CPT code 58700: Salpingectomy, complete or partial removal2026 Medicare rate & RVUs in California
Reports surgical removal of part or all of one or both fallopian tubes, including procedures for ectopic pregnancy, disease, or sterilization.
CMS doesn’t publish an office rate for 58700 in California.
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 58700 covers
A gynecologic surgeon removes part or all of a fallopian tube through an abdominal or pelvic operation. Typical situations include treating a tubal ectopic pregnancy or diseased tube, removing a hydrosalpinx, and permanent contraception. The code encompasses removal on one or both sides and is commonly performed in a facility operating room. When tube removal is part of a larger operation, report it separately only when the work is distinct and separately reportable rather than integral to that operation.
Document the side, extent of removal, indication, and operative work. CMS pricing is already bilateral, so modifier 50 does not increase payment. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and 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 58700 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $727.62 |
| Chico, CA | Unavailable | $720.70 |
| El Centro, CA | Unavailable | $721.12 |
| Fresno, CA | Unavailable | $720.70 |
| Hanford, CA | Unavailable | $720.70 |
| Los Angeles, CA | Unavailable | $761.09 |
| Madera, CA | Unavailable | $720.70 |
| Marin County, CA | Unavailable | $818.00 |
| Merced, CA | Unavailable | $720.70 |
| Modesto, CA | Unavailable | $720.70 |
| Napa, CA | Unavailable | $787.83 |
| Oxnard, CA | Unavailable | $751.97 |
| Redding, CA | Unavailable | $720.70 |
| Rest of California | Unavailable | $720.70 |
| Riverside, CA | Unavailable | $747.49 |
| Sacramento, CA | Unavailable | $743.82 |
| Salinas, CA | Unavailable | $740.81 |
| San Benito County, CA | Unavailable | $837.94 |
| San Diego, CA | Unavailable | $749.23 |
| San Francisco, CA | Unavailable | $815.17 |
| San Luis Obispo, CA | Unavailable | $730.40 |
| Santa Clara County, CA | Unavailable | $826.38 |
| Santa Cruz, CA | Unavailable | $749.22 |
| Santa Maria, CA | Unavailable | $741.13 |
| Santa Rosa, CA | Unavailable | $755.95 |
| Stockton, CA | Unavailable | $720.70 |
| Vallejo, CA | Unavailable | $783.76 |
| Visalia, CA | Unavailable | $720.70 |
| Yuba City, CA | Unavailable | $720.70 |
How the 58700 rate is calculated
Each of 58700’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 · 58700
RVUs × geographic indexes × conversion factor
Work12.63
12.63 RVUs× 1.000 GPCI
Practice expense6.75
6.75 RVUs× 1.000 GPCI
Malpractice2.49
2.49 RVUs× 1.000 GPCI
Adjusted RVUs
21.8700
Conversion factor
$33.4009
Medicare rate
$730.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58700
58700 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58700
Salpingectomy, complete or partial 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58700
Salpingectomy, complete or partial 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 51 · payment effect
With and without the modifier
58700 without 51 · national facility
$730.48
Salpingectomy, complete or partial removal
58700-51 · Second procedure: 50%
$365.24
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%).
58700 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58720Salpingo-oophorectomyUnilateral or bilateral
- This code is for fallopian tube removal. Choose 58720 when the operation also removes an ovary.
- 58661Adnexal removalOvary and/or fallopian tube
- This code describes tube removal without specifying a laparoscopic approach. Code 58661 is the laparoscopic option for removal of adnexal structures.
- 58670Tubal sterilizationLaparoscopic cautery
- Code 58670 describes laparoscopic tubal sterilization by fulguration, which occludes the tube rather than removing it.
58700 billing questions
Does this code cover removal of one tube or both?
It covers complete or partial removal of one or both fallopian tubes. CMS pricing is already bilateral, and modifier 50 does not increase payment.
How is this different from 58720?
Use 58700 for removal of fallopian tube tissue without removal of an ovary. Code 58720 is the comparison when an ovary is removed along with tube tissue.
Can the tube removal be reported with a hysterectomy or another pelvic operation?
Report it separately only when the salpingectomy is distinct and separately reportable, rather than integral to the larger procedure. The operative report should describe the tube-removal work.
What documentation supports reporting this code?
Document the indication, side, whether removal was partial or complete, and the procedure performed. The operative report should make clear which tube tissue was removed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Same-session procedures are subject to the standard multiple-procedure payment reduction.
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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