Billing code 58750: Tubal repairMedicare rate & RVUs in Oregon
Reports surgical reconnection of separated fallopian tube segments, commonly to restore tubal continuity after a prior sterilization procedure.
CMS doesn’t publish an office rate for 58750 in Oregon.
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 58750 covers
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.
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.
Where 58750 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $809.85 |
| Rest Of Oregon | Unavailable | $774.66 |
How the 58750 rate is calculated
Each of 58750’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 · 58750
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.25Practice expense 6.09Malpractice 2.67
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58750
58750 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58750
Tubal repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58750
Tubal repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
58750 without 50 · national facility
$801.96
Tubal repair
58750-50 · Bilateral: 150%
$1,202.94
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
58750 compared with similar codes
Compare codes
58750 vs 58752 vs 58760 vs 58770: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58752Tube revision
- Choose 58750 for reconnection of separated tubal segments. Choose 58752 for a different tubal revision, with or without salpingostomy, as documented.
- 58760Fimbrioplasty
- 58760 addresses repair of the fimbrial end of the tube; 58750 reconnects separated tubal segments.
- 58770Salpingostomy
- 58770 creates a new opening in the tube. 58750 joins separated tubal segments to restore continuity.
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 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
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