FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

58976 in Austin

Office / nonfacility

$259.29

Base rate per service

Facility setting

$186.49

Base rate per service

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.

Reproductive medicine

About 58976: Fallopian-Tube Embryo Placement

Reports surgical placement of an IVF embryo in a fallopian tube, distinguishing this procedure from transfer into the uterine cavity.

This procedure places an embryo created through in vitro fertilization into a fallopian tube rather than the uterine cavity. It is generally performed by a reproductive endocrinologist or gynecologic surgeon, typically with laparoscopic access, as part of assisted reproduction. The embryology laboratory’s handling or preparation of the embryo is a distinct service from the physician’s placement procedure.

Report this code when the documented transfer site is a fallopian tube; use the intrauterine transfer code when the embryo is placed in the uterine cavity. The operative record should identify the transfer site and describe the placement procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 58976

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.72 · 49%
  • Practice expense (office) RVU3.27 · 43%
  • Malpractice RVU0.65 · 9%

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.

58976 compared with similar codes

Office rates for Austin, from the same CMS release.

58974

Embryo transfer intrauterine

No office rate

58974 is for placement in the uterine cavity. Choose 58976 when the documented destination is a fallopian tube.

58970

Oocyte retrieval

Follicular aspiration

$241.10

58970 reports oocyte retrieval, not embryo placement. Retrieval and transfer are separate steps in an IVF cycle.

89255

Prepare embryo for transfer

No office rate

89255 describes laboratory preparation of an embryo for transfer; 58976 reports the physician’s placement of the embryo in a fallopian tube.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 58976 is $243.81—$15.48 lower than the $259.29 rate in Austin. Both use the same code, release and participation basis.

58976 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $259.29

  2. Beaumont

    $243.81

    $15.48 lower than Austin

  3. Brazoria

    $250.42

    $8.87 lower than Austin

  4. Dallas

    $252.78

    $6.51 lower than Austin

  5. Fort Worth

    $251.97

    $7.32 lower than Austin

  6. Galveston

    $251.68

    $7.61 lower than Austin

  7. Houston

    $263.58

    $4.29 higher than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 58976 ranges from $229.25 in Arkansas to $314.66 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 58976

    Office

    $247.51

    Facility

    $182.21

    $11.78 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 58976

    Office

    $272.97

    Facility

    $191.57

    $13.68 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 58976

    Office

    $283.79

    Facility

    $202.73

    $24.50 higher than Austin for the office setting.

  • Miami

    Florida · 58976

    Office

    $292.86

    Facility

    $221.23

    $33.57 higher than Austin for the office setting.

  • Chicago

    Illinois · 58976

    Office

    $284.71

    Facility

    $215.56

    $25.42 higher than Austin for the office setting.

  • Manhattan

    New York · 58976

    Office

    $293.55

    Facility

    $213.60

    $34.26 higher than Austin for the office setting.

  • Alaska*

    Alaska · 58976

    Office

    $314.66

    Facility

    $241.38

    $55.37 higher than Austin for the office setting.

  • Alabama

    Alabama · 58976

    Office

    $232.11

    Facility

    $171.90

    $27.18 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 58976

    Office

    $229.25

    Facility

    $170.15

    $30.04 lower than Austin for the office setting.

  • Arizona

    Arizona · 58976

    Office

    $248.67

    Facility

    $182.00

    $10.62 lower than Austin for the office setting.

  • Bakersfield

    California · 58976

    Office

    $259.54

    Facility

    $184.13

    $0.25 higher than Austin for the office setting.

  • Chico

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • El Centro

    California · 58976

    Office

    $257.82

    Facility

    $182.40

    $1.47 lower than Austin for the office setting.

  • Fresno

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Hanford-Corcoran

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Madera

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Merced

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Modesto

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Napa

    California · 58976

    Office

    $287.06

    Facility

    $196.38

    $27.77 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 58976

    Office

    $270.36

    Facility

    $189.03

    $11.07 higher than Austin for the office setting.

  • Redding

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Rest Of California

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 58976

    Office

    $264.71

    Facility

    $189.30

    $5.42 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 58976

    Office

    $267.39

    Facility

    $187.36

    $8.10 higher than Austin for the office setting.

  • Salinas

    California · 58976

    Office

    $266.33

    Facility

    $186.58

    $7.04 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 58976

    Office

    $270.37

    Facility

    $188.08

    $11.08 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 58976

    Office

    $300.02

    Facility

    $203.01

    $40.73 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 58976

    Office

    $299.28

    Facility

    $202.27

    $39.99 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 58976

    Office

    $307.05

    Facility

    $207.83

    $47.76 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 58976

    Office

    $304.03

    Facility

    $204.82

    $44.74 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 58976

    Office

    $262.40

    Facility

    $184.03

    $3.11 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 58976

    Office

    $271.20

    Facility

    $187.60

    $11.91 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 58976

    Office

    $266.72

    Facility

    $186.49

    $7.43 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 58976

    Office

    $273.74

    Facility

    $189.25

    $14.45 higher than Austin for the office setting.

