$2,811.67
Both codes describe radiofrequency ablation of uterine fibroids with ultrasound guidance and monitoring. Choose 58674 for laparoscopic access and 58580 for transcervical hysteroscopic access.
On this page
CMS RVU26D · Effective 2026-10-01
58674 Fibroid ablation Medicare reimbursement rates in Connecticut
Reports laparoscopic radiofrequency treatment of uterine fibroids, with intraoperative ultrasound guidance and monitoring included in the service. Compare 58674 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 58674 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
No supported rate
Facility setting
$760.50
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.
Gynecologic surgery
About 58674: Laparoscopic radiofrequency fibroid ablation
Reports laparoscopic radiofrequency treatment of uterine fibroids, with intraoperative ultrasound guidance and monitoring included in the service.
A gynecologic surgeon uses laparoscopic access to place and guide a radiofrequency device into uterine leiomyomas and ablate the targeted tissue. Intraoperative ultrasound guidance and monitoring are part of this service. It is performed in an operating room for patients undergoing a uterus-sparing fibroid procedure; it is distinct from removing fibroids through laparoscopic or hysteroscopic excision.
Report the code when the operative documentation supports laparoscopic ablation of uterine fibroid tissue. Document the approach, ablation method, treated fibroids, and use of intraoperative ultrasound. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team-surgery payment is not permitted.
CMS billing rules for 58674
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.73 · 64%
- Practice expense (office) RVU5.43 · 25%
- Malpractice RVU2.41 · 11%
18
Medicare services in 2024 · #5986 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.
58674 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This code covers laparoscopic fibroid ablation. Code 58545 describes laparoscopic removal of a limited number of fibroids by myomectomy.
No office rate
Use 58674 for laparoscopic ablation; 58546 describes laparoscopic myomectomy for greater fibroid number or weight, with fibroids excised rather than ablated.
Compare 58674 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
Unavailable
Facility
$760.50
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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 58674 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,593
- Code
- 58674
- Physician work
- 13.73
- Practice expense
- 5.43
- Malpractice
- 2.41
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.73 | × 1.020 | 14.0046 |
| Practice expense | 5.43 | × 1.077 | 5.8481 |
| Malpractice | 2.41 | × 1.210 | 2.9161 |
| Total RVUs | 22.7688 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$760.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.73 | 1.02 |
| Practice expense | 5.43 | 1.077 |
| Malpractice | 2.41 | 1.21 |
(13.73 × 1.02 + 5.43 × 1.077 + 2.41 × 1.21) × $33.4009 = $760.50
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.
58674 billing questions
How is this different from hysteroscopic fibroid ablation?
This code is for laparoscopic access to ablate fibroids. The hysteroscopic counterpart uses transcervical access.
Can intraoperative ultrasound guidance be reported separately?
Ultrasound guidance and monitoring are included in this service. They should not be separately reported solely for guidance integral to the ablation.
Should modifier 50 be used when fibroids are treated on both sides of the uterus?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team-surgery payment is not permitted for this code.
How does payment change when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59158672,,Laparoscopy fimbrioplasty,A,,12.59,4.51,NA,4.51,,2.20,19.30,19.30,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59258673,,Laparoscopy salpingostomy,A,,13.69,4.86,NA,4.86,,2.40,20.95,20.95,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59358674,,Laps abltj uterine fibroids,A,,13.73,5.43,NA,5.43,,2.41,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59458679,,Unlisted laps px ovidct ovry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59558700,,Removal of fallopian tube,A,,12.63,6.75,NA,6.75,,2.49,21.87,21.87,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59658720,,Removal of ovary/tube(s),A,,11.86,6.62,NA,6.62,,2.43,20.91,20.91,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,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