Billing code 58952: Cancer debulkingMedicare rate & RVUs in Texas
Reports extensive surgery for ovarian, tubal, or primary peritoneal cancer that includes hysterectomy, bilateral adnexal removal, omentectomy, and radical tumor debulking.
CMS doesn’t publish an office rate for 58952 in Texas.
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 58952 covers
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.
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.
Where 58952 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,524.68 |
| Beaumont | Unavailable | $1,466.65 |
| Brazoria | Unavailable | $1,480.16 |
| Dallas | Unavailable | $1,498.39 |
| Fort Worth | Unavailable | $1,496.55 |
| Galveston | Unavailable | $1,490.36 |
| Houston | Unavailable | $1,596.89 |
| Rest Of Texas | Unavailable | $1,478.62 |
How the 58952 rate is calculated
Each of 58952’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 · 58952
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 26.61Practice expense 13.07Malpractice 5.82
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58952
58952 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58952
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 · 58952
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
58952 without 51 · national facility
$1,519.74
Cancer debulking
58952-51 · Second procedure: 50%
$759.87
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%).
58952 compared with similar codes
Compare codes
58952 vs 58950 vs 58953 vs 58954 vs 58956: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58950Cancer resection
- Use 58950 when the ovarian malignancy resection and associated work are performed without hysterectomy. Code 58952 includes hysterectomy and radical debulking.
- 58953Cancer debulking
- Both codes represent extensive ovarian malignancy surgery with hysterectomy and radical tumor dissection. Distinguish them by the additional operative scope documented for 58953.
- 58954Cancer debulking
- 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.
- 58956Ovarian cancer surgery
- 58956 is the related combination of bilateral adnexal removal, omentectomy, and hysterectomy; 58952 represents the more extensive radical tumor-debulking work.
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 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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