No office rate
Choose 58750 for reconnection of separated tubal segments. Choose 58752 for a different tubal revision, with or without salpingostomy, as documented.
On this page
CMS RVU26D · Effective 2026-10-01
58750 Tubal repair Medicare reimbursement rates in Nebraska
Reports surgical reconnection of separated fallopian tube segments, commonly to restore tubal continuity after a prior sterilization procedure. Compare 58750 office and facility rates across CMS payment localities in Nebraska.
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 58750 in Nebraska?
Nebraska 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
$730.82
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Gynecologic surgery
About 58750: Tubal reanastomosis surgery
Reports surgical reconnection of separated fallopian tube segments, commonly to restore tubal continuity after a prior sterilization procedure.
This operation reconnects separated portions of a fallopian tube to restore continuity, often after sterilization that divided or occluded the tube. A gynecologist or reproductive surgeon typically performs the repair in an operating room, using a surgical approach suited to the patient’s anatomy and the location of the tubal segments. The operative report should make clear that the service was a tubotubal anastomosis rather than repair of the fimbrial end or creation of a new opening.
Report the code when the documented procedure reconnects tubal segments; the clinical goal of restoring fertility alone does not determine code selection. Document the side or sides treated, the anatomy repaired, and the work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58750
- 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
- Bilateral procedure with modifier 50 is paid at 150%.
- 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 RVU15.25 · 64%
- Practice expense (office) RVU6.09 · 25%
- Malpractice RVU2.67 · 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.
58750 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
58760 addresses repair of the fimbrial end of the tube; 58750 reconnects separated tubal segments.
No office rate
58770 creates a new opening in the tube. 58750 joins separated tubal segments to restore continuity.
Compare 58750 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$730.82
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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 58750 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,598
- Code
- 58750
- Physician work
- 15.25
- Practice expense
- 6.09
- Malpractice
- 2.67
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.25 | × 1.000 | 15.2500 |
| Practice expense | 6.09 | × 0.923 | 5.6211 |
| Malpractice | 2.67 | × 0.378 | 1.0093 |
| Total RVUs | 21.8803 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$730.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.25 | 1 |
| Practice expense | 6.09 | 0.923 |
| Malpractice | 2.67 | 0.378 |
(15.25 × 1 + 6.09 × 0.923 + 2.67 × 0.378) × $33.4009 = $730.82
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.
58750 billing questions
When should 58750 be selected instead of 58752?
Use 58750 when the surgeon reconnects separated tubal segments. Code 58752 describes a different type of fallopian tube revision, with or without salpingostomy; follow the operative work documented.
How is bilateral tubal reanastomosis reported?
When both sides are treated, report modifier 50. CMS identifies bilateral payment at 150%.
Is related postoperative care separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.
What documentation supports reporting 58750?
The operative report should identify the tubal segments reconnected, the side or sides treated, and the procedure performed so the anastomosis is distinguishable from other tubal repairs.
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.
6,59558700,,Removal of fallopian tube,A,,12.63,6.75,NA,6.75,,2.49,21.87,21.87,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59658720,,Removal of ovary/tube(s),A,,11.86,6.62,NA,6.62,,2.43,20.91,20.91,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59758740,,Adhesiolysis tube ovary,A,,14.53,7.25,NA,7.25,,2.92,24.70,24.70,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59858750,,Repair oviduct,A,,15.25,6.09,NA,6.09,,2.67,24.01,24.01,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,59958752,,Revise ovarian tube(s),A,,15.25,6.01,NA,6.01,,2.67,23.93,23.93,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60058760,,Fimbrioplasty,A,,13.58,5.73,NA,5.73,,2.38,21.69,21.69,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,60158770,,Create new tubal opening,A,,14.40,5.83,NA,5.83,,2.53,22.76,22.76,0,090,0.12,0.74,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068