Billing code 58976: Embryo transferMedicare rate & RVUs in Delaware
Reports surgical placement of an IVF embryo in a fallopian tube, distinguishing this procedure from transfer into the uterine cavity.
Medicare pays $252.30 for 58976 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 9 sections
What 58976 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $252.30 | $184.32 |
How the 58976 rate is calculated
Each of 58976’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 · 58976
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.72Practice expense 3.27Malpractice 0.65
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58976
The CMS indicators that decide how 58976 is paid alongside other services.
CMS payment indicators · 58976
Embryo transfer
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58976 without 51 · national office
$255.18
Embryo transfer
58976-51 · Second procedure: 50%
$127.59
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58976 compared with similar codes
Compare codes
58976 vs 58974 vs 58970 vs 89255: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58974Embryo transfer intrauterine
- 58974 is for placement in the uterine cavity. Choose 58976 when the documented destination is a fallopian tube.
- 58970Oocyte retrieval
- 58970 reports oocyte retrieval, not embryo placement. Retrieval and transfer are separate steps in an IVF cycle.
- 89255Prepare embryo for transfer
- 89255 describes laboratory preparation of an embryo for transfer; 58976 reports the physician’s placement of the embryo in a fallopian tube.
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 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
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