No office rate
Use 58615 when a device mechanically occludes the tube through a vaginal or abdominal approach. Code 58600 describes tubal division or ligation instead.
On this page
CMS RVU26D · Effective 2026-10-01
58615 Tubal occlusion Medicare reimbursement rates in New Jersey
Reports mechanical occlusion of one or both fallopian tubes through a vaginal or abdominal approach for permanent contraception, rather than laparoscopically. Compare 58615 office and facility rates across CMS payment localities in New Jersey.
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 58615 in New Jersey?
New Jersey 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
$240.01–$247.42
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
About 58615: Fallopian tube occlusion by device
Reports mechanical occlusion of one or both fallopian tubes through a vaginal or abdominal approach for permanent contraception, rather than laparoscopically.
This procedure blocks one or both fallopian tubes with a mechanical device, such as a clip, band, or ring, using a vaginal or abdominal approach. A gynecologic surgeon typically performs it in an operating room as a sterilization procedure. The approach and occlusion method distinguish it from laparoscopic tubal procedures and from procedures that divide or remove the tubes.
Select the code when the operative report supports device-based occlusion and identifies the route and treated tube or tubes. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 58615
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.84 · 57%
- Practice expense (office) RVU2.25 · 33%
- Malpractice RVU0.67 · 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.
58615 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
58611 is for tubal ligation or transection performed during cesarean delivery or another intra-abdominal surgery. This code describes device-based occlusion through a vaginal or abdominal approach.
No office rate
58670 is laparoscopic tubal sterilization by cautery. This code uses a device and a vaginal or abdominal approach.
No office rate
Both involve device-based tubal occlusion, but 58671 is performed laparoscopically; this code describes a vaginal or abdominal approach.
Compare 58615 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$247.42
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$240.01
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58615 billing questions
How does this differ from laparoscopic tubal occlusion?
This code describes device-based occlusion through a vaginal or abdominal approach. For laparoscopic device-based occlusion, consider 58671 instead.
Should modifier 50 be reported when both tubes are occluded?
No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor and anatomy make modifier 50 inappropriate.
What documentation supports reporting this code?
The operative report should identify the mechanical device used, the vaginal or abdominal route, and the tube or tubes treated.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeon and team-surgery billing are not permitted for this code.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
6,58258600,,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
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