CPT code 58345: Tubal reopening, transcervical catheterization2026 Medicare rate & RVUs in Missouri
Report transcervical catheterization to treat fallopian tube blockage by attempting to restore patency, commonly in an infertility evaluation or treatment.
CMS doesn’t publish an office rate for 58345 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 58345 covers
CPT 58345 represents selective catheterization through the cervix and uterus into a fallopian tube to address blockage and attempt to restore patency. A gynecologist or interventional radiologist may perform it, often with imaging and contrast to guide catheter placement and assess the obstruction. A typical clinical setting is evaluation or treatment of infertility when tubal blockage is suspected or identified.
Choose this code when the procedure involves catheterization of the fallopian tube to reopen it, rather than uterine catheter placement for hysterosalpingography or dye testing during laparoscopy. Document the indication, treated side or sides, procedural approach, findings, and whether patency was achieved. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made, co-surgeons are permitted, 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.
Where 58345 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $249.98 |
| Metropolitan St. Louis, MO | Unavailable | $251.63 |
| Rest of Missouri | Unavailable | $244.11 |
How the 58345 rate is calculated
Each of 58345’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 · 58345
RVUs × geographic indexes × conversion factor
Work4.58
4.58 RVUs× 1.000 GPCI
Practice expense2.25
2.25 RVUs× 1.000 GPCI
Malpractice0.81
0.81 RVUs× 1.000 GPCI
Adjusted RVUs
7.6400
Conversion factor
$33.4009
Medicare rate
$255.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58345
58345 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58345
Tubal reopening, transcervical catheterization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58345
Tubal reopening, transcervical catheterization
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
58345 without 50 · national facility
$255.18
Tubal reopening, transcervical catheterization
58345-50 · Bilateral: 150%
$382.77
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).
58345 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58340Uterine catheterizationFor hysterosalpingography or sonohysterography
- Choose 58340 for uterine catheter placement for hysterosalpingography. Choose 58345 when a catheter is selectively advanced into a fallopian tube to address blockage.
- 58350Tubal patency testChromotubation of oviducts
- 58350 is laparoscopic dye testing to assess tubal patency; 58345 is transcervical catheterization intended to reopen a blocked tube.
- 58750Tubal repairTubotubal anastomosis
- 58750 describes surgical reconnection of fallopian tube segments. 58345 uses transcervical catheterization to attempt to restore patency without that reconstructive approach.
58345 billing questions
How is 58345 different from 58340?
58345 involves selective catheterization of a fallopian tube to address blockage. 58340 is uterine catheter placement for hysterosalpingography, not tubal reopening.
How is 58345 different from 58350?
58345 attempts to reopen a tube through transcervical catheterization. 58350 describes dye testing of tubal patency during laparoscopy.
How should bilateral treatment be reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How does CMS treat other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%.
Can an assistant or co-surgeon participate?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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
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