CPT code 58673: Laparoscopic salpingostomy, tube incision, not removal2026 Medicare rate & RVUs in Nevada
Reports laparoscopic incision and opening of a fallopian tube when the surgeon preserves the tube rather than removing or occluding it.
In Nevada, Medicare pays $686.52 for 58673 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58673 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 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.
How Nevada compares for 58673
Across 109 of 109 payment localities, the facility rate for 58673 runs from $637.39 in Nebraska to $902.94 in Alaska. Nevada pays $686.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$686.52
- Los Angeles, CA · California$721.27+$34.75
- Washington, DC area · District of Columbia$762.39+$75.87
- Miami, FL · Florida$828.97+$142.45
- Chicago, IL · Illinois$807.57+$121.05
- Manhattan, NY · New York$802.29+$115.77
- Alaska · Alaska$902.94+$216.42
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $644.67 |
| ArkansasArkansas | — | $637.98 |
| ArizonaArizona | — | $683.17 |
| Bakersfield, CACalifornia | — | $692.68 |
| Chico, CACalifornia | — | $685.91 |
| El Centro, CACalifornia | — | $686.31 |
| Fresno, CACalifornia | — | $685.91 |
| Hanford, CACalifornia | — | $685.91 |
| Madera, CACalifornia | — | $685.91 |
| Merced, CACalifornia | — | $685.91 |
| Modesto, CACalifornia | — | $685.91 |
| Napa, CACalifornia | — | $740.74 |
| Oxnard, CACalifornia | — | $711.87 |
| Redding, CACalifornia | — | $685.91 |
| Rest of CaliforniaCalifornia | — | $685.91 |
| Riverside, CACalifornia | — | $711.78 |
| Sacramento, CACalifornia | — | $705.47 |
| Salinas, CACalifornia | — | $702.54 |
| San Diego, CACalifornia | — | $708.57 |
| Marin County, CACalifornia | — | $766.38 |
| San Francisco, CACalifornia | — | $763.65 |
| San Benito County, CACalifornia | — | $784.60 |
| Santa Clara County, CACalifornia | — | $773.46 |
| San Luis Obispo, CACalifornia | — | $692.89 |
| Santa Cruz, CACalifornia | — | $707.06 |
| Santa Maria, CACalifornia | — | $702.30 |
| Santa Rosa, CACalifornia | — | $713.28 |
| Stockton, CACalifornia | — | $685.91 |
| Vallejo, CACalifornia | — | $736.81 |
| Visalia, CACalifornia | — | $685.91 |
| Yuba City, CACalifornia | — | $685.91 |
| ColoradoColorado | — | $698.07 |
| ConnecticutConnecticut | — | $738.23 |
| DelawareDelaware | — | $691.99 |
| Fort Lauderdale, FLFlorida | — | $766.63 |
| Rest of FloridaFlorida | — | $732.93 |
| Atlanta, GAGeorgia | — | $719.83 |
| Rest of GeorgiaGeorgia | — | $697.61 |
| Hawaii, Guam, HIHawaii | — | $688.24 |
| IowaIowa | — | $637.61 |
| IdahoIdaho | — | $644.52 |
| East St. Louis, ILIllinois | — | $768.05 |
| Rest of IllinoisIllinois | — | $730.76 |
| Suburban Chicago, ILIllinois | — | $769.22 |
| IndianaIndiana | — | $646.70 |
| KansasKansas | — | $644.40 |
| KentuckyKentucky | — | $674.92 |
| New Orleans, LALouisiana | — | $701.07 |
| Rest of LouisianaLouisiana | — | $677.71 |
| Metropolitan Boston, MAMassachusetts | — | $741.17 |
| Rest of MassachusettsMassachusetts | — | $699.40 |
| Baltimore area, MDMaryland | — | $737.91 |
| Rest of MarylandMaryland | — | $699.70 |
| Rest of MaineMaine | — | $656.46 |
| Southern Maine, MEMaine | — | $668.71 |
| Detroit, MIMichigan | — | $749.06 |
| Rest of MichiganMichigan | — | $695.97 |
| MinnesotaMinnesota | — | $648.02 |
| Metropolitan Kansas City, MOMissouri | — | $688.00 |
| Metropolitan St. Louis, MOMissouri | — | $692.12 |
| Rest of MissouriMissouri | — | $675.26 |
| MississippiMississippi | — | $656.26 |
| MontanaMontana | — | $699.59 |
| North CarolinaNorth Carolina | — | $659.93 |
| North DakotaNorth Dakota | — | $652.13 |
| NebraskaNebraska | — | $637.39 |
| New HampshireNew Hampshire | — | $696.38 |
| Northern New JerseyNew Jersey | — | $759.98 |
| Rest of New JerseyNew Jersey | — | $740.75 |
| New MexicoNew Mexico | — | $702.39 |
| NYC suburbs and Long Island, NYNew York | — | $828.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $752.58 |
| Queens, NYNew York | — | $793.99 |
| Rest of New YorkNew York | — | $667.82 |
| OhioOhio | — | $686.27 |
| OklahomaOklahoma | — | $664.50 |
| Portland, OROregon | — | $704.56 |
| Rest of OregonOregon | — | $675.29 |
| Metropolitan Philadelphia, PAPennsylvania | — | $730.11 |
| Rest of PennsylvaniaPennsylvania | — | $682.03 |
| Puerto RicoPuerto Rico | — | $700.33 |
| Rhode IslandRhode Island | — | $705.14 |
| South CarolinaSouth Carolina | — | $675.39 |
| South DakotaSouth Dakota | — | $646.52 |
| TennesseeTennessee | — | $647.86 |
| Austin, TXTexas | — | $700.94 |
| Beaumont, TXTexas | — | $679.45 |
| Brazoria, TXTexas | — | $684.31 |
| Dallas, TXTexas | — | $691.83 |
| Fort Worth, TXTexas | — | $691.25 |
| Galveston, TXTexas | — | $688.48 |
