CPT code 58673: Laparoscopic salpingostomy, tube incision, not removal2026 Medicare rate & RVUs in Missouri
Reports laparoscopic incision and opening of a fallopian tube when the surgeon preserves the tube rather than removing or occluding it.
CMS doesn’t publish an office rate for 58673 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 58673 covers
A gynecologic surgeon uses laparoscopic instruments to make an opening in a fallopian tube while preserving the tube. The procedure may address distal tubal obstruction as part of fertility-preserving surgery. It differs from fimbrioplasty, which focuses on repairing the fimbrial end of the tube. For laparoscopic treatment of a tubal ectopic pregnancy with salpingostomy, the ectopic-pregnancy-specific code 59151 is the relevant code to evaluate.
Choose this code when the operative report documents laparoscopic salpingostomy, including the tube treated and the incision or opening performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If related endoscopies are performed together, CMS applies endoscopy-family pricing. For bilateral procedures, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 58673 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 | $688.00 |
| Metropolitan St. Louis, MO | Unavailable | $692.12 |
| Rest of Missouri | Unavailable | $675.26 |
How the 58673 rate is calculated
Each of 58673’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 · 58673
RVUs × geographic indexes × conversion factor
Work13.69
13.69 RVUs× 1.000 GPCI
Practice expense4.86
4.86 RVUs× 1.000 GPCI
Malpractice2.40
2.40 RVUs× 1.000 GPCI
Adjusted RVUs
20.9500
Conversion factor
$33.4009
Medicare rate
$699.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58673
58673 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58673
Laparoscopic salpingostomy, tube incision, not removal
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| 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 · 58673
Laparoscopic salpingostomy, tube incision, not removal
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 50 · payment effect
With and without the modifier
58673 without 50 · national facility
$699.75
Laparoscopic salpingostomy, tube incision, not removal
58673-50 · Bilateral: 150%
$1,049.63
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
58673 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58672FimbrioplastyLaparoscopic tubal repair
- Use 58673 for an opening made in the tube. Use 58672 when the documented work repairs the fimbrial end.
- 59151Ectopic pregnancy surgeryLaparoscopic removal
- 59151 describes laparoscopic salpingostomy for ectopic pregnancy. Confirm the indication before reporting 58673 for a similar operative technique.
- 58661Adnexal removalOvary and/or fallopian tube
- 58661 is for laparoscopic removal of a tube or other adnexal tissue; 58673 preserves the tube and creates an opening.
- 58670Tubal sterilizationLaparoscopic cautery
- 58670 involves laparoscopic tubal cautery for occlusion. It is not the code for opening a tube.
58673 billing questions
How does this differ from fimbrioplasty, code 58672?
Salpingostomy creates an opening in the fallopian tube. Fimbrioplasty repairs the fimbrial end; select based on the procedure documented, not simply the presence of tubal disease.
Should this code be used for laparoscopic salpingostomy for an ectopic pregnancy?
Code 59151 is specific to laparoscopic salpingostomy for ectopic pregnancy. Review the operative indication and procedure before choosing between it and 58673.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative report should support treatment of both tubes.
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 be paid for this procedure?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
What happens when related endoscopies are performed during the same operation?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative report should distinguish the work performed for each procedure.
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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