CPT 58322
Global 000 ActiveArtificial insemination
CPT 58322 Billing & Documentation Guide
CPT code 58322 (Artificial insemination) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.07, a non-facility practice expense RVU of 1.52, and a malpractice RVU of 0.19, a total non-facility RVU of 2.78 and facility RVU of 1.49. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $94.89, though rates vary from $82.62 to $116.28 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 58322, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 58322 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 58322 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 58322
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.07 | 1.07 |
| Practice Expense RVU | 1.52 | 0.23 |
| Malpractice RVU | 0.19 | 0.19 |
| Total RVU | 2.78 | 1.49 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 58322
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $100.54 | $49.55 | $95.39 - $116.28 | 29 |
| Florida | $99.03 | $55.8 | $93.81 - $104.64 | 3 |
| Georgia | $91.82 | $50.72 | $88.59 - $95.05 | 2 |
| Illinois | $97.05 | $55.41 | $92.01 - $101.58 | 4 |
| Michigan | $92.35 | $51.89 | $89.26 - $95.43 | 2 |
| North Carolina | $87.16 | $46.96 | $87.16 - $87.16 | 1 |
| New York | $102.7 | $54.63 | $88.43 - $110.18 | 5 |
| Ohio | $88.49 | $49.15 | $88.49 - $88.49 | 1 |
| Pennsylvania | $92.57 | $50.37 | $88.34 - $96.8 | 2 |
| Texas | $91.81 | $49.4 | $87.83 - $95.17 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 58322
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 58322 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 58322
What does CPT code 58322 mean? +
CPT code 58322 represents: Artificial insemination. It's in the Surgery (Urinary/Reproductive) category with a global period of 000.
What is the Medicare reimbursement for CPT 58322? +
The 2026 Medicare national average non-facility payment for CPT 58322 is $94.89. Rates range from $82.62 to $116.28 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 58322? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 58322? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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