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CPT code 58670: Tubal sterilization, laparoscopic cautery2026 Medicare rate & RVUs

Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them.

CMS RVU26DEffective Oct 1, 2026109 payment localities17 Medicare services in 2024

Medicare pays $333.01 for 58670 nationally in a facility.

Medicare rate · 58670

Tubal sterilization, laparoscopic cautery

Office or facility?

Work RVUs
5.76
Total RVUs
9.97
Global days
090

National rate · 2026

$333.01

Facility setting, before claim adjustments.

See every locality for 58670 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 58670 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58670 covers

During laparoscopic permanent sterilization, the surgeon uses electrosurgical energy to cauterize the fallopian tube or tubes, with or without cutting them. Gynecologists typically perform this in an operating room through laparoscopic access. The operative report should establish that tubal cauterization—not mechanical occlusion or removal—was the method used.

Report 58670 for the laparoscopic cautery technique; modifier 50 is inappropriate, including when both tubes are treated. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Medicare does not pay for assistant-at-surgery services under the statutory restriction; co-surgeons are permitted, while 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 58670 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

58670 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$304.90
AlaskaUnavailable$420.83
ArizonaUnavailable$324.80
ArkansasUnavailable$301.46
Atlanta, GAUnavailable$342.14
Austin, TXUnavailable$335.69
Bakersfield, CAUnavailable$333.57
Baltimore area, MDUnavailable$351.94
Beaumont, TXUnavailable$321.00
Brazoria, TXUnavailable$326.09

58670 rates by state

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

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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
58670 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

How the 58670 rate is calculated

Each of 58670’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 · 58670

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.76

5.76 RVUs× 1.000 GPCI

Practice expense3.19

3.19 RVUs× 1.000 GPCI

Malpractice1.02

1.02 RVUs× 1.000 GPCI

Adjusted RVUs

9.9700

Conversion factor

$33.4009

Medicare rate

$333.01

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 58670

58670 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58670

Tubal sterilization, laparoscopic cautery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
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 · 58670

Tubal sterilization, laparoscopic cautery

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58670 without 51 · national facility

$333.01

Tubal sterilization, laparoscopic cautery

58670-51 · Second procedure: 50%

$166.51

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

58670 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 58670

    Tubal sterilization, laparoscopic cautery5.76 wRVU

    Not priced

  • 58671

    Tubal occlusion, laparoscopic device method5.76 wRVU

    Not priced

  • 58600

    Tubal division, abdominal or vaginal approach5.76 wRVU

    Not priced

  • 58611

    Tubal ligation, with another abdominal operation1.41 wRVU

    Not priced

  • 58615

    Tubal occlusion, vaginal or abdominal approach3.84 wRVU

    Not priced

How to choose

58671Tubal occlusionLaparoscopic device method
Choose 58670 for laparoscopic cauterization, with or without transection. Choose 58671 when a device is used to occlude the tubes.
58600Tubal divisionAbdominal or vaginal approach
58600 describes tubal ligation or transection through an abdominal or vaginal approach; 58670 is for laparoscopic cauterization.
58611Tubal ligationWith another abdominal operation
58611 is for tubal ligation or transection performed during cesarean delivery or another intra-abdominal operation, rather than the laparoscopic cautery service represented by 58670.
58615Tubal occlusionVaginal or abdominal approach
58615 describes device-based tubal occlusion through a vaginal or suprapubic approach. It is not the laparoscopic cauterization method of 58670.

Codes related to 58670

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

Codes related to 58670
CodeHow it relatesNational office range
Used instead
58671Tubal occlusion, laparoscopic device methodLaparoscopic tubal occlusion using a device rather than cauterization.No office rate
58600Tubal division, abdominal or vaginal approachTubal ligation or transection through an abdominal or vaginal approach.No office rate
58605Tubal procedure, postpartum abdominal or vaginalTubal ligation or transection performed postpartum after delivery.No office rate
58611Tubal ligation, with another abdominal operationTubal ligation or transection performed during cesarean delivery or other intra-abdominal surgery.No office rate
58615Tubal occlusion, vaginal or abdominal approachTubal occlusion by device using a vaginal or suprapubic approach.No office rate

58670 billing questions

How does 58670 differ from 58671?

58670 describes tubal cauterization, with or without transection. Use 58671 when laparoscopic tubal occlusion is performed with a device such as a clip, band, or ring.

Should modifier 50 be added when both tubes are cauterized?

No. The CMS bilateral adjustment does not apply to 58670, and modifier 50 is inappropriate.

What should the operative report document?

Document the laparoscopic approach and that electrosurgical cautery was used on the fallopian tube or tubes. Include whether transection was performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant-at-surgery service be reported?

Medicare does not pay for assistant-at-surgery services for this code because of the statutory restriction. Co-surgeons are permitted; team surgery is not.

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 58670PPRRVU2026_Oct_nonQPP.csv, line 6,589 (RVU26D)

Open CMS sourceHow we calculate rates

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