No office rate
Choose 58670 for laparoscopic cauterization, with or without transection. Choose 58671 when a device is used to occlude the tubes.
On this page
CMS RVU26D · Effective 2026-10-01
58670 Tubal sterilization Medicare reimbursement rates
Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them. Compare 58670 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 58670?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 58670 pays more and less
Gynecologic surgery
About 58670: Laparoscopic tubal cauterization
Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them.
During laparoscopic permanent sterilization, the surgeon uses electrosurgical energy to cauterize the fallopian tube or tubes, with or without cutting them. Gynecologists typically perform this in an operating room through laparoscopic access. The operative report should establish that tubal cauterization—not mechanical occlusion or removal—was the method used.
Report 58670 for the laparoscopic cautery technique; modifier 50 is inappropriate, including when both tubes are treated. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Medicare does not pay for assistant-at-surgery services under the statutory restriction; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 58670
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 58%
- Practice expense (office) RVU3.19 · 32%
- Malpractice RVU1.02 · 10%
17
Medicare services in 2024 · #6014 by national volume
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.
58670 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
58600 describes tubal ligation or transection through an abdominal or vaginal approach; 58670 is for laparoscopic cauterization.
No office rate
58611 is for tubal ligation or transection performed during cesarean delivery or another intra-abdominal operation, rather than the laparoscopic cautery service represented by 58670.
No office rate
58615 describes device-based tubal occlusion through a vaginal or suprapubic approach. It is not the laparoscopic cauterization method of 58670.
See how rates vary across the country
58670 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 58670 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $304.90 |
| Alaska* | Office Unavailable | Facility $420.83 |
| Arizona | Office Unavailable | Facility $324.80 |
| Arkansas | Office Unavailable | Facility $301.46 |
| Atlanta | Office Unavailable | Facility $342.14 |
| Austin | Office Unavailable | Facility $335.69 |
| Bakersfield | Office Unavailable | Facility $333.57 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $351.94 |
| Beaumont | Office Unavailable | Facility $321.00 |
| Brazoria | Office Unavailable | Facility $326.09 |
| Chicago | Office Unavailable | Facility $379.01 |
| Chico | Office Unavailable | Facility $330.70 |
| Colorado | Office Unavailable | Facility $334.67 |
| Connecticut | Office Unavailable | Facility $352.21 |
| Dallas | Office Unavailable | Facility $329.47 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $366.21 |
| Delaware | Office Unavailable | Facility $329.25 |
| Detroit | Office Unavailable | Facility $352.65 |
| East St. Louis | Office Unavailable | Facility $359.03 |
| El Centro | Office Unavailable | Facility $330.87 |
| Fort Lauderdale | Office Unavailable | Facility $361.92 |
| Fort Worth | Office Unavailable | Facility $328.85 |
| Fresno | Office Unavailable | Facility $330.70 |
| Galveston | Office Unavailable | Facility $327.94 |
| Hanford-Corcoran | Office Unavailable | Facility $330.70 |
| Hawaii, Guam | Office Unavailable | Facility $333.26 |
| Houston | Office Unavailable | Facility $346.61 |
| Idaho | Office Unavailable | Facility $306.53 |
| Indiana | Office Unavailable | Facility $307.72 |
| Iowa | Office Unavailable | Facility $303.41 |
| Kansas | Office Unavailable | Facility $305.88 |
| Kentucky | Office Unavailable | Facility $318.28 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $348.95 |
| Madera | Office Unavailable | Facility $330.70 |
| Manhattan | Office Unavailable | Facility $382.55 |
| Merced | Office Unavailable | Facility $330.70 |
| Metropolitan Boston | Office Unavailable | Facility $357.82 |
| Metropolitan Kansas City | Office Unavailable | Facility $325.72 |
| Metropolitan Philadelphia | Office Unavailable | Facility $347.41 |
| Metropolitan St. Louis | Office Unavailable | Facility $327.96 |
| Miami | Office Unavailable | Facility $389.47 |
| Minnesota | Office Unavailable | Facility $312.11 |
| Mississippi | Office Unavailable | Facility $309.30 |
| Modesto | Office Unavailable | Facility $330.70 |
| Montana** | Office Unavailable | Facility $332.94 |
| Napa | Office Unavailable | Facility $362.25 |
| Nebraska | Office Unavailable | Facility $303.61 |
| Nevada** | Office Unavailable | Facility $327.42 |
| New Hampshire | Office Unavailable | Facility $333.12 |
| New Mexico | Office Unavailable | Facility $331.01 |
| New Orleans | Office Unavailable | Facility $331.35 |
| North Carolina | Office Unavailable | Facility $313.57 |
