No office rate
Both are laparoscopic tubal procedures, but 58671 is for mechanical occlusion with a device; 58670 represents occlusion by cautery.
On this page
CMS RVU26D · Effective 2026-10-01
58671 Tubal occlusion Medicare reimbursement rates in Vermont
Laparoscopic tubal occlusion using a mechanical device for permanent contraception, selected when the surgeon blocks the oviducts with clips, bands, or rings. Compare 58671 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 58671 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
$315.11
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.
Gynecologic surgery
About 58671: Laparoscopic mechanical tubal occlusion
Laparoscopic tubal occlusion using a mechanical device for permanent contraception, selected when the surgeon blocks the oviducts with clips, bands, or rings.
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.
CMS billing rules for 58671
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 58%
- Practice expense (office) RVU3.19 · 32%
- Malpractice RVU1.02 · 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.
58671 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code is for laparoscopic device placement. Code 58615 represents device-based occlusion through a vaginal or suprapubic approach.
No office rate
Use 58600 for tubal ligation or transection by an abdominal or vaginal approach, rather than laparoscopic device occlusion.
No office rate
Code 58611 is an add-on for tubal ligation performed with cesarean delivery or other intra-abdominal surgery; 58671 describes laparoscopic device occlusion.
Compare 58671 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
$315.11
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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 58671 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,590
- Code
- 58671
- Physician work
- 5.76
- Practice expense
- 3.19
- Malpractice
- 1.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.76 | × 1.000 | 5.7600 |
| Practice expense | 3.19 | × 0.990 | 3.1581 |
| Malpractice | 1.02 | × 0.506 | 0.5161 |
| Total RVUs | 9.4342 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$315.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.76 | 1 |
| Practice expense | 3.19 | 0.99 |
| Malpractice | 1.02 | 0.506 |
(5.76 × 1 + 3.19 × 0.99 + 1.02 × 0.506) × $33.4009 = $315.11
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.
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 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.
6,58758661,,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
6,58858662,,Laparoscopy excise lesions,A,,11.85,5.21,NA,5.21,,2.30,19.36,19.36,0,090,0.09,0.84,0.07,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,58958670,,Laparoscopy tubal cautery,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59058671,,Laparoscopy tubal block,A,,5.76,3.19,NA,3.19,,1.02,9.97,9.97,0,090,0.10,0.80,0.10,3,0,1,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59158672,,Laparoscopy fimbrioplasty,A,,12.59,4.51,NA,4.51,,2.20,19.30,19.30,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59258673,,Laparoscopy salpingostomy,A,,13.69,4.86,NA,4.86,,2.40,20.95,20.95,0,090,0.10,0.80,0.10,3,1,2,0,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,59358674,,Laps abltj uterine fibroids,A,,13.73,5.43,NA,5.43,,2.41,21.57,21.57,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,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