Billing code 58671: Tubal occlusionMedicare rate & RVUs in Utah
Laparoscopic tubal occlusion using a mechanical device for permanent contraception, selected when the surgeon blocks the oviducts with clips, bands, or rings.
CMS doesn’t publish an office rate for 58671 in Utah.
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 58671 covers
A gynecologic surgeon uses a laparoscope to place a device, such as a clip, band, or ring, that blocks the fallopian tubes for permanent contraception. The service is performed in an operating room through a laparoscopic approach; it is distinguished from laparoscopic tubal cautery by the mechanical occlusion method.
Select this code when the operative report supports laparoscopic placement of an occluding device, rather than cautery or an open, vaginal, or other approach. The descriptor and anatomy make modifier 50 inappropriate for bilateral adjustment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. Assistant-at-surgery services are not paid under the statutory restriction; co-surgeons are permitted, while 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.
58671 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $323.14 |
How the 58671 rate is calculated
Each of 58671’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 · 58671
RVUs × geographic indexes × conversion factor
Work5.76
5.76 RVUs× 1.000 GPCI
Practice expense3.19
3.19 RVUs× 1.000 GPCI
Malpractice1.02
1.02 RVUs× 1.000 GPCI
Adjusted RVUs
9.9700
Conversion factor
$33.4009
Medicare rate
$333.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58671
58671 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58671
Tubal occlusion
| 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 | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 2 | 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 · 58671
Tubal occlusion
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 51 · payment effect
With and without the modifier
58671 without 51 · national facility
$333.01
Tubal occlusion
58671-51 · Second procedure: 50%
$166.51
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%).
58671 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 58670Tubal sterilization
- Both are laparoscopic tubal procedures, but 58671 is for mechanical occlusion with a device; 58670 represents occlusion by cautery.
- 58615Tubal occlusion
- This code is for laparoscopic device placement. Code 58615 represents device-based occlusion through a vaginal or suprapubic approach.
- 58600Tubal division
- Use 58600 for tubal ligation or transection by an abdominal or vaginal approach, rather than laparoscopic device occlusion.
- 58611Tubal ligation
- Code 58611 is an add-on for tubal ligation performed with cesarean delivery or other intra-abdominal surgery; 58671 describes laparoscopic device occlusion.
58671 billing questions
How does this differ from laparoscopic tubal cautery?
This code represents mechanical blockage with a device such as a clip, band, or ring. Use the cautery code when the surgeon occludes the tubes by fulguration or cautery.
Should modifier 50 be appended when both tubes are occluded?
No. CMS indicates that bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.
What documentation supports reporting this code?
The operative report should establish the laparoscopic approach and document that an occluding device was used on the fallopian tube or tubes.
How are related endoscopies handled when performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The applicable pricing reflects that family rule.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay assistant-at-surgery services for this code under the statutory restriction. Co-surgeons are permitted; team surgery is not.
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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