| North Dakota** | Office Unavailable | Facility $312.77 |
| Northern Nj | Office Unavailable | Facility $364.49 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $394.65 |
| Ohio | Office Unavailable | Facility $324.01 |
| Oklahoma | Office Unavailable | Facility $314.01 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $344.94 |
| Portland | Office Unavailable | Facility $339.19 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $358.94 |
| Puerto Rico | Office Unavailable | Facility $333.67 |
| Queens | Office Unavailable | Facility $379.77 |
| Redding | Office Unavailable | Facility $330.70 |
| Rest Of California | Office Unavailable | Facility $330.70 |
| Rest Of Florida | Office Unavailable | Facility $345.46 |
| Rest Of Georgia | Office Unavailable | Facility $328.04 |
| Rest Of Illinois | Office Unavailable | Facility $342.92 |
| Rest Of Louisiana | Office Unavailable | Facility $319.32 |
| Rest Of Maine | Office Unavailable | Facility $311.61 |
| Rest Of Maryland | Office Unavailable | Facility $333.42 |
| Rest Of Massachusetts | Office Unavailable | Facility $334.82 |
| Rest Of Michigan | Office Unavailable | Facility $328.13 |
| Rest Of Missouri | Office Unavailable | Facility $317.42 |
| Rest Of New Jersey | Office Unavailable | Facility $353.81 |
| Rest Of New York | Office Unavailable | Facility $317.56 |
| Rest Of Oregon | Office Unavailable | Facility $322.46 |
| Rest Of Pennsylvania | Office Unavailable | Facility $322.40 |
| Rest Of Texas | Office Unavailable | Facility $324.27 |
| Rest Of Washington | Office Unavailable | Facility $333.01 |
| Rhode Island | Office Unavailable | Facility $336.50 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $341.69 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $341.49 |
| Salinas | Office Unavailable | Facility $340.10 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $344.06 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $376.54 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $375.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $385.46 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $380.72 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $335.28 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $344.15 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $340.27 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $347.26 |
| Seattle (King Cnty) | Office Unavailable | Facility $360.58 |
| South Carolina | Office Unavailable | Facility $319.80 |
| South Dakota** | Office Unavailable | Facility $310.39 |
| Southern Maine | Office Unavailable | Facility $319.48 |
| Stockton | Office Unavailable | Facility $330.70 |
| Suburban Chicago | Office Unavailable | Facility $363.53 |
| Tennessee | Office Unavailable | Facility $307.54 |
| Utah | Office Unavailable | Facility $323.14 |
| Vallejo | Office Unavailable | Facility $360.58 |
| Vermont | Office Unavailable | Facility $315.11 |
| Virgin Islands | Office Unavailable | Facility $333.67 |
| Virginia | Office Unavailable | Facility $321.18 |
| Visalia | Office Unavailable | Facility $330.70 |
| West Virginia | Office Unavailable | Facility $333.73 |
| Wisconsin | Office Unavailable | Facility $304.96 |
| Wyoming** | Office Unavailable | Facility $324.15 |
| Yuba City | Office Unavailable | Facility $330.70 |
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58670 billing questions
How does 58670 differ from 58671?
58670 describes tubal cauterization, with or without transection. Use 58671 when laparoscopic tubal occlusion is performed with a device such as a clip, band, or ring.
Should modifier 50 be added when both tubes are cauterized?
No. The CMS bilateral adjustment does not apply to 58670, and modifier 50 is inappropriate.
What should the operative report document?
Document the laparoscopic approach and that electrosurgical cautery was used on the fallopian tube or tubes. Include whether transection was performed.
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 service be reported?
Medicare does not pay for assistant-at-surgery services for this code because of the statutory restriction. Co-surgeons are permitted; team surgery is not.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,58658660,,Laparoscopy lysis,A,,11.30,5.12,NA,5.12,,2.37,18.79,18.79,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58758661,,Laparoscopy remove adnexa,A,,11.07,4.35,NA,4.35,,2.13,17.55,17.55,0,010,0.10,0.80,0.10,3,1,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58858662,,Laparoscopy excise lesions,A,,11.85,5.21,NA,5.21,,2.30,19.36,19.36,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58958670,,Laparoscopy tubal cautery,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59158672,,Laparoscopy fimbrioplasty,A,,12.59,4.51,NA,4.51,,2.20,19.30,19.30,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59258673,,Laparoscopy salpingostomy,A,,13.69,4.86,NA,4.86,,2.40,20.95,20.95,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00