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Billing code 58673: Laparoscopic salpingostomyMedicare rate & RVUs

Reports laparoscopic incision and opening of a fallopian tube when the surgeon preserves the tube rather than removing or occluding it.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $699.75 for 58673 nationally in a facility.

Medicare rate · 58673

Laparoscopic salpingostomy

Swap in your local Medicare rate.

Work RVUs
13.69
Total RVUs
20.95
Global days
090

National rate · 2026

$699.75

Facility setting, before claim adjustments.

See every locality for 58673 → · 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 58673 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 58673 covers

A gynecologic surgeon uses laparoscopic instruments to make an opening in a fallopian tube while preserving the tube. The procedure may address distal tubal obstruction as part of fertility-preserving surgery. It differs from fimbrioplasty, which focuses on repairing the fimbrial end of the tube. For laparoscopic treatment of a tubal ectopic pregnancy with salpingostomy, the ectopic-pregnancy-specific code 59151 is the relevant code to evaluate.

Choose this code when the operative report documents laparoscopic salpingostomy, including the tube treated and the incision or opening performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If related endoscopies are performed together, CMS applies endoscopy-family pricing. For bilateral procedures, modifier 50 is paid at 150%. 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 58673 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

58673 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$644.67
Alaska*Unavailable$902.94
ArizonaUnavailable$683.17
ArkansasUnavailable$637.98
AtlantaUnavailable$719.83
AustinUnavailable$700.94
BakersfieldUnavailable$692.68
Baltimore/Surr. CntysUnavailable$737.91
BeaumontUnavailable$679.45
BrazoriaUnavailable$684.31

58673 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
58673 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 58673 rate is calculated

Each of 58673’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 · 58673

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.69Practice expense 4.86Malpractice 2.40

20.9500 adjusted RVUs×$33.4009 conversion factor=$699.75

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

Payment rules and modifiers for 58673

58673 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58673

Laparoscopic salpingostomy

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 · 58673

Laparoscopic salpingostomy

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

58673 without 50 · national facility

$699.75

Laparoscopic salpingostomy

58673-50 · Bilateral: 150%

$1,049.63

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

58673 compared with similar codes

Compare codes

58673 vs 58672 vs 59151 vs 58661 vs 58670: national Medicare rates

Swap in your local Medicare rate.

  • 58673
    Laparoscopic salpingostomy · 13.69 wRVU
    —
  • 58672
    Fimbrioplasty · 12.59 wRVU
    —
  • 59151
    Ectopic pregnancy surgery · 11.81 wRVU
    —
  • 58661
    Adnexal removal · 11.07 wRVU
    —
  • 58670
    Tubal sterilization · 5.76 wRVU
    —

How to choose

58672Fimbrioplasty
Use 58673 for an opening made in the tube. Use 58672 when the documented work repairs the fimbrial end.
59151Ectopic pregnancy surgery
59151 describes laparoscopic salpingostomy for ectopic pregnancy. Confirm the indication before reporting 58673 for a similar operative technique.
58661Adnexal removal
58661 is for laparoscopic removal of a tube or other adnexal tissue; 58673 preserves the tube and creates an opening.
58670Tubal sterilization
58670 involves laparoscopic tubal cautery for occlusion. It is not the code for opening a tube.

Codes related to 58673

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

Codes related to 58673
CodeHow it relatesNational office range
Same family
58672FimbrioplastyLaparoscopic fimbrioplasty repairs the fimbrial end rather than creating a tubal opening.No office rate
Used instead
59151Ectopic pregnancy surgeryEctopic-pregnancy-specific laparoscopic salpingostomy code.No office rate
58661Adnexal removalUsed when laparoscopic surgery removes a tube or other adnexal tissue.No office rate
58670Tubal sterilizationLaparoscopic tubal cautery is an occlusive procedure, not a tube-preserving opening.No office rate

58673 billing questions

How does this differ from fimbrioplasty, code 58672?

Salpingostomy creates an opening in the fallopian tube. Fimbrioplasty repairs the fimbrial end; select based on the procedure documented, not simply the presence of tubal disease.

Should this code be used for laparoscopic salpingostomy for an ectopic pregnancy?

Code 59151 is specific to laparoscopic salpingostomy for ectopic pregnancy. Review the operative indication and procedure before choosing between it and 58673.

How is a bilateral procedure reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative report should support treatment of both tubes.

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 be paid for this procedure?

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

What happens when related endoscopies are performed during the same operation?

CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative report should distinguish the work performed for each procedure.

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 58673PPRRVU2026_Oct_nonQPP.csv, line 6,592 (RVU26D)

Open CMS sourceHow we calculate rates

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