CPT code 58611: Tubal ligation, with another abdominal operation2026 Medicare rate & RVUs in Montana
Reports interruption of one or both fallopian tubes for permanent contraception when performed during cesarean delivery or another intra-abdominal operation.
In Montana, Medicare pays $65.12 for 58611 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58611 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Montana compares for 58611
Across 109 of 109 payment localities, the facility rate for 58611 runs from $59.16 in Wisconsin to $85.73 in Alaska. Montana pays $65.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$65.12
- Los Angeles, CA · California$66.20+$1.08
- Washington, DC area · District of Columbia$70.36+$5.24
- Miami, FL · Florida$77.80+$12.68
- Chicago, IL · Illinois$75.89+$10.77
- Manhattan, NY · New York$74.47+$9.35
- Alaska · Alaska$85.73+$20.61
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $60.40 |
| ArkansasArkansas | — | $59.83 |
| ArizonaArizona | — | $63.67 |
| Bakersfield, CACalifornia | — | $63.85 |
| Chico, CACalifornia | — | $63.17 |
| El Centro, CACalifornia | — | $63.21 |
| Fresno, CACalifornia | — | $63.17 |
| Hanford, CACalifornia | — | $63.17 |
| Madera, CACalifornia | — | $63.17 |
| Merced, CACalifornia | — | $63.17 |
| Modesto, CACalifornia | — | $63.17 |
| Napa, CACalifornia | — | $67.34 |
| Oxnard, CACalifornia | — | $65.25 |
| Redding, CACalifornia | — | $63.17 |
| Rest of CaliforniaCalifornia | — | $63.17 |
| Riverside, CACalifornia | — | $65.76 |
| Sacramento, CACalifornia | — | $64.74 |
| Salinas, CACalifornia | — | $64.47 |
| San Diego, CACalifornia | — | $64.84 |
| Marin County, CACalifornia | — | $69.38 |
| San Francisco, CACalifornia | — | $69.10 |
| San Benito County, CACalifornia | — | $71.02 |
| Santa Clara County, CACalifornia | — | $69.91 |
| San Luis Obispo, CACalifornia | — | $63.61 |
| Santa Cruz, CACalifornia | — | $64.56 |
| Santa Maria, CACalifornia | — | $64.39 |
| Santa Rosa, CACalifornia | — | $65.11 |
| Stockton, CACalifornia | — | $63.17 |
| Vallejo, CACalifornia | — | $66.95 |
| Visalia, CACalifornia | — | $63.17 |
| Yuba City, CACalifornia | — | $63.17 |
| ColoradoColorado | — | $64.58 |
| ConnecticutConnecticut | — | $68.53 |
| DelawareDelaware | — | $64.44 |
| Fort Lauderdale, FLFlorida | — | $71.74 |
| Rest of FloridaFlorida | — | $68.72 |
| Atlanta, GAGeorgia | — | $67.04 |
| Rest of GeorgiaGeorgia | — | $65.59 |
| Hawaii, Guam, HIHawaii | — | $63.13 |
| IowaIowa | — | $59.45 |
| IdahoIdaho | — | $60.11 |
| East St. Louis, ILIllinois | — | $72.46 |
| Rest of IllinoisIllinois | — | $68.77 |
| Suburban Chicago, ILIllinois | — | $71.92 |
| IndianaIndiana | — | $60.28 |
| KansasKansas | — | $60.19 |
| KentuckyKentucky | — | $63.34 |
| New Orleans, LALouisiana | — | $65.63 |
| Rest of LouisianaLouisiana | — | $63.64 |
| Metropolitan Boston, MAMassachusetts | — | $68.12 |
| Rest of MassachusettsMassachusetts | — | $64.79 |
| Baltimore area, MDMaryland | — | $68.52 |
| Rest of MarylandMaryland | — | $65.07 |
| Rest of MaineMaine | — | $61.30 |
| Southern Maine, MEMaine | — | $62.08 |
| Detroit, MIMichigan | — | $70.28 |
| Rest of MichiganMichigan | — | $65.29 |
| MinnesotaMinnesota | — | $59.78 |
| Metropolitan Kansas City, MOMissouri | — | $64.34 |
| Metropolitan St. Louis, MOMissouri | — | $64.67 |
| Rest of MissouriMissouri | — | $63.54 |
| MississippiMississippi | — | $61.65 |
| North CarolinaNorth Carolina | — | $61.57 |
| North DakotaNorth Dakota | — | $60.37 |
| NebraskaNebraska | — | $59.37 |
| New HampshireNew Hampshire | — | $64.54 |
| Northern New JerseyNew Jersey | — | $70.25 |
| Rest of New JerseyNew Jersey | — | $68.72 |
| New MexicoNew Mexico | — | $65.91 |
| NevadaNevada | — | $63.80 |
| NYC suburbs and Long Island, NYNew York | — | $76.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $69.89 |
| Queens, NYNew York | — | $73.51 |
| Rest of New YorkNew York | — | $62.25 |
| OhioOhio | — | $64.32 |
| OklahomaOklahoma | — | $62.27 |
| Portland, OROregon | — | $64.95 |
| Rest of OregonOregon | — | $62.71 |
| Metropolitan Philadelphia, PAPennsylvania | — | $67.94 |
| Rest of PennsylvaniaPennsylvania | — | $63.87 |
| Puerto RicoPuerto Rico | — | $65.12 |
| Rhode IslandRhode Island | — | $65.49 |
| South CarolinaSouth Carolina | — | $63.17 |
| South DakotaSouth Dakota | — | $59.81 |
| TennesseeTennessee | — | $60.51 |
| Austin, TXTexas | — | $64.89 |
| Beaumont, TXTexas | — | $63.66 |
| Brazoria, TXTexas | — | $63.65 |
| Dallas, TXTexas | — | $64.38 |
| Fort Worth, TXTexas | — | $64.38 |
| Galveston, TXTexas | — | $64.06 |
| Houston, TXTexas | — | $68.45 |
| Rest of TexasTexas | — | $63.84 |
