No office rate
58940 describes removal of ovary or ovaries, rather than the malignancy resection with bilateral adnexal removal and omentectomy represented by 58950.
On this page
CMS RVU26D · Effective 2026-10-01
58950 Cancer resection Medicare reimbursement rates in Pennsylvania
Reports operative resection of ovarian, tubal, or primary peritoneal malignancy when both ovaries and tubes and the omentum are removed. Compare 58950 office and facility rates across CMS payment localities in Pennsylvania.
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 58950 in Pennsylvania?
Pennsylvania 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
$1033.46–$1118.40
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 58950: Ovarian malignancy resection with BSO
Reports operative resection of ovarian, tubal, or primary peritoneal malignancy when both ovaries and tubes and the omentum are removed.
A gynecologic oncologist uses this code for surgery to remove ovarian, fallopian tube, or primary peritoneal malignancy together with both ovaries and tubes and the omentum. The operation is generally performed in a hospital operating room. This code describes the combination of cancer resection, bilateral salpingo-oophorectomy, and omentectomy; it does not describe a simple ovary removal or a diagnostic ovarian biopsy.
Select the code from the operative report’s documented diagnosis and the procedures actually performed. Documentation should identify the malignancy and describe removal of both adnexa and the omentum, as well as any additional work that could point to a different code in the resection family. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58950
- 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 RVU17.91 · 56%
- Practice expense (office) RVU10.17 · 32%
- Malpractice RVU3.91 · 12%
192
Medicare services in 2024 · #4358 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.
58950 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Use 58951 when the documented resection also includes total abdominal hysterectomy along with bilateral salpingo-oophorectomy and omentectomy.
No office rate
58952 is the related choice when radical dissection for debulking is performed; its descriptor allows omentectomy with or without that service.
No office rate
58900 is an ovarian biopsy code for tissue sampling, not definitive resection of malignancy with bilateral adnexal removal and omentectomy.
Compare 58950 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1118.40
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1033.46
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58950 billing questions
Does this code include removal of both ovaries and tubes and the omentum?
Yes. Those procedures are part of the cancer resection service represented by 58950.
Should modifier 50 be appended for the bilateral removal?
The code is already priced as bilateral, and modifier 50 does not increase payment.
How does 58950 differ from 58951?
58951 describes the related resection with total abdominal hysterectomy in addition to bilateral salpingo-oophorectomy and omentectomy. Use the code that matches the operation documented.
When is 58952 a better fit?
The 58952 family entry is for malignancy resection with radical dissection for debulking, with or without omentectomy. Distinguish it by the documented extent of debulking work.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
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.
6,60958925,,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
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