Billing code 58322: Artificial inseminationMedicare rate & RVUs in Florida
Reports therapeutic insemination by placing prepared sperm into the uterine cavity, rather than depositing it in the cervix.
Medicare pays $93.81–$104.64 for 58322 in the office in Florida, from Rest Of Florida to Miami. 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 58322 covers
This service places prepared sperm into the uterine cavity through a catheter as part of infertility care. A physician or other qualified clinician typically performs the insemination in an office or fertility clinic; sperm preparation may be performed separately by laboratory staff. The key distinction from intracervical insemination is the destination of the sperm, not simply the use of a catheter or the infertility diagnosis.
Report the service when documentation supports intrauterine placement, including the clinical encounter and the insemination performed. Sperm washing is a distinct service and may be reported separately when performed and documented. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are 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 58322 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$93.81 to $104.64
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $98.64 | $54.99 |
| Miami | $104.64 | $59.79 |
| Rest Of Florida | $93.81 | $52.62 |
How the 58322 rate is calculated
Each of 58322’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 · 58322
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.07Practice expense 1.52Malpractice 0.19
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58322
The CMS indicators that decide how 58322 is paid alongside other services.
CMS payment indicators · 58322
Artificial insemination
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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
58322 without 51 · national office
$92.85
Artificial insemination
58322-51 · Second procedure: 50%
$46.43
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%).
58322 compared with similar codes
Compare codes
58322 vs 58321 vs 58323 vs 89260: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58321Insemination
- Choose 58322 for placement in the uterine cavity; choose 58321 when sperm is deposited in the cervix.
- 58323Sperm washing
- 58323 reports sperm washing, not the insemination procedure itself. Report 58322 for intrauterine placement.
- 89260Sperm isolation simple
- 89260 describes laboratory sperm isolation by a simple method; 58322 describes the clinician's placement of sperm into the uterus.
58322 billing questions
How is this code distinguished from 58321?
Use 58322 when sperm is placed in the uterine cavity. Code 58321 describes insemination into the cervix.
Can sperm washing be reported separately?
Yes. Code 58323 represents sperm washing, a distinct service from placing sperm in the uterus; document the preparation when reporting it.
What documentation supports 58322?
Document the infertility treatment encounter and that prepared sperm was deposited into the uterine cavity. The route of placement distinguishes this service from intracervical insemination.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The code has no postprocedure global days beyond that date.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures in the same session are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.
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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