Billing code 58615: Tubal occlusionMedicare rate & RVUs in Ohio
Reports mechanical occlusion of one or both fallopian tubes through a vaginal or abdominal approach for permanent contraception, rather than laparoscopically.
CMS doesn’t publish an office rate for 58615 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 58615 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $219.43 |
How the 58615 rate is calculated
Each of 58615’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58615
RVUs × geographic indexes × conversion factor
Work3.84
3.84 RVUs× 1.000 GPCI
Practice expense2.25
2.25 RVUs× 1.000 GPCI
Malpractice0.67
0.67 RVUs× 1.000 GPCI
Adjusted RVUs
6.7600
Conversion factor
$33.4009
Medicare rate
$225.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58615
58615 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58615
Tubal occlusion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58615
Tubal occlusion
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58615 without 51 · national facility
$225.79
Tubal occlusion
58615-51 · Second procedure: 50%
$112.90
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58615 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58600Tubal division
- Use 58615 when a device mechanically occludes the tube through a vaginal or abdominal approach. Code 58600 describes tubal division or ligation instead.
- 58611Tubal ligation
- 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.
- 58670Tubal sterilization
- 58670 is laparoscopic tubal sterilization by cautery. This code uses a device and a vaginal or abdominal approach.
- 58671Tubal occlusion
- Both involve device-based tubal occlusion, but 58671 is performed laparoscopically; this code describes a vaginal or abdominal approach.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 58615 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →