CPT code 58611: Tubal ligation, with another abdominal operation2026 Medicare rate & RVUs in Missouri
Reports interruption of one or both fallopian tubes for permanent contraception when performed during cesarean delivery or another intra-abdominal operation.
CMS doesn’t publish an office rate for 58611 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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What 58611 covers
This add-on captures interruption of one or both fallopian tubes for permanent contraception during a cesarean delivery or another intra-abdominal operation. The surgeon ligates or divides the tube during the same operative session; it is not a stand-alone sterilization procedure. A common setting is an operating room where the patient is already undergoing cesarean delivery and requests permanent contraception.
Report 58611 with the primary operation performed at the same session, such as an eligible cesarean delivery service. The operative note should identify the tubal interruption and establish that it was performed during the primary abdominal procedure. CMS treats 58611 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. The documentation should distinguish the added sterilization service from the work of the primary operation.
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 58611 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 | $64.34 |
| Metropolitan St. Louis, MO | Unavailable | $64.67 |
| Rest of Missouri | Unavailable | $63.54 |
How the 58611 rate is calculated
Each of 58611’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 · 58611
RVUs × geographic indexes × conversion factor
Work1.41
1.41 RVUs× 1.000 GPCI
Practice expense0.30
0.30 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
1.9500
Conversion factor
$33.4009
Medicare rate
$65.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58611
The CMS indicators that decide how 58611 is paid alongside other services.
CMS payment indicators · 58611
Tubal ligation, with another abdominal operation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
58611 without 80 · national facility
$65.13
Tubal ligation, with another abdominal operation
58611-80 · Assistant: 16%
$10.42
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
58611 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58600Tubal divisionAbdominal or vaginal approach
- Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation. Code 58600 is for a separate tubal ligation or division procedure.
- 58605Tubal procedurePostpartum abdominal or vaginal
- Code 58605 describes postpartum tubal ligation or division as a separate procedure. Code 58611 applies when the tubal work is done during another intra-abdominal operation.
- 58670Tubal sterilizationLaparoscopic cautery
- Code 58670 describes laparoscopic tubal cautery. Code 58611 is the add-on for interruption performed during a different primary abdominal operation.
- 58671Tubal occlusionLaparoscopic device method
- Code 58671 describes laparoscopic occlusion of the tubes. Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation.
58611 billing questions
When should 58611 be chosen instead of 58600?
Use 58611 when tubal interruption is performed during cesarean delivery or another intra-abdominal operation. Code 58600 describes a separate tubal procedure rather than this concurrent add-on service.
Can 58611 be billed by itself?
No. It is an add-on code and must be billed with the primary operation performed in the same session.
What documentation supports reporting 58611?
The operative report should document the tubal interruption for permanent contraception and show that it occurred during the cesarean delivery or other intra-abdominal operation.
How does CMS handle payment for 58611?
CMS pays this add-on within the global period of the primary procedure. It is not a stand-alone service.
How does 58611 differ from laparoscopic tubal codes 58670 and 58671?
Code 58611 is for tubal interruption performed during another intra-abdominal operation. Codes 58670 and 58671 describe laparoscopic tubal procedures, including cautery or occlusion, rather than this add-on circumstance.
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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