No office rate
Use 58350 for dye-based observation of tubal passage. Use 58345 for transcervical catheter introduction intended to diagnose or reestablish patency.
On this page
CMS RVU26D · Effective 2026-10-01
58350 Tubal patency test Medicare reimbursement rates in Connecticut
Chromotubation evaluates whether the fallopian tubes are open by observing dye passage during gynecologic surgery, commonly as part of an infertility evaluation. Compare 58350 office and facility rates across CMS payment localities in Connecticut.
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 58350 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$153.16
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$89.13
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
Gynecology procedure
About 58350: Laparoscopic tubal dye patency test
Chromotubation evaluates whether the fallopian tubes are open by observing dye passage during gynecologic surgery, commonly as part of an infertility evaluation.
A gynecologic surgeon performs chromotubation by introducing dye through the cervix and observing whether it passes through the fallopian tubes into the pelvis. It is commonly used during laparoscopy to assess tubal patency in an infertility workup or when tubal disease is being evaluated. The documented service is a dye-based patency assessment; it is not the transcervical catheter procedure used to attempt to reopen an obstructed tube.
Report 58350 when the operative record supports actual chromotubation, including the dye instillation and the observed tubal passage or lack of passage. When other procedures are performed in the same session, CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is at 150%. The code has a 10-day global period, which includes related postoperative visits during that period. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 58350
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.03 · 24%
- Practice expense (office) RVU3.08 · 72%
- Malpractice RVU0.18 · 4%
32
Medicare services in 2024 · #5628 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.
58350 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$254.03
58340 reports catheter placement for hysterosalpingography; 58350 reports dye passage observed during chromotubation, commonly at laparoscopy.
No office rate
49320 describes diagnostic laparoscopy of the abdomen. It does not by itself describe the dye-based tubal patency assessment reported by 58350.
Compare 58350 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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$153.16
Facility
$89.13
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 58350 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,548
- Code
- 58350
- Physician work
- 1.03
- Practice expense
- 3.08
- Malpractice
- 0.18
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.03 | × 1.020 | 1.0506 |
| Practice expense | 3.08 | × 1.077 | 3.3172 |
| Malpractice | 0.18 | × 1.210 | 0.2178 |
| Total RVUs | 4.5856 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$153.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.03 | 1.02 |
| Practice expense | 3.08 | 1.077 |
| Malpractice | 0.18 | 1.21 |
(1.03 × 1.02 + 3.08 × 1.077 + 0.18 × 1.21) × $33.4009 = $153.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.03 | 1.02 |
| Practice expense | 1.3 | 1.077 |
| Malpractice | 0.18 | 1.21 |
(1.03 × 1.02 + 1.3 × 1.077 + 0.18 × 1.21) × $33.4009 = $89.13
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.
58350 billing questions
Does 58350 reopen a blocked fallopian tube?
No. It reports dye-based assessment of tubal patency. Transcervical catheter introduction intended to diagnose or reestablish patency is described by 58345.
What documentation supports reporting 58350?
The operative note should identify dye instillation and the observed passage through the tubes, including whether patency was demonstrated. A statement that tubal patency was checked without documenting chromotubation is not enough to establish this service.
How does CMS handle 58350 with another procedure in the same session?
Under the standard multiple-procedure reduction, CMS pays the highest-valued procedure in full and the others at 50%. The operative record should identify the distinct procedures performed.
How is bilateral chromotubation reported?
CMS identifies 58350 as bilateral and pays modifier 50 at 150%. The record should support assessment of both tubes.
Can an assistant surgeon or co-surgeon be reported for 58350?
CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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.
6,54558340,,Catheter for hysterography,A,,0.86,6.09,,0.56,,0.14,7.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54758346,,Insert heyman uteri capsule,A,,7.37,4.62,NA,4.62,,0.58,12.57,12.57,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54858350,,Reopen fallopian tube,A,,1.03,3.08,,1.30,,0.18,4.29,2.51,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54958353,,Endometr ablate thermal,A,,3.51,22.55,,1.98,,0.61,26.67,6.10,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55058356,,Endometrial cryoablation,A,,6.25,41.05,,1.80,,1.10,48.40,9.15,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55158400,,Suspension of uterus,A,,6.96,4.36,NA,4.36,,1.13,12.45,12.45,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808