No office rate
Use 58700 for fallopian tube removal alone. 58720 includes removal of ovarian tissue with the tube.
On this page
CMS RVU26D · Effective 2026-10-01
58720 Salpingo-oophorectomy Medicare reimbursement rates in Washington
Removal of an ovary together with its fallopian tube on one or both sides, for adnexal disease or another operative indication. Compare 58720 office and facility rates across CMS payment localities in Washington.
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 58720 in Washington?
Washington 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
$695.88–$753.56
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 surgery
About 58720: Ovary and fallopian tube removal
Removal of an ovary together with its fallopian tube on one or both sides, for adnexal disease or another operative indication.
This operation removes an ovary and its associated fallopian tube on one or both sides; the resection may be complete or partial. Gynecologic surgeons commonly perform it for an adnexal mass, torsion-related damage, or other disease requiring removal of the tubo-ovarian unit, typically in an operating room. The operative report should identify the structures removed, the side or sides, and the extent of resection.
Report 58720 when the procedure removes ovarian and tubal tissue together; choose based on the work performed, not the diagnosis alone. CMS prices this code 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 other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 58720
- 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 RVU11.86 · 57%
- Practice expense (office) RVU6.62 · 32%
- Malpractice RVU2.43 · 12%
1.2K
Medicare services in 2024 · #2826 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.
58720 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
58940 describes ovarian removal without the associated tube removal represented by 58720.
No office rate
58661 is the laparoscopic code for removal of adnexal structures. Distinguish it from 58720 by the documented operative approach.
Compare 58720 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
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$695.88
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$753.56
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58720 billing questions
How does 58720 differ from 58700?
58720 represents removal of an ovary together with its fallopian tube. Use 58700 when the tube is removed without removal of the ovary.
Should modifier 50 be appended for bilateral removal?
CMS prices 58720 as bilateral, and modifier 50 does not increase payment. Document the side or sides treated in the operative report.
What documentation supports 58720?
The operative report should specify the ovary and tube removed, laterality, and whether the resection was partial or complete.
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 paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Which code describes laparoscopic removal of adnexal structures?
Compare 58661 for laparoscopic removal of adnexal structures. Select the code that matches the documented operative approach and work.
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.
6,59358674,,Laps abltj uterine fibroids,A,,13.73,5.43,NA,5.43,,2.41,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59458679,,Unlisted laps px ovidct ovry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59558700,,Removal of fallopian tube,A,,12.63,6.75,NA,6.75,,2.49,21.87,21.87,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59658720,,Removal of ovary/tube(s),A,,11.86,6.62,NA,6.62,,2.43,20.91,20.91,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59758740,,Adhesiolysis tube ovary,A,,14.53,7.25,NA,7.25,,2.92,24.70,24.70,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59858750,,Repair oviduct,A,,15.25,6.09,NA,6.09,,2.67,24.01,24.01,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59958752,,Revise ovarian tube(s),A,,15.25,6.01,NA,6.01,,2.67,23.93,23.93,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00