No office rate
Use 58673 for an opening made in the tube. Use 58672 when the documented work repairs the fimbrial end.
On this page
CMS RVU26D · Effective 2026-10-01
58673 Laparoscopic salpingostomy Medicare reimbursement rates in Wyoming
Reports laparoscopic incision and opening of a fallopian tube when the surgeon preserves the tube rather than removing or occluding it. Compare 58673 office and facility rates across CMS payment localities in Wyoming.
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 58673 in Wyoming?
Wyoming 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
$678.91
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 58673: Laparoscopic fallopian tube opening
Reports laparoscopic incision and opening of a fallopian tube when the surgeon preserves the tube rather than removing or occluding it.
A gynecologic surgeon uses laparoscopic instruments to make an opening in a fallopian tube while preserving the tube. The procedure may address distal tubal obstruction as part of fertility-preserving surgery. It differs from fimbrioplasty, which focuses on repairing the fimbrial end of the tube. For laparoscopic treatment of a tubal ectopic pregnancy with salpingostomy, the ectopic-pregnancy-specific code 59151 is the relevant code to evaluate.
Choose this code when the operative report documents laparoscopic salpingostomy, including the tube treated and the incision or opening performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If related endoscopies are performed together, CMS applies endoscopy-family pricing. For bilateral procedures, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 58673
- 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 RVU13.69 · 65%
- Practice expense (office) RVU4.86 · 23%
- Malpractice RVU2.40 · 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.
58673 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
59151 describes laparoscopic salpingostomy for ectopic pregnancy. Confirm the indication before reporting 58673 for a similar operative technique.
No office rate
58661 is for laparoscopic removal of a tube or other adnexal tissue; 58673 preserves the tube and creates an opening.
No office rate
58670 involves laparoscopic tubal cautery for occlusion. It is not the code for opening a tube.
Compare 58673 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$678.91
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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 58673 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,592
- Code
- 58673
- Physician work
- 13.69
- Practice expense
- 4.86
- Malpractice
- 2.40
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.69 | × 1.000 | 13.6900 |
| Practice expense | 4.86 | × 1.000 | 4.8600 |
| Malpractice | 2.40 | × 0.740 | 1.7760 |
| Total RVUs | 20.3260 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$678.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.69 | 1 |
| Practice expense | 4.86 | 1 |
| Malpractice | 2.4 | 0.74 |
(13.69 × 1 + 4.86 × 1 + 2.4 × 0.74) × $33.4009 = $678.91
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.
58673 billing questions
How does this differ from fimbrioplasty, code 58672?
Salpingostomy creates an opening in the fallopian tube. Fimbrioplasty repairs the fimbrial end; select based on the procedure documented, not simply the presence of tubal disease.
Should this code be used for laparoscopic salpingostomy for an ectopic pregnancy?
Code 59151 is specific to laparoscopic salpingostomy for ectopic pregnancy. Review the operative indication and procedure before choosing between it and 58673.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative report should support treatment of both tubes.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant at surgery be paid for this procedure?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
What happens when related endoscopies are performed during the same operation?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative report should distinguish the work performed for each procedure.
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.
6,58958670,,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
6,59558700,,Removal of fallopian tube,A,,12.63,6.75,NA,6.75,,2.49,21.87,21.87,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,