy, omentectomy, and lymph-node work separately reported?
They are components of the combined service represented by 58954. Do not separately report those included components as independent procedures.
Should modifier 50 be appended for bilateral surgery?
The code is already priced as bilateral. Modifier 50 does not increase its Medicare payment.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple-procedure reduction, Medicare pays the highest-valued procedure in full and pays other procedures at 50% when performed in the same 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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