No office rate
Choose 58670 for laparoscopic cauterization, with or without transection. Choose 58671 when a device is used to occlude the tubes.
On this page
CMS RVU26D · Effective 2026-10-01
58670 Tubal sterilization Medicare reimbursement rates in Missouri
Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them. Compare 58670 office and facility rates across CMS payment localities in Missouri.
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 58670 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$317.42–$327.96
3 of 3 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.
Where 58670 pays more and less in Missouri
Gynecologic surgery
About 58670: Laparoscopic tubal cauterization
Reports laparoscopic permanent sterilization performed by cauterizing the fallopian tubes, with or without cutting them.
During laparoscopic permanent sterilization, the surgeon uses electrosurgical energy to cauterize the fallopian tube or tubes, with or without cutting them. Gynecologists typically perform this in an operating room through laparoscopic access. The operative report should establish that tubal cauterization—not mechanical occlusion or removal—was the method used.
Report 58670 for the laparoscopic cautery technique; modifier 50 is inappropriate, including when both tubes are treated. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Medicare does not pay for assistant-at-surgery services under the statutory restriction; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 58670
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 58%
- Practice expense (office) RVU3.19 · 32%
- Malpractice RVU1.02 · 10%
17
Medicare services in 2024 · #6014 by national volume
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.
58670 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
58600 describes tubal ligation or transection through an abdominal or vaginal approach; 58670 is for laparoscopic cauterization.
No office rate
58611 is for tubal ligation or transection performed during cesarean delivery or another intra-abdominal operation, rather than the laparoscopic cautery service represented by 58670.
No office rate
58615 describes device-based tubal occlusion through a vaginal or suprapubic approach. It is not the laparoscopic cauterization method of 58670.
Compare 58670 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$325.72
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$327.96
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$317.42
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58670 billing questions
How does 58670 differ from 58671?
58670 describes tubal cauterization, with or without transection. Use 58671 when laparoscopic tubal occlusion is performed with a device such as a clip, band, or ring.
Should modifier 50 be added when both tubes are cauterized?
No. The CMS bilateral adjustment does not apply to 58670, and modifier 50 is inappropriate.
What should the operative report document?
Document the laparoscopic approach and that electrosurgical cautery was used on the fallopian tube or tubes. Include whether transection was performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant-at-surgery service be reported?
Medicare does not pay for assistant-at-surgery services for this code because of the statutory restriction. Co-surgeons are permitted; team surgery is not.
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.
6,58658660,,Laparoscopy lysis,A,,11.30,5.12,NA,5.12,,2.37,18.79,18.79,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58758661,,Laparoscopy remove adnexa,A,,11.07,4.35,NA,4.35,,2.13,17.55,17.55,0,010,0.10,0.80,0.10,3,1,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58858662,,Laparoscopy excise lesions,A,,11.85,5.21,NA,5.21,,2.30,19.36,19.36,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58958670,,Laparoscopy tubal cautery,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59158672,,Laparoscopy fimbrioplasty,A,,12.59,4.51,NA,4.51,,2.20,19.30,19.30,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59258673,,Laparoscopy salpingostomy,A,,13.69,4.86,NA,4.86,,2.40,20.95,20.95,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00