58974
No office rateEmbryo transfer intrauterine
58970 collects oocytes from ovarian follicles; 58974 transfers an embryo into the uterus.
On this page
CMS RVU26D · Effective 2026-10-01
58970 Oocyte retrieval Medicare reimbursement rates in New Jersey
Report oocyte retrieval when a reproductive specialist aspirates ovarian follicles to collect eggs for an assisted reproduction cycle. Compare 58970 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 58970 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
$253.11–$262.16
2 of 2 localities have a supported rate.
Facility setting
$182.71–$187.39
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.
Infertility procedure
About 58970: Oocyte retrieval by follicular aspiration
Report oocyte retrieval when a reproductive specialist aspirates ovarian follicles to collect eggs for an assisted reproduction cycle.
A reproductive endocrinologist or other qualified physician typically retrieves oocytes after ovarian stimulation, commonly using a needle guided by transvaginal ultrasound to aspirate fluid from ovarian follicles. The procedure is performed as part of an assisted reproduction cycle; the collected follicular fluid and oocytes then go to the embryology laboratory for identification and related laboratory work.
Report the retrieval procedure, not a separate unit for each oocyte collected. The record should support the follicular aspiration and its purpose in the treatment cycle. The 0-day global period includes same-day preoperative and postoperative care. When other procedures subject to the multiple procedure rule occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 58970
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.43 · 48%
- Practice expense (office) RVU3.08 · 43%
- Malpractice RVU0.59 · 8%
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.
58970 compared with similar codes
Office rates for New Jersey, from the same CMS release.
89254
No office rateOocyte identification
58970 is the physician's follicular retrieval procedure. 89254 describes laboratory identification of oocytes in the collected follicular fluid.
No office rate
58970 collects oocytes for assisted reproduction. 58900 is used for ovarian biopsy to obtain tissue for diagnostic evaluation.
Compare 58970 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
$262.16
Facility
$187.39
Rest Of New Jersey →
Office / nonfacility
$253.11
Facility
$182.71
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58970 billing questions
How is this different from embryo transfer?
Oocyte retrieval collects eggs from ovarian follicles. Embryo transfer (58974) places an embryo into the uterus later in the treatment process.
Is retrieval reported once per oocyte?
Report the retrieval procedure for the session, rather than assigning a separate unit for each oocyte collected.
Can modifier 50 be used for retrieval from both ovaries?
No. CMS identifies bilateral adjustment as inappropriate for this service; modifier 50 should not be used.
Is same-day recovery care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
When is an assistant at surgery payable?
Only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this service.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other eligible procedures are paid at 50%.
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.
6,61758956,,Bso omentectomy w/tah,A,,22.23,10.75,NA,10.75,,4.76,37.74,37.74,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61858958,,Resc recr ovr tbl pp utr mal,A,,28.49,10.03,NA,10.03,,4.99,43.51,43.51,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,61958960,,Exploration of abdomen,A,,15.40,9.28,NA,9.28,,3.57,28.25,28.25,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62058970,,Retrieval of oocyte,A,,3.43,3.08,,1.15,,0.59,7.10,5.17,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62158974,,Embryo transfer intrauterine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62258976,,Transfer of embryo,A,,3.72,3.27,,1.21,,0.65,7.64,5.58,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62358999,,Unlisted px fml genital sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00