CPT code 58605: Tubal procedure, postpartum abdominal or vaginal2026 Medicare rate & RVUs

Medicare pays $302.28 for 58605 nationally in a facility.

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

What 58605 covers

This service interrupts one or both fallopian tubes after childbirth through an abdominal or vaginal approach. An obstetrician-gynecologist typically performs it in a hospital setting; after vaginal delivery, an abdominal incision may be used to access the tubes. The operative report should establish that the procedure occurred postpartum and document the approach and work performed. When the tube procedure is done during cesarean delivery, code 58611 is the more relevant code to evaluate.

Report 58605 for the postpartum circumstance, distinguishing it from 58600 when the procedure is not postpartum. CMS prices the code as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are 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 58605 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58605 rates by state

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

How the 58605 rate is calculated

Each of 58605’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.

Payment rules and modifiers for 58605

58605 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

58605 compared with similar codes

How to choose

58600Tubal divisionAbdominal or vaginal approach

Use 58605 when the tubal procedure is postpartum; 58600 describes the corresponding procedure outside that circumstance.

58611Tubal ligationWith another abdominal operation

Use 58611 for tubal work performed at cesarean delivery or another qualifying intra-abdominal operation. Code 58605 describes a postpartum procedure rather than tubal work added during that operation.

58615Tubal occlusionVaginal or abdominal approach

58615 represents tubal occlusion by a different approach or method; 58605 is the postpartum interruption service.

58670Tubal sterilizationLaparoscopic cautery

58670 is a laparoscopic tubal procedure using cautery. Choose 58605 for the postpartum abdominal or vaginal approach described by that code.

Codes related to 58605

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates