CPT code 58345: Tubal reopening, transcervical catheterization2026 Medicare rate & RVUs in Utah

Report transcervical catheterization to treat fallopian tube blockage by attempting to restore patency, commonly in an infertility evaluation or treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Utah, Medicare pays $247.91 for 58345 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$247.91Hospital or facility

Check a contract rate as a % of Medicare · 58345 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58345 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 58345 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Utah compares for 58345

Across 109 of 109 payment localities, the facility rate for 58345 runs from $231.46 in Arkansas to $324.41 in Alaska. Utah pays $247.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

58345 in Utah vs other payment areas
  1. Utah · this page$247.91
  2. Los Angeles, CA · California$266.12+$18.21
  3. Washington, DC area · District of Columbia$279.88+$31.97
  4. Miami, FL · Florida$299.63+$51.72
  5. Chicago, IL · Illinois$291.67+$43.76
  6. Manhattan, NY · New York$293.00+$45.09
  7. Alaska · Alaska$324.41+$76.50

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

58345 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$234.05
ArkansasArkansas—$231.46
ArizonaArizona—$248.96
Bakersfield, CACalifornia—$254.73
Chico, CACalifornia—$252.44
El Centro, CACalifornia—$252.58
Fresno, CACalifornia—$252.44
Hanford, CACalifornia—$252.44

58345 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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58345 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 58345 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,546

Code
58345
Physician work
4.58
Practice expense
2.25
Malpractice
0.81

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 58345 in Utah
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0004.5800
Practice expense2.25× 0.9402.1150
Malpractice0.81× 0.8980.7274
Total RVUs7.4224
Conversion factor× 33.4009

Facility rate, Utah$247.91

Facility: (4.58 × 1 + 2.25 × 0.94 + 0.81 × 0.898) × $33.4009 = $247.91

Open 58345 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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).

When to use modifier 50

How 58345 has changed in Utah

58345 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$247.91RVU26D
2026-07-01Not available in this setting$247.91RVU26C
2026-04-01Not available in this setting$247.91RVU26B
2026-01-01Not available in this setting$247.91RVU26A
2025-10-01Not available in this setting$273.27RVU25D
2025-07-01Not available in this setting$273.27RVU25C
2025-04-01Not available in this setting$273.27RVU25B
2025-01-01Not available in this setting$273.27RVU25A
2024-10-01Not available in this setting$281.53RVU24D
2024-07-01Not available in this setting$281.53RVU24C
2024-04-01Not available in this setting$281.53RVU24B
2024-03-09Not available in this setting$281.53RVU24AR
2024-01-01Not available in this setting$276.94RVU24A
2023-10-01Not available in this setting$282.86RVU23D
2023-07-01Not available in this setting$282.86RVU23C
2023-04-01Not available in this setting$282.86RVU23B
2023-01-01Not available in this setting$282.86RVU23A
2022-10-01Not available in this setting$284.44RVU22D
2022-07-01Not available in this setting$284.44RVU22C
2022-04-01Not available in this setting$284.44RVU22B
2022-01-01Not available in this setting$284.44RVU22A
2021-10-01Not available in this setting$282.75RVU21D
2021-07-01Not available in this setting$282.75RVU21C
2021-04-01Not available in this setting$282.75RVU21B
2021-01-01Not available in this setting$282.75RVU21A
2020-10-01Not available in this setting$290.12RVU20D
2020-07-01Not available in this setting$290.12RVU20C
2020-04-01Not available in this setting$290.12RVU20B
2020-01-01Not available in this setting$290.12RVU20A
2019-10-01Not available in this setting$282.26RVU19D
2019-07-01Not available in this setting$282.26RVU19C
2019-04-01Not available in this setting$282.26RVU19B
2019-01-01Not available in this setting$282.26RVU19A
2018-10-01Not available in this setting$278.61RVU18D
2018-07-01Not available in this setting$278.61RVU18C
2018-04-01Not available in this setting$278.61RVU18B
2018-01-01Not available in this setting$278.61RVU18AR1
2017-10-01Not available in this setting$279.27RVU17D
2017-07-01Not available in this setting$279.27RVU17C
2017-04-01Not available in this setting$279.27RVU17B
2017-01-01Not available in this setting$279.27RVU17A
2016-10-01Not available in this setting$272.33RVU16D
2016-07-01Not available in this setting$272.33RVU16C
2016-04-01Not available in this setting$272.33RVU16B
2016-01-01Not available in this setting$272.33RVU16A
2015-10-01Not available in this setting$280.72RVU15D
2015-07-01Not available in this setting$280.72RVU15C
2015-04-01Not available in this setting$279.32RVU15B
2015-01-01Not available in this setting$279.32RVU15A
2014-10-01Not available in this setting$285.47RVU14D
2014-07-01Not available in this setting$285.47RVU14C
2014-04-01Not available in this setting$285.47RVU14B
2014-01-01Not available in this setting$285.47RVU14A
2013-10-01Not available in this setting$278.60RVU13D
2013-07-01Not available in this setting$278.60RVU13C
2013-04-01Not available in this setting$278.60RVU13B
2013-01-01Not available in this setting$278.60RVU13AR

Price 58345 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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

Show the CMS file lines behind this rate
RVUs for 58345PPRRVU2026_Oct_nonQPP.csv, line 6,546 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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