58770 Create new tubal opening
Also known as: neosalpingostomy, tubal reanastomosis, new tubal opening
Creation of a new opening in a fallopian tube (neosalpingostomy) to establish or restore patency when the tubal ostium is obliterated or blocked.
In Plain Language
creating a new opening in the blocked tube; tube opening procedure
Clinical Context
Indicated for completely obstructed fallopian tubes in infertility cases, performed via laparotomy or laparoscopy.
RVU Breakdown
| Work RVU | 14.40 |
| Total RVU | 14.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 14.40, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58770?
CPT 58770 (Create new tubal opening) is a Surgery code. Creation of a new opening in a fallopian tube (neosalpingostomy) to establish or restore patency when the tubal ostium is obliterated or blocked.
What is the wRVU value for CPT 58770?
The work RVU for CPT 58770 is 14.40. This code is primarily used by Obstetrics and Gynecology, Reproductive Endocrinology. It has a 90-day global period.
When is CPT 58770 used?
Indicated for completely obstructed fallopian tubes in infertility cases, performed via laparotomy or laparoscopy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.