| UtahUtah | — | $63.71 |
| VirginiaVirginia | — | $62.60 |
| Virgin Islands, VIUnited States Virgin Islands | — | $65.12 |
| VermontVermont | — | $61.07 |
| Rest of WashingtonWashington | — | $64.36 |
| King County, WAWashington | — | $68.29 |
| WisconsinWisconsin | — | $59.16 |
| West VirginiaWest Virginia | — | $67.27 |
| WyomingWyoming | — | $63.05 |
58611 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,584
- Code
- 58611
- Physician work
- 1.41
- Practice expense
- 0.30
- Malpractice
- 0.24
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.41 | × 1.000 | 1.4100 |
| Practice expense | 0.30 | × 1.000 | 0.3000 |
| Malpractice | 0.24 | × 0.998 | 0.2395 |
| Total RVUs | 1.9495 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$65.12
Facility: (1.41 × 1 + 0.3 × 1 + 0.24 × 0.998) × $33.4009 = $65.12
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.
How 58611 has changed in Montana
58611 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $65.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $65.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $65.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $65.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $72.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $72.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $72.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $72.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $74.72 | RVU24D |
| 2024-07-01 | Not available in this setting | $74.72 | RVU24C |
| 2024-04-01 | Not available in this setting | $74.72 | RVU24B |
| 2024-03-09 | Not available in this setting | $74.72 | RVU24AR |
| 2024-01-01 | Not available in this setting | $73.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $76.40 | RVU23D |
| 2023-07-01 | Not available in this setting | $76.40 | RVU23C |
| 2023-04-01 | Not available in this setting | $76.40 | RVU23B |
| 2023-01-01 | Not available in this setting | $76.40 | RVU23A |
| 2022-10-01 | Not available in this setting | $77.33 | RVU22D |
| 2022-07-01 | Not available in this setting | $77.33 | RVU22C |
| 2022-04-01 | Not available in this setting | $77.33 | RVU22B |
| 2022-01-01 | Not available in this setting | $77.33 | RVU22A |
| 2021-10-01 | Not available in this setting | $77.98 | RVU21D |
| 2021-07-01 | Not available in this setting | $77.98 | RVU21C |
| 2021-04-01 | Not available in this setting | $77.98 | RVU21B |
| 2021-01-01 | Not available in this setting | $77.98 | RVU21A |
| 2020-10-01 | Not available in this setting | $83.47 | RVU20D |
| 2020-07-01 | Not available in this setting | $83.47 | RVU20C |
| 2020-04-01 | Not available in this setting | $83.47 | RVU20B |
| 2020-01-01 | Not available in this setting | $83.47 | RVU20A |
| 2019-10-01 | Not available in this setting | $82.07 | RVU19D |
| 2019-07-01 | Not available in this setting | $82.07 | RVU19C |
| 2019-04-01 | Not available in this setting | $82.07 | RVU19B |
| 2019-01-01 | Not available in this setting | $82.07 | RVU19A |
| 2018-10-01 | Not available in this setting | $82.34 | RVU18D |
| 2018-07-01 | Not available in this setting | $82.34 | RVU18C |
| 2018-04-01 | Not available in this setting | $82.34 | RVU18B |
| 2018-01-01 | Not available in this setting | $82.34 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $81.21 | RVU17D |
| 2017-07-01 | Not available in this setting | $81.21 | RVU17C |
| 2017-04-01 | Not available in this setting | $81.21 | RVU17B |
| 2017-01-01 | Not available in this setting | $81.21 | RVU17A |
| 2016-10-01 | Not available in this setting | $79.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $79.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $79.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $79.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $80.52 | RVU15D |
| 2015-07-01 | Not available in this setting | $80.52 | RVU15C |
| 2015-04-01 | Not available in this setting | $80.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $80.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $82.32 | RVU14D |
| 2014-07-01 | Not available in this setting | $82.32 | RVU14C |
| 2014-04-01 | Not available in this setting | $82.32 | RVU14B |
| 2014-01-01 | Not available in this setting | $82.32 | RVU14A |
| 2013-10-01 | Not available in this setting | $79.43 | RVU13D |
| 2013-07-01 | Not available in this setting | $79.43 | RVU13C |
| 2013-04-01 | Not available in this setting | $79.43 | RVU13B |
| 2013-01-01 | Not available in this setting | $79.43 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
Show the CMS file lines behind this rate
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