  • Stockton

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Vallejo

    California · 58976

    Office

    $286.00

    Facility

    $195.31

    $26.71 higher than Austin for the office setting.

  • Visalia

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Yuba City

    California · 58976

    Office

    $257.71

    Facility

    $182.30

    $1.58 lower than Austin for the office setting.

  • Colorado

    Colorado · 58976

    Office

    $258.91

    Facility

    $185.70

    $0.38 lower than Austin for the office setting.

  • Connecticut

    Connecticut · 58976

    Office

    $270.64

    Facility

    $196.53

    $11.35 higher than Austin for the office setting.

  • Delaware

    Delaware · 58976

    Office

    $252.30

    Facility

    $184.32

    $6.99 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 58976

    Office

    $274.14

    Facility

    $204.44

    $14.85 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 58976

    Office

    $261.30

    Facility

    $195.52

    $2.01 higher than Austin for the office setting.

  • Atlanta

    Georgia · 58976

    Office

    $261.67

    Facility

    $191.76

    $2.38 higher than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 58976

    Office

    $247.56

    Facility

    $186.18

    $11.73 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 58976

    Office

    $261.01

    Facility

    $182.77

    $1.72 higher than Austin for the office setting.

  • Iowa

    Iowa · 58976

    Office

    $232.81

    Facility

    $169.85

    $26.48 lower than Austin for the office setting.

  • Idaho

    Idaho · 58976

    Office

    $235.00

    Facility

    $171.70

    $24.29 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 58976

    Office

    $268.46

    Facility

    $205.16

    $9.17 higher than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 58976

    Office

    $257.90

    Facility

    $195.08

    $1.39 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 58976

    Office

    $275.76

    Facility

    $205.10

    $16.47 higher than Austin for the office setting.

  • Indiana

    Indiana · 58976

    Office

    $236.05

    Facility

    $172.27

    $23.24 lower than Austin for the office setting.

  • Kansas

    Kansas · 58976

    Office

    $233.93

    Facility

    $171.73

    $25.36 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 58976

    Office

    $241.21

    Facility

    $180.05

    $18.08 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 58976

    Office

    $251.69

    Facility

    $186.95

    $7.60 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 58976

    Office

    $241.71

    Facility

    $180.82

    $17.58 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 58976

    Office

    $279.08

    Facility

    $196.92

    $19.79 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 58976

    Office

    $258.55

    Facility

    $186.10

    $0.74 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 58976

    Office

    $270.29

    Facility

    $196.46

    $11.00 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 58976

    Office

    $255.96

    Facility

    $186.32

    $3.33 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 58976

    Office

    $238.24

    Facility

    $174.94

    $21.05 lower than Austin for the office setting.

  • Southern Maine

    Maine · 58976

    Office

    $246.19

    Facility

    $178.00

    $13.10 lower than Austin for the office setting.

  • Detroit

    Michigan · 58976

    Office

    $266.25

    Facility

    $199.86

    $6.96 higher than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 58976

    Office

    $248.48

    Facility

    $185.66

    $10.81 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 58976

    Office

    $243.07

    Facility

    $172.26

    $16.22 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 58976

    Office

    $248.02

    Facility

    $183.41

    $11.27 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 58976

    Office

    $249.98

    Facility

    $184.48

    $9.31 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 58976

    Office

    $239.55

    Facility

    $180.24

    $19.74 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 58976

    Office

    $234.33

    Facility

    $175.09

    $24.96 lower than Austin for the office setting.

  • Montana**

    Montana · 58976

    Office

    $255.14

    Facility

    $186.33

    $4.15 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 58976

    Office

    $240.03

    Facility

    $175.83

    $19.26 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 58976

    Office

    $242.29

    Facility

    $173.48

    $17.00 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 58976

    Office

    $233.27

    Facility

    $169.76

    $26.02 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 58976

    Office

    $256.95

    Facility

    $185.32

    $2.34 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 58976

    Office

    $281.96

    Facility

    $202.15

    $22.67 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 58976

    Office

    $272.31

    Facility

    $197.17

    $13.02 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 58976

    Office

    $250.48

    Facility

    $187.39

    $8.81 lower than Austin for the office setting.

  • Nevada**

    Nevada · 58976

    Office

    $251.67

    Facility

    $182.79

    $7.62 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 58976

    Office

    $302.38

    Facility

    $220.57

    $43.09 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 58976

    Office

    $275.71

    Facility

    $200.37

    $16.42 higher than Austin for the office setting.

  • Queens

    New York · 58976

    Office

    $292.61

    Facility

    $211.28

    $33.32 higher than Austin for the office setting.

  • Rest Of New York

    New York · 58976

    Office

    $243.27

    Facility

    $177.91

    $16.02 lower than Austin for the office setting.

  • Ohio

    Ohio · 58976

    Office

    $245.85

    Facility

    $183.03

    $13.44 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 58976

    Office

    $238.65

    Facility

    $177.21

    $20.64 lower than Austin for the office setting.

