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CMS RVU26D · Effective 2026-10-01

58345 Tubal reopening Medicare reimbursement rates in Minnesota

Report transcervical catheterization to treat fallopian tube blockage by attempting to restore patency, commonly in an infertility evaluation or treatment. Compare 58345 office and facility rates across CMS payment localities in Minnesota.

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 58345 in Minnesota?

Minnesota 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

$238.32

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find 58345 in your payment locality →

Gynecology procedure

About 58345: Transcervical fallopian tube reopening

Report transcervical catheterization to treat fallopian tube blockage by attempting to restore patency, commonly in an infertility evaluation or treatment.

CPT 58345 represents selective catheterization through the cervix and uterus into a fallopian tube to address blockage and attempt to restore patency. A gynecologist or interventional radiologist may perform it, often with imaging and contrast to guide catheter placement and assess the obstruction. A typical clinical setting is evaluation or treatment of infertility when tubal blockage is suspected or identified.

Choose this code when the procedure involves catheterization of the fallopian tube to reopen it, rather than uterine catheter placement for hysterosalpingography or dye testing during laparoscopy. Document the indication, treated side or sides, procedural approach, findings, and whether patency was achieved. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.

CMS billing rules for 58345

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 procedure with modifier 50 is paid at 150%.
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 RVU4.58 · 60%
  • Practice expense (office) RVU2.25 · 29%
  • Malpractice RVU0.81 · 11%

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.

58345 compared with similar codes

Office rates for Minnesota, from the same CMS release.

58340

Uterine catheterization

For hysterosalpingography or sonohysterography

$239.42

Choose 58340 for uterine catheter placement for hysterosalpingography. Choose 58345 when a catheter is selectively advanced into a fallopian tube to address blockage.

58350

Tubal patency test

Chromotubation of oviducts

$142.04

58350 is laparoscopic dye testing to assess tubal patency; 58345 is transcervical catheterization intended to reopen a blocked tube.

58750

Tubal repair

Tubotubal anastomosis

No office rate

58750 describes surgical reconnection of fallopian tube segments. 58345 uses transcervical catheterization to attempt to restore patency without that reconstructive approach.

Compare 58345 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

Office and facility base rates · shared scale starting at $0

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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 58345 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

6,546

Code
58345
Physician work
4.58
Practice expense
2.25
Malpractice
0.81

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 58345 in Minnesota
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0004.5800
Practice expense2.25× 1.0292.3152
Malpractice0.81× 0.2960.2398
Total RVUs7.1350
Conversion factor× 33.4009

Facility rate, Minnesota$238.32

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.581
Practice expense2.251.029
Malpractice0.810.296

(4.58 × 1 + 2.25 × 1.029 + 0.81 × 0.296) × $33.4009 = $238.32

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.

58345 billing questions

How is 58345 different from 58340?

58345 involves selective catheterization of a fallopian tube to address blockage. 58340 is uterine catheter placement for hysterosalpingography, not tubal reopening.

How is 58345 different from 58350?

58345 attempts to reopen a tube through transcervical catheterization. 58350 describes dye testing of tubal patency during laparoscopy.

How should bilateral treatment be reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Are postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How does CMS treat other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%.

Can an assistant or co-surgeon participate?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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 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.

RVUs for 58345PPRRVU2026_Oct_nonQPP.csv, line 6,546 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)