CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 58615 RVU and Medicare Payment (2026)
Occlude fallopian tube(s) — 3.84 work RVU, about $225.79 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.84
- PE RVU (non-facility)
- 2.25
- PE RVU (facility)
- 2.25
- MP RVU
- 0.67
- Office payment
- $225.79
- Facility payment
- $225.79
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 58615 in a non-facility setting with national GPCI: (3.84 + 2.25 + 0.67) × $33.4009 ≈ $225.79. The same code in a facility setting pays about $225.79 because facility PE RVU (2.25) replaces office PE RVU.
What changes by locality
GPCI moves 58615 non-facility payment from $204.34 to $284.76 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 58615?
3.84. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 58615 in 2026?
About $225.79 non-facility ($225.79 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (3.84) and malpractice RVU stay fixed; only practice expense changes (2.25 office vs 2.25 facility). That is the entire office-vs-facility payment gap.