No office rate
Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation. Code 58600 is for a separate tubal ligation or division procedure.
On this page
CMS RVU26D · Effective 2026-10-01
58611 Tubal ligation Medicare reimbursement rates in Rhode Island
Reports interruption of one or both fallopian tubes for permanent contraception when performed during cesarean delivery or another intra-abdominal operation. Compare 58611 office and facility rates across CMS payment localities in Rhode Island.
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 58611 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$65.49
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 58611: Tubal interruption during abdominal surgery
Reports interruption of one or both fallopian tubes for permanent contraception when performed during cesarean delivery or another intra-abdominal operation.
This add-on captures interruption of one or both fallopian tubes for permanent contraception during a cesarean delivery or another intra-abdominal operation. The surgeon ligates or divides the tube during the same operative session; it is not a stand-alone sterilization procedure. A common setting is an operating room where the patient is already undergoing cesarean delivery and requests permanent contraception.
Report 58611 with the primary operation performed at the same session, such as an eligible cesarean delivery service. The operative note should identify the tubal interruption and establish that it was performed during the primary abdominal procedure. CMS treats 58611 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. The documentation should distinguish the added sterilization service from the work of the primary operation.
CMS billing rules for 58611
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.41 · 72%
- Practice expense (office) RVU0.30 · 15%
- Malpractice RVU0.24 · 12%
16
Medicare services in 2024 · #6043 by national volume
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.
58611 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Code 58605 describes postpartum tubal ligation or division as a separate procedure. Code 58611 applies when the tubal work is done during another intra-abdominal operation.
No office rate
Code 58670 describes laparoscopic tubal cautery. Code 58611 is the add-on for interruption performed during a different primary abdominal operation.
No office rate
Code 58671 describes laparoscopic occlusion of the tubes. Use 58611 for tubal interruption performed during cesarean delivery or another intra-abdominal operation.
Compare 58611 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$65.49
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58611 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,584
- Code
- 58611
- Physician work
- 1.41
- Practice expense
- 0.30
- Malpractice
- 0.24
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.41 | × 1.019 | 1.4368 |
| Practice expense | 0.30 | × 1.033 | 0.3099 |
| Malpractice | 0.24 | × 0.892 | 0.2141 |
| Total RVUs | 1.9608 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$65.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.41 | 1.019 |
| Practice expense | 0.3 | 1.033 |
| Malpractice | 0.24 | 0.892 |
(1.41 × 1.019 + 0.3 × 1.033 + 0.24 × 0.892) × $33.4009 = $65.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
58611 billing questions
When should 58611 be chosen instead of 58600?
Use 58611 when tubal interruption is performed during cesarean delivery or another intra-abdominal operation. Code 58600 describes a separate tubal procedure rather than this concurrent add-on service.
Can 58611 be billed by itself?
No. It is an add-on code and must be billed with the primary operation performed in the same session.
What documentation supports reporting 58611?
The operative report should document the tubal interruption for permanent contraception and show that it occurred during the cesarean delivery or other intra-abdominal operation.
How does CMS handle payment for 58611?
CMS pays this add-on within the global period of the primary procedure. It is not a stand-alone service.
How does 58611 differ from laparoscopic tubal codes 58670 and 58671?
Code 58611 is for tubal interruption performed during another intra-abdominal operation. Codes 58670 and 58671 describe laparoscopic tubal procedures, including cautery or occlusion, rather than this add-on circumstance.
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.
6,58158580,,Transcrv abltj utrn fibrd rf,A,,7.03,70.11,,2.53,,1.24,78.38,10.80,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537