| Houston, TXTexas | — | $732.41 |
| Rest of TexasTexas | — | $683.69 |
| UtahUtah | — | $681.83 |
| VirginiaVirginia | — | $673.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $700.33 |
| VermontVermont | — | $658.53 |
| Rest of WashingtonWashington | — | $695.14 |
| King County, WAWashington | — | $744.79 |
| WisconsinWisconsin | — | $637.46 |
| West VirginiaWest Virginia | — | $713.03 |
| WyomingWyoming | — | $678.91 |
58673 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 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.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,592
- Code
- 58673
- Physician work
- 13.69
- Practice expense
- 4.86
- Malpractice
- 2.40
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.69 | × 1.000 | 13.6900 |
| Practice expense | 4.86 | × 1.001 | 4.8649 |
| Malpractice | 2.40 | × 0.833 | 1.9992 |
| Total RVUs | 20.5541 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$686.52
Facility: (13.69 × 1 + 4.86 × 1.001 + 2.4 × 0.833) × $33.4009 = $686.52
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).
How 58673 has changed in Nevada
58673 · 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 | $686.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $686.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $686.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $686.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $759.01 | RVU25D |
| 2025-07-01 | Not available in this setting | $759.01 | RVU25C |
| 2025-04-01 | Not available in this setting | $759.01 | RVU25B |
| 2025-01-01 | Not available in this setting | $759.01 | RVU25A |
| 2024-10-01 | Not available in this setting | $782.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $782.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $782.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $782.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $769.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $813.88 | RVU23D |
| 2023-07-01 | Not available in this setting | $813.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $813.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $813.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $846.95 | RVU22D |
| 2022-07-01 | Not available in this setting | $846.95 | RVU22C |
| 2022-04-01 | Not available in this setting | $846.95 | RVU22B |
| 2022-01-01 | Not available in this setting | $846.95 | RVU22A |
| 2021-10-01 | Not available in this setting | $848.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $848.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $848.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $848.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $847.82 | RVU20D |
| 2020-07-01 | Not available in this setting | $847.82 | RVU20C |
| 2020-04-01 | Not available in this setting | $847.82 | RVU20B |
| 2020-01-01 | Not available in this setting | $847.82 | RVU20A |
| 2019-10-01 | Not available in this setting | $810.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $810.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $808.76 | RVU19B |
| 2019-01-01 | Not available in this setting | $808.76 | RVU19A |
| 2018-10-01 | Not available in this setting | $808.74 | RVU18D |
| 2018-07-01 | Not available in this setting | $808.74 | RVU18C |
| 2018-04-01 | Not available in this setting | $808.74 | RVU18B |
| 2018-01-01 | Not available in this setting | $808.74 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $820.53 | RVU17D |
| 2017-07-01 | Not available in this setting | $820.53 | RVU17C |
| 2017-04-01 | Not available in this setting | $820.53 | RVU17B |
| 2017-01-01 | Not available in this setting | $820.53 | RVU17A |
| 2016-10-01 | Not available in this setting | $822.07 | RVU16D |
| 2016-07-01 | Not available in this setting | $822.07 | RVU16C |
| 2016-04-01 | Not available in this setting | $822.07 | RVU16B |
| 2016-01-01 | Not available in this setting | $822.07 | RVU16A |
| 2015-10-01 | Not available in this setting | $829.34 | RVU15D |
| 2015-07-01 | Not available in this setting | $829.34 | RVU15C |
| 2015-04-01 | Not available in this setting | $825.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $825.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $854.59 | RVU14D |
| 2014-07-01 | Not available in this setting | $854.59 | RVU14C |
| 2014-04-01 | Not available in this setting | $854.59 | RVU14B |
| 2014-01-01 | Not available in this setting | $854.59 | RVU14A |
| 2013-10-01 | Not available in this setting | $846.88 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
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
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 58673 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist