Billing code 58752: Tube revisionMedicare rate & RVUs in Illinois
Reports operative revision of one or both fallopian tubes to restore or improve tubal anatomy, including reconstructive surgery after prior sterilization.
CMS doesn’t publish an office rate for 58752 in Illinois.
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 58752 covers
A gynecologic surgeon revises one or both fallopian tubes to correct tubal damage or obstruction and improve their function. A familiar setting is reconstructive surgery to reconnect a tube after prior sterilization when a patient seeks to restore fertility. The procedure is performed in an operating room using an abdominal or other appropriate surgical approach; the code covers revision by any method.
Report the service when the operative work revises the tube, rather than removing it or performing only a specific distal tubal procedure. Document the indication, side or sides treated, prior tubal alteration when relevant, operative findings, and revision performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons and team surgery 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 58752 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $919.34 |
| East St. Louis | Unavailable | $873.65 |
| Rest Of Illinois | Unavailable | $832.03 |
| Suburban Chicago | Unavailable | $877.12 |
How the 58752 rate is calculated
Each of 58752’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 · 58752
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.25Practice expense 6.01Malpractice 2.67
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58752
58752 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58752
Tube revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58752
Tube revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
58752 without 50 · national facility
$799.28
Tube revision
58752-50 · Bilateral: 150%
$1,198.92
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
58752 compared with similar codes
Compare codes
58752 vs 58750 vs 58760 vs 58770 vs 58700: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58750Tubal repair
- 58752 represents revision of the tube by any method; 58750 is the neighboring code for oviduct repair. Base the choice on the documented operative work.
- 58760Fimbrioplasty
- Use 58760 for fimbrioplasty involving the fimbrial end of the tube. 58752 describes revision more broadly.
- 58770Salpingostomy
- 58770 describes creation of a new tubal opening. Choose 58752 when the procedure is tube revision rather than that specific opening procedure.
- 58700Salpingectomy
- 58700 is for removal of a fallopian tube; 58752 is for revising the tube rather than excising it.
58752 billing questions
When is 58752 used for tubal sterilization reversal?
Use it when the operation revises the fallopian tube, such as reconstructive surgery to reconnect a tube after sterilization. The operative report should support that revision rather than removal or a different, specifically described tubal procedure.
How does 58752 differ from 58750?
58752 describes revision of the tube by any method. 58750 is the neighboring code for repair of the oviduct; select based on the operation actually performed and documented.
How should bilateral tube revision be reported?
Report modifier 50 for bilateral surgery. CMS pays a bilateral procedure with modifier 50 at 150%.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
How is 58752 paid when other procedures occur in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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