No office rate
Choose 58672 for repair of the fimbrial end. Choose 58673 when the operative work creates an opening in the fallopian tube.
On this page
CMS RVU26D · Effective 2026-10-01
58672 Fimbrioplasty Medicare reimbursement rates in Vermont
Laparoscopic fimbrioplasty repairs the fimbrial end of a fallopian tube, typically to address distal narrowing or fimbrial agglutination while preserving the tube. Compare 58672 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 58672 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
$606.83
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 58672: Laparoscopic fimbrial reconstruction
Laparoscopic fimbrioplasty repairs the fimbrial end of a fallopian tube, typically to address distal narrowing or fimbrial agglutination while preserving the tube.
A gynecologic surgeon performs fimbrioplasty through laparoscopic access to correct abnormal fimbriae at the distal end of a fallopian tube. The work focuses on restoring the fimbrial opening and configuration, such as when fimbriae are narrowed or adherent. It is a reconstructive tubal procedure, rather than removal of the tube or a sterilization procedure, and is generally performed in an operating room under anesthesia.
Report the service when the operative record supports repair of the fimbrial end, including the side treated and the specific corrective work. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. Endoscopy family pricing applies when related endoscopies are performed together. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 58672
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU12.59 · 65%
- Practice expense (office) RVU4.51 · 23%
- Malpractice RVU2.20 · 11%
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.
58672 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
58660 describes laparoscopic division of adhesions. It does not by itself describe reconstruction of the fimbrial end.
No office rate
58661 applies when laparoscopic work removes adnexal structures; 58672 describes preserving and repairing the fimbrial end.
No office rate
58670 describes laparoscopic tubal cauterization for occlusion, whereas 58672 is a reconstructive procedure intended to repair fimbriae.
Compare 58672 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
$606.83
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 58672 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,591
- Code
- 58672
- Physician work
- 12.59
- Practice expense
- 4.51
- Malpractice
- 2.20
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.59 | × 1.000 | 12.5900 |
| Practice expense | 4.51 | × 0.990 | 4.4649 |
| Malpractice | 2.20 | × 0.506 | 1.1132 |
| Total RVUs | 18.1681 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$606.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.59 | 1 |
| Practice expense | 4.51 | 0.99 |
| Malpractice | 2.2 | 0.506 |
(12.59 × 1 + 4.51 × 0.99 + 2.2 × 0.506) × $33.4009 = $606.83
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.
58672 billing questions
How is fimbrioplasty different from laparoscopic salpingostomy?
Fimbrioplasty repairs the fimbrial end and its opening. Salpingostomy creates an opening in the fallopian tube, so select the code that matches the operative work documented.
Can modifier 50 be reported for bilateral fimbrioplasty?
Yes. CMS identifies this as a bilateral procedure, and modifier 50 is paid at 150%.
How does endoscopy family pricing affect another endoscopy performed during the same session?
When related endoscopies are performed together, endoscopy family pricing applies. The payment is determined under that pricing rule rather than treating each related endoscopy as independently payable at its full rate.
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.
May an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for this procedure. 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.
6,58858662,,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
6,59458679,,Unlisted laps px ovidct ovry,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
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