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Billing code 58611: Tubal ligationMedicare rate & RVUs

Reports interruption of one or both fallopian tubes for permanent contraception when performed during cesarean delivery or another intra-abdominal operation.

CMS RVU26DEffective Oct 1, 2026109 payment localities16 Medicare services in 2024

Medicare pays $65.13 for 58611 nationally in a facility.

Medicare rate · 58611

Tubal ligation

Work RVUs
1.41
Total RVUs
1.95
Global days
ZZZ

National rate · 2026

$65.13

Facility setting, before claim adjustments.

See every locality for 58611 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 58611 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 58611 covers

This add-on captures interruption of one or both fallopian tubes for permanent contraception during a cesarean delivery or another intra-abdominal operation. The surgeon ligates or divides the tube during the same operative session; it is not a stand-alone sterilization procedure. A common setting is an operating room where the patient is already undergoing cesarean delivery and requests permanent contraception.

Report 58611 with the primary operation performed at the same session, such as an eligible cesarean delivery service. The operative note should identify the tubal interruption and establish that it was performed during the primary abdominal procedure. CMS treats 58611 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. The documentation should distinguish the added sterilization service from the work of the primary operation.

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 58611 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

58611 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$60.40
Alaska*Unavailable$85.73
ArizonaUnavailable$63.67
ArkansasUnavailable$59.83
AtlantaUnavailable$67.04
AustinUnavailable$64.89
BakersfieldUnavailable$63.85
Baltimore/Surr. CntysUnavailable$68.52
BeaumontUnavailable$63.66
BrazoriaUnavailable$63.65

58611 rates by state

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

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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
58611 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

How the 58611 rate is calculated

Each of 58611’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 · 58611

RVUs × geographic indexes × conversion factor

Work1.41

1.41 RVUs× 1.000 GPCI

Practice expense0.30

0.30 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

1.9500

Conversion factor

$33.4009

Medicare rate

$65.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 58611

The CMS indicators that decide how 58611 is paid alongside other services.

CMS payment indicators · 58611

Tubal ligation

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

58611 without 80 · national facility

$65.13

Tubal ligation

58611-80 · Assistant: 16%

$10.42

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

58611 compared with similar codes

Compare codes · National

5 codes, side by side

  • 58611

    Tubal ligation1.41 wRVU

    Not priced

  • 58600

    Tubal division5.76 wRVU

    Not priced

  • 58605

    Tubal procedure5.15 wRVU

    Not priced

  • 58670

    Tubal sterilization5.76 wRVU

    Not priced

  • 58671

    Tubal occlusion5.76 wRVU

    Not priced

How to choose

58600Tubal division
Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation. Code 58600 is for a separate tubal ligation or division procedure.
58605Tubal procedure
Code 58605 describes postpartum tubal ligation or division as a separate procedure. Code 58611 applies when the tubal work is done during another intra-abdominal operation.
58670Tubal sterilization
Code 58670 describes laparoscopic tubal cautery. Code 58611 is the add-on for interruption performed during a different primary abdominal operation.
58671Tubal occlusion
Code 58671 describes laparoscopic occlusion of the tubes. Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation.

Codes related to 58611

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

Codes related to 58611
CodeHow it relatesNational office range
Primary code
59514Cesarean deliveryCesarean delivery-only service that may be the primary operation when tubal interruption is performed concurrently.No office rate
59515Cesarean deliveryCesarean delivery with postpartum care; may be the primary operation for concurrent tubal interruption.No office rate
Used instead
58600Tubal divisionSeparate tubal ligation or division rather than interruption performed during another abdominal operation.No office rate
58605Tubal procedurePostpartum tubal ligation or division, rather than the concurrent intra-abdominal add-on service.No office rate
58670Tubal sterilizationLaparoscopic tubal cautery for sterilization, reported for that laparoscopic procedure.No office rate
58671Tubal occlusionLaparoscopic tubal occlusion for sterilization, rather than concurrent interruption during another operation.No office rate

58611 billing questions

When should 58611 be chosen instead of 58600?

Use 58611 when tubal interruption is performed during cesarean delivery or another intra-abdominal operation. Code 58600 describes a separate tubal procedure rather than this concurrent add-on service.

Can 58611 be billed by itself?

No. It is an add-on code and must be billed with the primary operation performed in the same session.

What documentation supports reporting 58611?

The operative report should document the tubal interruption for permanent contraception and show that it occurred during the cesarean delivery or other intra-abdominal operation.

How does CMS handle payment for 58611?

CMS pays this add-on within the global period of the primary procedure. It is not a stand-alone service.

How does 58611 differ from laparoscopic tubal codes 58670 and 58671?

Code 58611 is for tubal interruption performed during another intra-abdominal operation. Codes 58670 and 58671 describe laparoscopic tubal procedures, including cautery or occlusion, rather than this add-on circumstance.

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 58611PPRRVU2026_Oct_nonQPP.csv, line 6,584 (RVU26D)

Open CMS sourceHow we calculate rates

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