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Billing code 58672: FimbrioplastyMedicare rate & RVUs

Laparoscopic fimbrioplasty repairs the fimbrial end of a fallopian tube, typically to address distal narrowing or fimbrial agglutination while preserving the tube.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $644.64 for 58672 nationally in a facility.

Medicare rate · 58672

Fimbrioplasty

Swap in your local Medicare rate.

Work RVUs
12.59
Total RVUs
19.30
Global days
090

National rate · 2026

$644.64

Facility setting, before claim adjustments.

See every locality for 58672 → · 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 58672 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 58672 covers

A gynecologic surgeon performs fimbrioplasty through laparoscopic access to correct abnormal fimbriae at the distal end of a fallopian tube. The work focuses on restoring the fimbrial opening and configuration, such as when fimbriae are narrowed or adherent. It is a reconstructive tubal procedure, rather than removal of the tube or a sterilization procedure, and is generally performed in an operating room under anesthesia.

Report the service when the operative record supports repair of the fimbrial end, including the side treated and the specific corrective work. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. Endoscopy family pricing applies when related endoscopies are performed together. 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.

Where 58672 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

58672 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$593.92
Alaska*Unavailable$831.69
ArizonaUnavailable$629.39
ArkansasUnavailable$587.76
AtlantaUnavailable$663.08
AustinUnavailable$645.84
BakersfieldUnavailable$638.36
Baltimore/Surr. CntysUnavailable$679.78
BeaumontUnavailable$625.86
BrazoriaUnavailable$630.48

58672 rates by state

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

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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
58672 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 58672 rate is calculated

Each of 58672’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 · 58672

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.59Practice expense 4.51Malpractice 2.20

19.3000 adjusted RVUs×$33.4009 conversion factor=$644.64

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58672

58672 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58672

Fimbrioplasty

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 · 58672

Fimbrioplasty

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

58672 without 50 · national facility

$644.64

Fimbrioplasty

58672-50 · Bilateral: 150%

$966.96

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

58672 compared with similar codes

Compare codes

58672 vs 58673 vs 58660 vs 58661 vs 58670: national Medicare rates

Swap in your local Medicare rate.

  • 58672
    Fimbrioplasty · 12.59 wRVU
    —
  • 58673
    Laparoscopic salpingostomy · 13.69 wRVU
    —
  • 58660
    Adhesiolysis · 11.3 wRVU
    —
  • 58661
    Adnexal removal · 11.07 wRVU
    —
  • 58670
    Tubal sterilization · 5.76 wRVU
    —

How to choose

58673Laparoscopic salpingostomy
Choose 58672 for repair of the fimbrial end. Choose 58673 when the operative work creates an opening in the fallopian tube.
58660Adhesiolysis
58660 describes laparoscopic division of adhesions. It does not by itself describe reconstruction of the fimbrial end.
58661Adnexal removal
58661 applies when laparoscopic work removes adnexal structures; 58672 describes preserving and repairing the fimbrial end.
58670Tubal sterilization
58670 describes laparoscopic tubal cauterization for occlusion, whereas 58672 is a reconstructive procedure intended to repair fimbriae.

Codes related to 58672

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

Codes related to 58672
CodeHow it relatesNational office range
Used instead
58673Laparoscopic salpingostomyUsed for laparoscopic creation of a tubal opening rather than repair focused on the fimbrial end.No office rate
58679Unlisted laps px ovidct ovryUnlisted laparoscopic oviduct or ovarian procedure code when no listed procedure describes the work.No office rate
58661Adnexal removalDescribes laparoscopic removal of adnexal structures, rather than reconstructive fimbrial repair.No office rate
58670Tubal sterilizationLaparoscopic tubal cauterization is an occlusive procedure, not tubal reconstruction.No office rate
Often billed with
58660AdhesiolysisLaparoscopic adhesiolysis may be reported for separately documented work beyond the fimbrial repair.No office rate

58672 billing questions

How is fimbrioplasty different from laparoscopic salpingostomy?

Fimbrioplasty repairs the fimbrial end and its opening. Salpingostomy creates an opening in the fallopian tube, so select the code that matches the operative work documented.

Can modifier 50 be reported for bilateral fimbrioplasty?

Yes. CMS identifies this as a bilateral procedure, and modifier 50 is paid at 150%.

How does endoscopy family pricing affect another endoscopy performed during the same session?

When related endoscopies are performed together, endoscopy family pricing applies. The payment is determined under that pricing rule rather than treating each related endoscopy as independently payable at its full rate.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.

May an assistant surgeon be reported?

CMS permits payment for an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.

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 58672PPRRVU2026_Oct_nonQPP.csv, line 6,591 (RVU26D)

Open CMS sourceHow we calculate rates

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