  • Portland

    Oregon · 58976

    Office

    $263.74

    Facility

    $187.29

    $4.45 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 58976

    Office

    $248.30

    Facility

    $179.77

    $10.99 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 58976

    Office

    $266.09

    Facility

    $194.46

    $6.80 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 58976

    Office

    $245.03

    Facility

    $181.87

    $14.26 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 58976

    Office

    $256.06

    Facility

    $186.50

    $3.23 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 58976

    Office

    $258.80

    Facility

    $187.73

    $0.49 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 58976

    Office

    $243.63

    Facility

    $180.05

    $15.66 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 58976

    Office

    $240.77

    Facility

    $171.96

    $18.52 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 58976

    Office

    $235.19

    Facility

    $172.65

    $24.10 lower than Austin for the office setting.

  • Utah

    Utah · 58976

    Office

    $246.42

    Facility

    $181.74

    $12.87 lower than Austin for the office setting.

  • Virginia

    Virginia · 58976

    Office

    $246.94

    Facility

    $179.31

    $12.35 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 58976

    Office

    $256.06

    Facility

    $186.50

    $3.23 lower than Austin for the office setting.

  • Vermont

    Vermont · 58976

    Office

    $243.37

    Facility

    $175.25

    $15.92 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 58976

    Office

    $257.40

    Facility

    $184.95

    $1.89 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 58976

    Office

    $282.22

    Facility

    $197.79

    $22.93 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 58976

    Office

    $235.57

    Facility

    $169.66

    $23.72 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 58976

    Office

    $250.23

    Facility

    $190.44

    $9.06 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 58976

    Office

    $249.54

    Facility

    $180.73

    $9.75 lower than Austin for the office setting.

See how rates vary across the country

58976 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$229.25

$314.66

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$314.661
AL$232.111
AR$229.251
AZ$248.671
CA$257.71–$307.0529
CO$258.911
CT$270.641
DC$283.791
DE$252.301
FL$261.30–$292.863
GA$247.56–$261.672
GU$261.011
HI$261.011
IA$232.811
ID$235.001
IL$257.90–$284.714
IN$236.051
KS$233.931
KY$241.211
LA$241.71–$251.692
MA$258.55–$279.082
MD$255.96–$283.793
ME$238.24–$246.192
MI$248.48–$266.252
MN$243.071
MO$239.55–$249.983
MS$234.331
MT$255.141
NC$240.031
ND$242.291
NE$233.271
NH$256.951
NJ$272.31–$281.962
NM$250.481
NV$251.671
NY$243.27–$302.385
OH$245.851
OK$238.651
OR$248.30–$263.742
PA$245.03–$266.092
PR$256.061
RI$258.801
SC$243.631
SD$240.771
TN$235.191
TX$243.81–$263.588
UT$246.421
VA$246.94–$283.792
VI$256.061
VT$243.371
WA$257.40–$282.222
WI$235.571
WV$250.231
WY$249.541

Explore 58976 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 58976 in Austin, the physician’s office rate is $259.29 and the facility-setting rate is $186.49: a difference of $72.80.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 58976 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$285.22

$259.29 × 110% = $285.22

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58976 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,622

Code
58976
Physician work
3.72
Practice expense
3.27
Malpractice
0.65

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 58976 in Austin
ComponentRVULocality factorAdjusted
Physician work3.72× 1.0023.7274
Practice expense3.27× 1.0583.4597
Malpractice0.65× 0.8860.5759
Total RVUs7.7630
Conversion factor× 33.4009

Office / nonfacility rate, Austin$259.29

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 58976 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.721.002
Practice expense3.271.058
Malpractice0.650.886

(3.72 × 1.002 + 3.27 × 1.058 + 0.65 × 0.886) × $33.4009 = $259.29

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.721.002
Practice expense1.211.058
Malpractice0.650.886

(3.72 × 1.002 + 1.21 × 1.058 + 0.65 × 0.886) × $33.4009 = $186.49

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

58976 · Office / nonfacility

$259.29

Effective 2026-10-01

The base rate is $6.12 higher than on 2025-10-01, moving from $253.17 to $259.29 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $253.17changed to$259.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.82 changed to 3.72
    • Practice expense RVU 3.28 changed to 3.27
    • Malpractice RVU 0.63 changed to 0.65
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $253.17

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$259.29$186.49RVU26D
2026-07-01$259.29$186.49RVU26C
2026-04-01$259.29$186.49RVU26B
2026-01-01$259.29$186.49RVU26A
2025-10-01$253.17$206.14RVU25D
2025-07-01$253.17$206.14RVU25C
2025-04-01$253.17$206.14RVU25B
2025-01-01$253.17$206.14RVU25A

58976 billing questions

How is this different from 58974?

Use 58976 when the embryo is placed in a fallopian tube. Code 58974 describes placement in the uterine cavity.

Can embryo preparation be reported separately?

The laboratory preparation service is distinct from the physician’s placement procedure. Code 89255 may describe embryo preparation when that service is performed and documented.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting 58976?

Document that an embryo was placed in a fallopian tube and describe the procedure performed. The transfer site distinguishes this service from intrauterine placement.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure’s global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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 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.

RVUs for 58976PPRRVU2026_Oct_nonQPP.csv, line 6,622 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet