$83.20–$94.55
Use 58340 for catheter placement and contrast introduction; 74740 represents the radiological supervision and interpretation for hysterosalpingography.
On this page
CMS RVU26D · Effective 2026-10-01
58340 Uterine catheterization Medicare reimbursement rates in Texas
Reports transcervical catheter placement and fluid introduction for hysterosalpingography or saline-infusion sonohysterography during evaluation of the uterine cavity or fallopian tubes. Compare 58340 office and facility rates across CMS payment localities in Texas.
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 58340 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$218.17–$248.13
8 of 8 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.
Where 58340 pays more and less in Texas
8 payment localities
$218.17 to $248.13
Gynecology
About 58340: Uterine catheter placement for cavity imaging
Reports transcervical catheter placement and fluid introduction for hysterosalpingography or saline-infusion sonohysterography during evaluation of the uterine cavity or fallopian tubes.
A clinician, commonly a gynecologist or fertility specialist, passes a narrow catheter through the cervix into the uterine cavity and introduces contrast or saline for imaging. In hysterosalpingography, contrast helps show the uterine cavity and fallopian tubes on imaging; in saline-infusion sonohysterography, saline outlines the cavity during ultrasound. These procedures are commonly performed in an office or imaging setting during evaluation of infertility, tubal patency, or suspected intracavitary abnormalities.
Report 58340 for the catheter placement and fluid introduction, supported by documentation of the method and indication; report the applicable imaging service separately when performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 58340
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.86 · 12%
- Practice expense (office) RVU6.09 · 86%
- Malpractice RVU0.14 · 2%
3.3K
Medicare services in 2024 · #2106 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.
58340 compared with similar codes
Office rates for Texas, from the same CMS release.
$108.82–$122.44
Use 58340 for catheter placement and saline introduction during sonohysterography; 76831 represents the ultrasound imaging service.
No office rate
58340 supports diagnostic imaging by introducing fluid through a uterine catheter. 58345 is for transcervical fallopian-tube recanalization, an intervention intended to reopen a tube.
Compare 58340 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $248.13 | Facility $52.71 |
| Beaumont | Office $218.17 | Facility $50.09 |
| Brazoria | Office $234.18 | Facility $51.14 |
| Dallas | Office $235.59 | Facility $51.63 |
| Fort Worth | Office $233.62 | Facility $51.50 |
| Galveston | Office $234.81 | Facility $51.40 |
| Houston | Office $237.38 | Facility $53.96 |
| Rest Of Texas | Office $225.98 | Facility $50.70 |
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58340 billing questions
How is 58340 different from 74740?
58340 covers the transcervical catheter placement and fluid introduction. Code 74740 represents the radiological supervision and interpretation for hysterosalpingography.
Can 58340 be reported with 76831?
Yes, when saline-infusion sonohysterography is performed, 58340 represents the catheter placement and saline introduction, while 76831 represents the ultrasound service.
What documentation supports 58340?
Document the indication, catheter placement through the cervix, and introduction of contrast or saline for the imaging procedure.
Does modifier 50 apply when both fallopian tubes are evaluated?
No. The CMS bilateral adjustment does not apply to 58340, and modifier 50 is inappropriate.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's payment.
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.
6,54258321,,Artificial insemination,A,,0.90,1.45,,0.19,,0.16,2.51,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54358322,,Artificial insemination,A,,1.07,1.52,,0.23,,0.19,2.78,1.49,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54458323,,Sperm washing,A,,0.22,0.18,,0.05,,0.04,0.44,0.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54558340,,Catheter for hysterography,A,,0.86,6.09,,0.56,,0.14,7.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54758346,,Insert heyman uteri capsule,A,,7.37,4.62,NA,4.62,,0.58,12.57,12.57,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54858350,,Reopen fallopian tube,A,,1.03,3.08,,1.30,,0.18,4.29,2.51,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00