CPT 58345
Global 010 ActiveReopen fallopian tube
CPT 58345 Billing & Documentation Guide
CPT code 58345 (Reopen fallopian tube) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.58, a non-facility practice expense RVU of 2.25, and a malpractice RVU of 0.81, a total non-facility RVU of 7.64 and facility RVU of 7.64. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $257.69, though rates vary from $231.46 to $324.41 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 58345, 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 58345 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 58345 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 58345
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.58 | 4.58 |
| Practice Expense RVU | 2.25 | 2.25 |
| Malpractice RVU | 0.81 | 0.81 |
| Total RVU | 7.64 | 7.64 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 58345
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 | $262.05 | $262.05 | $252.44 - $292.67 | 29 |
| Florida | $281.04 | $281.04 | $265.48 - $299.63 | 3 |
| Georgia | $257.27 | $257.27 | $252.26 - $262.28 | 2 |
| Illinois | $277.83 | $277.83 | $263.88 - $291.67 | 4 |
| Michigan | $261.62 | $261.62 | $252.13 - $271.11 | 2 |
| North Carolina | $240.38 | $240.38 | $240.38 - $240.38 | 1 |
| New York | $280.85 | $280.85 | $243.39 - $302.36 | 5 |
| Ohio | $248.86 | $248.86 | $248.86 - $248.86 | 1 |
| Pennsylvania | $256.89 | $256.89 | $247.53 - $266.24 | 2 |
| Texas | $252.94 | $252.94 | $246.5 - $266.05 | 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 58345
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 58345 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00952 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 |
| 0568T | Column 1 (primary), can be billed with modifier | Yes | 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 |
Frequently Asked Questions, CPT 58345
What does CPT code 58345 mean? +
CPT code 58345 represents: Reopen fallopian tube. It's in the Surgery (Urinary/Reproductive) category with a global period of 010.
What is the Medicare reimbursement for CPT 58345? +
The 2026 Medicare national average non-facility payment for CPT 58345 is $257.69. Rates range from $231.46 to $324.41 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 58345? +
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 58345? +
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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