Billing code 58600: Tubal divisionMedicare rate & RVUs

Medicare pays $332.34 for 58600 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 58600 covers

This procedure interrupts one or both fallopian tubes by surgically dividing and ligating them through an abdominal or vaginal approach. Gynecologists typically perform it in an operating-room setting as a sterilization procedure. The operative report should identify the approach and document the tubal work performed; the code is distinct from laparoscopic methods and from removal of an adnexa.

Select 58600 for the abdominal or vaginal approach rather than the postpartum circumstance represented by 58605 or the concurrent-procedure service represented by 58611. CMS prices 58600 as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be allowed; 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 58600 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

58600 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 58600 rate is calculated

Each of 58600’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.

Payment rules and modifiers for 58600

58600 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

58600 compared with similar codes

How to choose

58605Tubal procedure

Code 58605 is for tubal division in the postpartum same-hospitalization circumstance. Code 58600 describes the abdominal or vaginal approach outside that circumstance.

58611Tubal ligation

Code 58611 is an add-on when tubal division or ligation is performed during cesarean delivery or another intra-abdominal operation. Code 58600 describes the abdominal or vaginal sterilization procedure apart from that concurrent context.

58670Tubal sterilization

Code 58670 describes laparoscopic tubal fulguration. Choose 58600 when the procedure uses an abdominal or vaginal approach rather than laparoscopy.

58671Tubal occlusion

Code 58671 describes laparoscopic tubal occlusion. Code 58600 is for division and ligation through an abdominal or vaginal approach.

Codes related to 58600

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates