Billing code 58700: SalpingectomyMedicare rate & RVUs in Utah

Reports surgical removal of part or all of one or both fallopian tubes, including procedures for ectopic pregnancy, disease, or sterilization.

CMS RVU26DEffective Oct 1, 20261 payment locality136 Medicare services in 2024

CMS doesn’t publish an office rate for 58700 in Utah.

—Office (non-facility)
$708.47Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 58700 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 58700 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 58700 covers

A gynecologic surgeon removes part or all of a fallopian tube through an abdominal or pelvic operation. Typical situations include treating a tubal ectopic pregnancy or diseased tube, removing a hydrosalpinx, and permanent contraception. The code encompasses removal on one or both sides and is commonly performed in a facility operating room. When tube removal is part of a larger operation, report it separately only when the work is distinct and separately reportable rather than integral to that operation.

Document the side, extent of removal, indication, and operative work. CMS pricing is already bilateral, so modifier 50 does not increase payment. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment may be made; 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.

58700 in Utah

58700 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$708.47

How the 58700 rate is calculated

Each of 58700’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 · 58700

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.63Practice expense 6.75Malpractice 2.49

21.8700 adjusted RVUs×$33.4009 conversion factor=$730.48

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 58700

58700 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 58700

Salpingectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 58700

Salpingectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

58700 without 51 · national facility

$730.48

Salpingectomy

58700-51 · Second procedure: 50%

$365.24

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%).

When to use modifier 51

58700 compared with similar codes

Compare codes

58700 vs 58720 vs 58661 vs 58670: national Medicare rates

Swap in your local Medicare rate.

  • 58700
    Salpingectomy · 12.63 wRVU
    —
  • 58720
    Salpingo-oophorectomy · 11.86 wRVU
    —
  • 58661
    Adnexal removal · 11.07 wRVU
    —
  • 58670
    Tubal sterilization · 5.76 wRVU
    —

How to choose

58720Salpingo-oophorectomy
This code is for fallopian tube removal. Choose 58720 when the operation also removes an ovary.
58661Adnexal removal
This code describes tube removal without specifying a laparoscopic approach. Code 58661 is the laparoscopic option for removal of adnexal structures.
58670Tubal sterilization
Code 58670 describes laparoscopic tubal sterilization by fulguration, which occludes the tube rather than removing it.

58700 billing questions

Does this code cover removal of one tube or both?

It covers complete or partial removal of one or both fallopian tubes. CMS pricing is already bilateral, and modifier 50 does not increase payment.

How is this different from 58720?

Use 58700 for removal of fallopian tube tissue without removal of an ovary. Code 58720 is the comparison when an ovary is removed along with tube tissue.

Can the tube removal be reported with a hysterectomy or another pelvic operation?

Report it separately only when the salpingectomy is distinct and separately reportable, rather than integral to the larger procedure. The operative report should describe the tube-removal work.

What documentation supports reporting this code?

Document the indication, side, whether removal was partial or complete, and the procedure performed. The operative report should make clear which tube tissue was removed.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Same-session procedures are subject to the standard multiple-procedure payment reduction.

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
RVUs for 58700PPRRVU2026_Oct_nonQPP.csv, line 6,595 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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