CPT 58822: Abscess drainageMedicare rate & RVUs in Utah

Reports percutaneous drainage of an ovarian abscess, with documentation identifying the abscess, treated side, access route, and drainage performed.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 58822 in Utah.

—Office (non-facility)
$614.89Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58822 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 58822 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 58822 covers

This code represents drainage of an ovarian abscess through a percutaneous route rather than open surgical access. Gynecologic surgeons or other qualified proceduralists may perform it in a hospital or other procedural setting, commonly to evacuate infected fluid from an ovarian collection. The operative or procedure report should establish that the target was an abscess, identify the side treated, and describe the percutaneous access and drainage performed, including any catheter placement.

Report the code for the percutaneous abscess drainage itself, not for drainage of an ovarian cyst. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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.

58822 in Utah

58822 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$614.89

How the 58822 rate is calculated

Each of 58822’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 · 58822

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.51Practice expense 5.41Malpractice 2.02

18.9400 adjusted RVUs×$33.4009 conversion factor=$632.61

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58822

58822 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58822

Abscess drainage

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58822

Abscess drainage

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

58822 without 50 · national facility

$632.61

Abscess drainage

58822-50 · Bilateral: 150%

$948.92

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

58822 compared with similar codes

Compare codes

58822 vs 58820 vs 58800 vs 58805: national Medicare rates

Swap in your local Medicare rate.

  • 58822
    Abscess drainage · 11.51 wRVU
    —
  • 58820
    Ovarian abscess drainage · 4.58 wRVU
    —
  • 58800
    Ovarian cyst drainage · 4.5 wRVU
    $353.38
  • 58805
    Cyst drainage · 6.26 wRVU
    —

How to choose

58820Ovarian abscess drainage
Both codes concern ovarian abscess drainage. Choose 58822 for percutaneous access and 58820 for open drainage.
58800Ovarian cyst drainage
This code is for drainage of an ovarian cyst, not an abscess. The documented target and approach determine the applicable code.
58805Cyst drainage
This code is also for ovarian cyst drainage, rather than ovarian abscess drainage. Do not select it for an abscess based only on the drainage approach.

58822 billing questions

How is this code different from 58820?

Use 58822 for percutaneous drainage of an ovarian abscess. Code 58820 describes open drainage, so the documented access method distinguishes them.

Can this code be used for an ovarian cyst?

No. This code is for drainage of an ovarian abscess; ovarian cyst drainage is represented by codes such as 58800 or 58805, selected by approach.

What documentation supports reporting 58822?

The report should identify the ovarian abscess and side, describe the percutaneous route, and document the drainage performed and any catheter placement.

How should bilateral drainage be reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

Are related postoperative visits separately included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be paid?

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 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
RVUs for 58822PPRRVU2026_Oct_nonQPP.csv, line 6,605 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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