No office rate
Use 58605 when the tubal procedure is postpartum; 58600 describes the corresponding procedure outside that circumstance.
On this page
CMS RVU26D · Effective 2026-10-01
58605 Tubal procedure Medicare reimbursement rates in Vermont
Reports postpartum surgical interruption of one or both fallopian tubes through an abdominal or vaginal approach, rather than during cesarean delivery. Compare 58605 office and facility rates across CMS payment localities in Vermont.
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 58605 in Vermont?
Vermont 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
$286.26
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Reproductive surgery
About 58605: Postpartum tubal division
Reports postpartum surgical interruption of one or both fallopian tubes through an abdominal or vaginal approach, rather than during cesarean delivery.
This service interrupts one or both fallopian tubes after childbirth through an abdominal or vaginal approach. An obstetrician-gynecologist typically performs it in a hospital setting; after vaginal delivery, an abdominal incision may be used to access the tubes. The operative report should establish that the procedure occurred postpartum and document the approach and work performed. When the tube procedure is done during cesarean delivery, code 58611 is the more relevant code to evaluate.
Report 58605 for the postpartum circumstance, distinguishing it from 58600 when the procedure is not postpartum. CMS prices the code as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 58605
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.15 · 57%
- Practice expense (office) RVU2.99 · 33%
- Malpractice RVU0.91 · 10%
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.
58605 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 58611 for tubal work performed at cesarean delivery or another qualifying intra-abdominal operation. Code 58605 describes a postpartum procedure rather than tubal work added during that operation.
No office rate
58615 represents tubal occlusion by a different approach or method; 58605 is the postpartum interruption service.
No office rate
58670 is a laparoscopic tubal procedure using cautery. Choose 58605 for the postpartum abdominal or vaginal approach described by that code.
Compare 58605 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
Vermont →
Office / nonfacility
Unavailable
Facility
$286.26
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 58605 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,583
- Code
- 58605
- Physician work
- 5.15
- Practice expense
- 2.99
- Malpractice
- 0.91
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.15 | × 1.000 | 5.1500 |
| Practice expense | 2.99 | × 0.990 | 2.9601 |
| Malpractice | 0.91 | × 0.506 | 0.4605 |
| Total RVUs | 8.5706 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$286.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.15 | 1 |
| Practice expense | 2.99 | 0.99 |
| Malpractice | 0.91 | 0.506 |
(5.15 × 1 + 2.99 × 0.99 + 0.91 × 0.506) × $33.4009 = $286.26
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.
58605 billing questions
How does 58605 differ from 58600?
58605 is for tubal interruption performed postpartum. Use 58600 for the corresponding procedure outside the postpartum circumstance.
Should 58605 be reported for tubal work during a cesarean?
No. When the tubal procedure is performed during cesarean delivery or another qualifying intra-abdominal operation, evaluate 58611 instead.
Does modifier 50 increase payment for bilateral work?
No. CMS prices 58605 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 58605?
The operative report should show that the tubal procedure was performed postpartum and describe the approach and the operative work on the tube or tubes.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant surgeon be reported?
CMS permits assistant-at-surgery payment for this code. Co-surgeons and team surgery are 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.
6,58058579,,Unlisted hystsc px uterus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817