No office rate
Code 58605 is for tubal division in the postpartum same-hospitalization circumstance. Code 58600 describes the abdominal or vaginal approach outside that circumstance.
On this page
CMS RVU26D · Effective 2026-10-01
58600 Tubal division Medicare reimbursement rates in Michigan
Reports abdominal or vaginal division and ligation of fallopian tube(s) for sterilization, outside the postpartum or concurrent-procedure circumstances described by related codes. Compare 58600 office and facility rates across CMS payment localities in Michigan.
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 58600 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$327.52–$352.00
2 of 2 localities have a supported rate.
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 surgery
About 58600: Fallopian tube division for sterilization
Reports abdominal or vaginal division and ligation of fallopian tube(s) for sterilization, outside the postpartum or concurrent-procedure circumstances described by related codes.
This procedure interrupts one or both fallopian tubes by surgically dividing and ligating them through an abdominal or vaginal approach. Gynecologists typically perform it in an operating-room setting as a sterilization procedure. The operative report should identify the approach and document the tubal work performed; the code is distinct from laparoscopic methods and from removal of an adnexa.
Select 58600 for the abdominal or vaginal approach rather than the postpartum circumstance represented by 58605 or the concurrent-procedure service represented by 58611. CMS prices 58600 as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58600
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 58%
- Practice expense (office) RVU3.17 · 32%
- Malpractice RVU1.02 · 10%
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.
58600 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Code 58611 is an add-on when tubal division or ligation is performed during cesarean delivery or another intra-abdominal operation. Code 58600 describes the abdominal or vaginal sterilization procedure apart from that concurrent context.
No office rate
Code 58670 describes laparoscopic tubal fulguration. Choose 58600 when the procedure uses an abdominal or vaginal approach rather than laparoscopy.
No office rate
Code 58671 describes laparoscopic tubal occlusion. Code 58600 is for division and ligation through an abdominal or vaginal approach.
Compare 58600 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$352.00
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$327.52
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58600 billing questions
How does 58600 differ from 58605?
Use 58600 for tubal division through an abdominal or vaginal approach outside the postpartum same-hospitalization circumstance. Code 58605 describes the postpartum circumstance.
Should modifier 50 be added for bilateral tubal division?
No. CMS prices 58600 as bilateral, and modifier 50 does not increase payment.
Can 58600 be reported for tubal division during a cesarean delivery?
The concurrent tubal procedure at cesarean delivery or another intra-abdominal operation is represented by add-on code 58611, rather than 58600.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
When is a laparoscopic tubal code more appropriate?
Use a laparoscopic code when the tubes are treated laparoscopically. Code 58670 describes laparoscopic tubal fulguration, while 58671 describes laparoscopic tubal occlusion.
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.
6,57958578,,Unlisted laps px uterus,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
6,58058579,,Unlisted hystsc px uterus,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
6,58158580,,Transcrv abltj utrn fibrd rf,A,,7.03,70.11,,2.53,,1.24,78.38,10.80,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58258600,,Division of fallopian tube,A,,5.76,3.17,NA,3.17,,1.02,9.95,9.95,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58358605,,Division of fallopian tube,A,,5.15,2.99,NA,2.99,,0.91,9.05,9.05,0,090,0.12,0.74,0.14,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58458611,,Ligate oviduct(s) add-on,A,,1.41,0.30,NA,0.30,,0.24,1.95,1.95,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,58558615,,Occlude fallopian tube(s),A,,3.84,2.25,NA,2.25,,0.67,6.76,6.76,0,010,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00