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.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Nevada, Medicare pays $686.52 for 58673 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$686.52Hospital or facility

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.

We’ll open 58673 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 58673 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

58673 in Nevada vs other payment areas
  1. Nevada · this page$686.52
  2. Los Angeles, CA · California$721.27+$34.75
  3. Washington, DC area · District of Columbia$762.39+$75.87
  4. Miami, FL · Florida$828.97+$142.45
  5. Chicago, IL · Illinois$807.57+$121.05
  6. Manhattan, NY · New York$802.29+$115.77
  7. Alaska · Alaska$902.94+$216.42

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

58673 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
58673 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

See 58673 in every payment locality

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

Office or facility?

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
Facility calculation for 58673 in Nevada
ComponentRVULocality factorAdjusted
Physician work13.69× 1.00013.6900
Practice expense4.86× 1.0014.8649
Malpractice2.40× 0.8331.9992
Total RVUs20.5541
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

Open 58673 in the RVU calculator

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

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
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 · 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.

  • 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 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).

When to use modifier 50

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$686.52RVU26D
2026-07-01Not available in this setting$686.52RVU26C
2026-04-01Not available in this setting$686.52RVU26B
2026-01-01Not available in this setting$686.52RVU26A
2025-10-01Not available in this setting$759.01RVU25D
2025-07-01Not available in this setting$759.01RVU25C
2025-04-01Not available in this setting$759.01RVU25B
2025-01-01Not available in this setting$759.01RVU25A
2024-10-01Not available in this setting$782.27RVU24D
2024-07-01Not available in this setting$782.27RVU24C
2024-04-01Not available in this setting$782.27RVU24B
2024-03-09Not available in this setting$782.27RVU24AR
2024-01-01Not available in this setting$769.50RVU24A
2023-10-01Not available in this setting$813.88RVU23D
2023-07-01Not available in this setting$813.88RVU23C
2023-04-01Not available in this setting$813.88RVU23B
2023-01-01Not available in this setting$813.88RVU23A
2022-10-01Not available in this setting$846.95RVU22D
2022-07-01Not available in this setting$846.95RVU22C
2022-04-01Not available in this setting$846.95RVU22B
2022-01-01Not available in this setting$846.95RVU22A
2021-10-01Not available in this setting$848.58RVU21D
2021-07-01Not available in this setting$848.58RVU21C
2021-04-01Not available in this setting$848.58RVU21B
2021-01-01Not available in this setting$848.58RVU21A
2020-10-01Not available in this setting$847.82RVU20D
2020-07-01Not available in this setting$847.82RVU20C
2020-04-01Not available in this setting$847.82RVU20B
2020-01-01Not available in this setting$847.82RVU20A
2019-10-01Not available in this setting$810.73RVU19D
2019-07-01Not available in this setting$810.73RVU19C
2019-04-01Not available in this setting$808.76RVU19B
2019-01-01Not available in this setting$808.76RVU19A
2018-10-01Not available in this setting$808.74RVU18D
2018-07-01Not available in this setting$808.74RVU18C
2018-04-01Not available in this setting$808.74RVU18B
2018-01-01Not available in this setting$808.74RVU18AR1
2017-10-01Not available in this setting$820.53RVU17D
2017-07-01Not available in this setting$820.53RVU17C
2017-04-01Not available in this setting$820.53RVU17B
2017-01-01Not available in this setting$820.53RVU17A
2016-10-01Not available in this setting$822.07RVU16D
2016-07-01Not available in this setting$822.07RVU16C
2016-04-01Not available in this setting$822.07RVU16B
2016-01-01Not available in this setting$822.07RVU16A
2015-10-01Not available in this setting$829.34RVU15D
2015-07-01Not available in this setting$829.34RVU15C
2015-04-01Not available in this setting$825.22RVU15B
2015-01-01Not available in this setting$825.22RVU15A
2014-10-01Not available in this setting$854.59RVU14D
2014-07-01Not available in this setting$854.59RVU14C
2014-04-01Not available in this setting$854.59RVU14B
2014-01-01Not available in this setting$854.59RVU14A
2013-10-01Not available in this setting$846.88RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 58673 for an earlier date of service

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

Browse all communities in Nevada

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
RVUs for 58673PPRRVU2026_Oct_nonQPP.csv, line 6,592 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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