Billing code 58760: FimbrioplastyMedicare rate & RVUs in Virginia
Fimbrioplasty surgically repairs the fimbrial end of a fallopian tube to restore its opening, typically for distal tubal damage or obstruction.
CMS doesn’t publish an office rate for 58760 in Virginia.
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 58760 covers
A gynecologic surgeon repairs the fimbrial end of a fallopian tube when scarring, agglutination, or narrowing has impaired the tube’s distal opening. The goal is to restore a patent, functioning opening while preserving the tube. The operation is performed in a surgical setting, often as part of treatment for tubal-factor infertility. The operative report should identify the affected tube and describe the fimbrial abnormality and repair performed.
Report 58760 for the fimbrial reconstruction itself, not for simply freeing peri-tubal adhesions or creating a new tubal opening. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
Where 58760 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $792.01 |
| Virginia | Unavailable | $697.84 |
How the 58760 rate is calculated
Each of 58760’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 · 58760
RVUs × geographic indexes × conversion factor
Work13.58
13.58 RVUs× 1.000 GPCI
Practice expense5.73
5.73 RVUs× 1.000 GPCI
Malpractice2.38
2.38 RVUs× 1.000 GPCI
Adjusted RVUs
21.6900
Conversion factor
$33.4009
Medicare rate
$724.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 58760
58760 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58760
Fimbrioplasty
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58760
Fimbrioplasty
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 50 · payment effect
With and without the modifier
58760 without 50 · national facility
$724.47
Fimbrioplasty
58760-50 · Bilateral: 150%
$1,086.71
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
58760 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 58770Salpingostomy
- Choose 58760 when the fimbrial end is repaired. Choose 58770 when the procedure creates a new opening in the fallopian tube.
- 58750Tubal repair
- 58750 describes reconnection of fallopian-tube segments. 58760 describes repair at the distal fimbrial end.
- 58740Adhesiolysis
- 58740 is for lysis of adhesions involving the tube or ovary; it does not describe reconstruction of the fimbrial opening.
58760 billing questions
How is fimbrioplasty different from salpingostomy?
Fimbrioplasty repairs the fimbrial end of the tube. Salpingostomy, reported with 58770, creates a tubal opening rather than reconstructing the fimbrial end.
When would 58750 be used instead?
Use 58750 for an anastomosis reconnecting fallopian-tube segments. Fimbrioplasty addresses the distal fimbrial end, not reconnection of separated segments.
Does 58760 include postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can adhesiolysis be reported with fimbrioplasty?
Code 58740 may be relevant when distinct adhesions involving the tube or ovary are lysed in the same operation. The operative report should describe the separate work performed.
How should bilateral fimbrioplasty be reported?
CMS lists bilateral reporting with modifier 50 at 150%. Document the repair performed on each tube.
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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