Choose 58340 for uterine catheter placement for hysterosalpingography. Choose 58345 when a catheter is selectively advanced into a fallopian tube to address blockage.
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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.
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.
58350 is laparoscopic dye testing to assess tubal patency; 58345 is transcervical catheterization intended to reopen a blocked tube.
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
Minnesota →
Office / nonfacility
Unavailable
Facility
$238.32
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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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.58 | × 1.000 | 4.5800 |
| Practice expense | 2.25 | × 1.029 | 2.3152 |
| Malpractice | 0.81 | × 0.296 | 0.2398 |
| Total RVUs | 7.1350 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$238.32
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1 |
| Practice expense | 2.25 | 1.029 |
| Malpractice | 0.81 | 0.296 |
(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.
