No office rate
Use 58660 for laparoscopic release of adhesions. This code is for excision or destruction of lesions, such as endometriosis implants.
On this page
CMS RVU26D · Effective 2026-10-01
58662 Pelvic lesion surgery Medicare reimbursement rates in Vermont
Reports laparoscopic removal or destruction of lesions on the ovary, other pelvic structures, or peritoneal surfaces, including treatment of endometriosis lesions. Compare 58662 office and facility rates across CMS payment localities in Vermont.
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 58662 in Vermont?
Vermont 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.
Office / nonfacility
No supported rate
Facility setting
$606.95
1 of 1 localities have a supported rate.
Payment area: Vermont
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 laparoscopy
About 58662: Laparoscopic pelvic lesion excision or ablation
Reports laparoscopic removal or destruction of lesions on the ovary, other pelvic structures, or peritoneal surfaces, including treatment of endometriosis lesions.
The surgeon uses a laparoscope and operative instruments to remove or destroy lesions on the ovary, pelvic viscera, or peritoneal surfaces. A common setting is gynecologic surgery for endometriosis, when implants are excised or ablated rather than simply inspected or sampled. The procedure is typically performed by a gynecologic surgeon in a hospital or ambulatory surgery setting.
Select this code when the operative report supports treatment of lesions by excision or destruction; document the treated sites and work performed. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.
CMS billing rules for 58662
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.85 · 61%
- Practice expense (office) RVU5.21 · 27%
- Malpractice RVU2.30 · 12%
2.6K
Medicare services in 2024 · #2264 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.
58662 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 58661 when an ovary or other adnexal structure is removed. This code describes treatment of lesions, not removal of the adnexa itself.
No office rate
Use 49321 for diagnostic laparoscopic biopsy sampling. This code describes therapeutic excision or destruction of lesions.
Compare 58662 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.
1 of 1 payment localities
Vermont →
Office / nonfacility
Unavailable
Facility
$606.95
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How this local rate is calculated
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 58662 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,588
- Code
- 58662
- Physician work
- 11.85
- Practice expense
- 5.21
- Malpractice
- 2.30
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.85 | × 1.000 | 11.8500 |
| Practice expense | 5.21 | × 0.990 | 5.1579 |
| Malpractice | 2.30 | × 0.506 | 1.1638 |
| Total RVUs | 18.1717 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$606.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.85 | 1 |
| Practice expense | 5.21 | 0.99 |
| Malpractice | 2.3 | 0.506 |
(11.85 × 1 + 5.21 × 0.99 + 2.3 × 0.506) × $33.4009 = $606.95
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.
58662 billing questions
When is this code preferable to laparoscopic adhesiolysis?
Use this code for excision or destruction of lesions. Use 58660 for operative release of adhesions; separately identifiable adhesiolysis may be reported with lesion treatment when both services are performed.
Does this code describe removal of an ovary or adnexa?
No. It describes treatment of lesions while the operation removes or destroys the lesion. Code 58661 describes removal of adnexal structures.
Can a diagnostic laparoscopic biopsy code be used instead?
A diagnostic biopsy code such as 49321 describes sampling for examination, rather than therapeutic excision or destruction of lesions. Choose based on the documented operative work.
Should modifier 50 be appended for bilateral lesions?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
What postoperative care is 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 reported?
Assistant-at-surgery and co-surgeon services may be paid for this procedure. 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.
6,58558615,,Occlude fallopian tube(s),A,,3.84,2.25,NA,2.25,,0.67,6.76,6.76,0,010,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58658660,,Laparoscopy lysis,A,,11.30,5.12,NA,5.12,,2.37,18.79,18.79,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58758661,,Laparoscopy remove adnexa,A,,11.07,4.35,NA,4.35,,2.13,17.55,17.55,0,010,0.10,0.80,0.10,3,1,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58858662,,Laparoscopy excise lesions,A,,11.85,5.21,NA,5.21,,2.30,19.36,19.36,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58958670,,Laparoscopy tubal cautery,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59158672,,Laparoscopy fimbrioplasty,A,,12.59,4.51,NA,4.51,,2.20,19.30,19.30,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817