# CPT 58661: Laparoscopy with lysis of adhesions/removal of adnexal structures

Medicare CPT 58661 pays $586.19 in a non-facility setting and $586.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $530.75 in Nebraska to $748.56 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/58661-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $586.19 |
| National facility | $586.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $748.56 | $748.56 |
| Florida | $654.02 | $654.02 |
| Illinois | $647.39 | $647.39 |
| New York | $646.09 | $646.09 |
| District of Columbia | $640.05 | $640.05 |
| New Jersey | $629.40 | $629.40 |
| Connecticut | $619.71 | $619.71 |
| Michigan | $606.32 | $606.32 |
| Massachusetts | $603.54 | $603.54 |
| Washington | $603.17 | $603.17 |
| Maryland | $602.68 | $602.68 |
| West Virginia | $597.82 | $597.82 |
| Georgia | $594.04 | $594.04 |
| California | $593.50 | $593.50 |
| Pennsylvania | $591.44 | $591.44 |
| Rhode Island | $590.32 | $590.32 |
| New Mexico | $588.43 | $588.43 |
| Puerto Rico | $586.72 | $586.72 |
| Virgin Islands | $586.72 | $586.72 |
| Montana | $586.04 | $586.04 |
| Colorado | $584.34 | $584.34 |
| New Hampshire | $583.25 | $583.25 |
| Texas | $580.91 | $580.91 |
| Delaware | $579.11 | $579.11 |
| Oregon | $577.25 | $577.25 |
| Louisiana | $576.89 | $576.89 |
| Hawaii | $576.14 | $576.14 |
| Nevada | $574.45 | $574.45 |
| Ohio | $574.11 | $574.11 |
| Missouri | $573.11 | $573.11 |
| Arizona | $571.44 | $571.44 |
| Utah | $570.21 | $570.21 |
| Wyoming | $567.69 | $567.69 |
| South Carolina | $564.47 | $564.47 |
| Kentucky | $564.01 | $564.01 |
| Virginia | $562.80 | $562.80 |
| Oklahoma | $554.77 | $554.77 |
| Maine | $553.15 | $553.15 |
| North Carolina | $550.77 | $550.77 |
| Vermont | $549.59 | $549.59 |
| Mississippi | $547.42 | $547.42 |
| North Dakota | $543.93 | $543.93 |
| Minnesota | $540.31 | $540.31 |
| Tennessee | $540.02 | $540.02 |
| Indiana | $539.01 | $539.01 |
| South Dakota | $538.95 | $538.95 |
| Alabama | $537.15 | $537.15 |
| Idaho | $537.07 | $537.07 |
| Kansas | $536.95 | $536.95 |
| Arkansas | $531.19 | $531.19 |
| Iowa | $530.94 | $530.94 |
| Wisconsin | $530.85 | $530.85 |
| Nebraska | $530.75 | $530.75 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 58661 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules