CPT code 58670: Tubal sterilization, laparoscopic cautery2026 Medicare rate & RVUs in Missouri
Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them.
CMS doesn’t publish an office rate for 58670 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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On this page 9 sections
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 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 | $325.72 |
| Metropolitan St. Louis, MO | Unavailable | $327.96 |
| Rest of Missouri | Unavailable | $317.42 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
58670 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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