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CPT code 58750: Tubal repair2026 Medicare rate & RVUs

Reports surgical reconnection of separated fallopian tube segments, commonly to restore tubal continuity after a prior sterilization procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $801.96 for 58750 nationally in a facility.

Medicare rate · 58750

Tubal repair

Work RVUs
15.25
Total RVUs
24.01
Global days
090

National rate · 2026

$801.96

Facility setting, before claim adjustments.

See every locality for 58750 →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 58750 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 58750 covers

This operation reconnects separated portions of a fallopian tube to restore continuity, often after sterilization that divided or occluded the tube. A gynecologist or reproductive surgeon typically performs the repair in an operating room, using a surgical approach suited to the patient’s anatomy and the location of the tubal segments. The operative report should make clear that the service was a tubotubal anastomosis rather than repair of the fimbrial end or creation of a new opening.

Report the code when the documented procedure reconnects tubal segments; the clinical goal of restoring fertility alone does not determine code selection. Document the side or sides treated, the anatomy repaired, and the work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid, 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 58750 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

58750 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$737.82
Alaska*Unavailable$1,029.82
ArizonaUnavailable$782.81
ArkansasUnavailable$730.02
AtlantaUnavailable$824.66
AustinUnavailable$804.61
BakersfieldUnavailable$796.29
Baltimore/Surr. CntysUnavailable$846.09
BeaumontUnavailable$777.32
BrazoriaUnavailable$784.58

58750 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
58750 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 58750 rate is calculated

Each of 58750’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 · 58750

RVUs × geographic indexes × conversion factor

Work15.25

15.25 RVUs× 1.000 GPCI

Practice expense6.09

6.09 RVUs× 1.000 GPCI

Malpractice2.67

2.67 RVUs× 1.000 GPCI

Adjusted RVUs

24.0100

Conversion factor

$33.4009

Medicare rate

$801.96

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

Payment rules and modifiers for 58750

58750 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58750

Tubal repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58750

Tubal repair

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.

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

58750 without 50 · national facility

$801.96

Tubal repair

58750-50 · Bilateral: 150%

$1,202.94

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

58750 compared with similar codes

Compare codes · National

4 codes, side by side

  • 58750

    Tubal repair15.25 wRVU

    Not priced

  • 58752

    Tube revision15.25 wRVU

    Not priced

  • 58760

    Fimbrioplasty13.58 wRVU

    Not priced

  • 58770

    Salpingostomy14.4 wRVU

    Not priced

How to choose

58752Tube revision
Choose 58750 for reconnection of separated tubal segments. Choose 58752 for a different tubal revision, with or without salpingostomy, as documented.
58760Fimbrioplasty
58760 addresses repair of the fimbrial end of the tube; 58750 reconnects separated tubal segments.
58770Salpingostomy
58770 creates a new opening in the tube. 58750 joins separated tubal segments to restore continuity.

Codes related to 58750

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

Codes related to 58750
CodeHow it relatesNational office range
Used instead
58752Tube revisionDescribes a different fallopian tube revision, with or without salpingostomy.No office rate
58760FimbrioplastyRepairs the fimbrial end rather than reconnecting separated tubal segments.No office rate
58770SalpingostomyCreates a tubal opening rather than joining separated tubal segments.No office rate

58750 billing questions

When should 58750 be selected instead of 58752?

Use 58750 when the surgeon reconnects separated tubal segments. Code 58752 describes a different type of fallopian tube revision, with or without salpingostomy; follow the operative work documented.

How is bilateral tubal reanastomosis reported?

When both sides are treated, report modifier 50. CMS identifies bilateral payment at 150%.

Is related postoperative care separately reported during the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.

What documentation supports reporting 58750?

The operative report should identify the tubal segments reconnected, the side or sides treated, and the procedure performed so the anastomosis is distinguishable from other tubal repairs.

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 58750PPRRVU2026_Oct_nonQPP.csv, line 6,598 (RVU26D)

Open CMS sourceHow we calculate rates

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