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CPT 58661 — Laparoscopy remove adnexa

CPT code 58661 (Laparoscopy remove adnexa) carries 11.07 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 17.55 in a non-facility setting and 17.55 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $586.19 and $586.19 respectively.

11.07
Work RVU
17.55
Total RVU (non-facility)
$586.19
Medicare, non-facility
$586.19
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 58661

ComponentRVUsWhat it covers
Work RVU11.07Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)4.35Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU2.13Professional liability cost.
Total RVU (non-facility)17.55Work + non-facility PE + malpractice.
Total RVU (facility)17.55Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 58661 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility17.55$33.40$586.19
Facility17.55$33.40$586.19

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 58661

Global period
10-day global — minor procedure; 10 days of follow-up care included.
Multiple procedure reduction
Subject to the multiple-endoscopy payment rule.
Bilateral surgery
150% payment adjustment applies when performed bilaterally.
Assistant surgeon
Permitted.
Co-surgeon
Permitted.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 58661

How many work RVUs is CPT 58661?

CPT 58661 is assigned 11.07 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 58661?

At the 2026 national conversion factor of $33.40, CPT 58661 pays approximately $586.19 in a non-facility setting and $586.19 in a facility setting before geographic adjustment.

What is the global period for CPT 58661?

10-day global — minor procedure; 10 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.