58974
No office rateEmbryo transfer intrauterine
58974 is for placement in the uterine cavity. Choose 58976 when the documented destination is a fallopian tube.
On this page
CMS RVU26D · Effective 2026-10-01
58976 Embryo transfer Medicare reimbursement rates in Pennsylvania
Reports surgical placement of an IVF embryo in a fallopian tube, distinguishing this procedure from transfer into the uterine cavity. Compare 58976 office and facility rates across CMS payment localities in Pennsylvania.
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 58976 in Pennsylvania?
Pennsylvania 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
$245.03–$266.09
2 of 2 localities have a supported rate.
Facility setting
$181.87–$194.46
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.
Reproductive medicine
About 58976: Fallopian-Tube Embryo Placement
Reports surgical placement of an IVF embryo in a fallopian tube, distinguishing this procedure from transfer into the uterine cavity.
This procedure places an embryo created through in vitro fertilization into a fallopian tube rather than the uterine cavity. It is generally performed by a reproductive endocrinologist or gynecologic surgeon, typically with laparoscopic access, as part of assisted reproduction. The embryology laboratory’s handling or preparation of the embryo is a distinct service from the physician’s placement procedure.
Report this code when the documented transfer site is a fallopian tube; use the intrauterine transfer code when the embryo is placed in the uterine cavity. The operative record should identify the transfer site and describe the placement procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 58976
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.72 · 49%
- Practice expense (office) RVU3.27 · 43%
- Malpractice RVU0.65 · 9%
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.
58976 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$227.63–$247.23
58970 reports oocyte retrieval, not embryo placement. Retrieval and transfer are separate steps in an IVF cycle.
89255
No office ratePrepare embryo for transfer
89255 describes laboratory preparation of an embryo for transfer; 58976 reports the physician’s placement of the embryo in a fallopian tube.
Compare 58976 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
Metropolitan Philadelphia →
Office / nonfacility
$266.09
Facility
$194.46
Rest Of Pennsylvania →
Office / nonfacility
$245.03
Facility
$181.87
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58976 billing questions
How is this different from 58974?
Use 58976 when the embryo is placed in a fallopian tube. Code 58974 describes placement in the uterine cavity.
Can embryo preparation be reported separately?
The laboratory preparation service is distinct from the physician’s placement procedure. Code 89255 may describe embryo preparation when that service is performed and documented.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 58976?
Document that an embryo was placed in a fallopian tube and describe the procedure performed. The transfer site distinguishes this service from intrauterine placement.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure’s global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
6,61958960,,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
6,62459000,,Amniocentesis diagnostic,A,,1.27,1.90,,0.50,,0.41,3.58,2.18,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62559001,,Amniocentesis therapeutic,A,,2.93,0.92,NA,0.92,,0.93,4.78,4.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00