CMS RVU26D · Effective 2026-10-01
Reports extensive surgery for ovarian, tubal, or primary peritoneal malignancy combining tumor debulking, hysterectomy, bilateral adnexal removal, omentectomy, and lymph-node removal. Compare 58954 office and facility rates across CMS payment localities in Rhode Island.
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.
Rhode Island 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.
No supported rate
$2006.68
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 oncology surgery
Reports extensive surgery for ovarian, tubal, or primary peritoneal malignancy combining tumor debulking, hysterectomy, bilateral adnexal removal, omentectomy, and lymph-node removal.
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.
653
Medicare services in 2024 · #3325 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.
Office rates for Rhode Island, from the same CMS release.
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.
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.
This sibling code represents a different combination of malignancy-resection procedures. The documented debulking and lymph-node work help distinguish it from 58954.
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
Office / nonfacility
Unavailable
Facility
$2006.68
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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 58954 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,616
GPCI2026.csv
92
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.20 | × 1.019 | 36.8878 |
| Practice expense | 15.68 | × 1.033 | 16.1974 |
| Malpractice | 7.84 | × 0.892 | 6.9933 |
| Total RVUs | 60.0785 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$2006.68
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.2 | 1.019 |
| Practice expense | 15.68 | 1.033 |
| Malpractice | 7.84 | 0.892 |
(36.2 × 1.019 + 15.68 × 1.033 + 7.84 × 0.892) × $33.4009 = $2006.68
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.
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.
They are components of the combined service represented by 58954. Do not separately report those included components as independent procedures.
The code is already priced as bilateral. Modifier 50 does not increase its Medicare payment.
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
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.
