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what is the cpt code for a tubal ligation

by Hershel Bernhard DDS Published 3 years ago Updated 2 years ago

Refer to the following CPT codes for tubal ligations:

  • 58600: Report this code for a standalone procedure
  • 58605: Report this code for a tubal ligation following a delivery (during the same hospitalization)
  • +58611: Report this add-on code when the physician performs a tubal ligation during another surgery (e.g., a c-section or abdominal surgery)

CPT CodeDescription
58600Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral
58605Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)
5 more rows
Oct 17, 2017

Full Answer

What is the expected recovery time for a tubal ligation?

May 31, 2020 · This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565). sterilization procedures.

What is the law regarding tubal ligation?

May 31, 2020 · This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565). sterilization procedures.

How to reverse tubal ligation without surgery?

Mar 19, 2020 · This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565). sterilization procedures.

What does CPT code 58661 mean?

May 25, 2019 · What is the CPT code for cesarean section with tubal ligation? B ecause tubal ligation is a discrete extra service, it should be coded accordingly: 59510 or 59618—routine obstetric care including antepartum care, cesarean delivery, and postpartum care—and 58611—ligation or transection of fallopian tube(s) done at the time of cesarean delivery or intra …

What is the difference between CPT 58661 and 58670?

If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT code 58661 would be reported and not 58670. Other coding guidance resources have stated that CPT code 58661 would be reported for a disease process and CPT code 58670 would be reported for sterilization.

What is the CPT code 58661?

CPT® 58661, Under Laparoscopic Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT®) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary.

What does CPT code 58611 mean?

CPT® 58611, Under Incision Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT®) code 58611 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Oviduct/Ovary.

What is the CPT code 58558?

58558. Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C. 58559. Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)

Is 58661 a tubal ligation?

Salpingectomy (58661 or 58700) is billed as a sterilization but tubal ligation is listed as the specific type of operation on line 20 of the consent form.Aug 14, 2019

What is the ICD 10 code for tubal ligation?

Z98.51Z98. 51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Does CPT code 58611 require a modifier?

Note that 58611 is a CPT add-on code; it does not take a “multiple surgery” modifier because it can only be reported with a cesarean delivery code.

What is included in CPT 59400?

59400 – Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care.Oct 1, 2019

What is procedure code 58700?

CPT® 58700, Under Excision Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT®) code 58700 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Oviduct/Ovary.

What is the CPT code 58555?

The Current Procedural Terminology (CPT®) code 58555 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri.

What is included in CPT 58571?

CPT® Code 58571 in section: Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less.

What is the CPT code 58563?

BackgroundInformation in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":CodeCode Description58563Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)19 more rows

What does CPT code 58661 mean?

CPT 58661, Under Laparoscopic Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary.

What is the ICD 10 code for vasectomy?

Vasectomy status. Z98. 52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z98.

Is 58661 a bilateral code?

Answer: Medicare considers 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) to be a unilateral code, but CPT®, in the same year this decision was made, came out with a CPT® Assistant article that stated 58661 is bilateral.

Does CPT code 58661 need a modifier?

There is a CPT Assistant article from Jan. 2002 that stated code 58661 was a unilateral procedure, so modifier -50 should be appended when the procedure is performed bilaterally.

What is a tubal Fulguration?

Tubal uterine implantations consist of the implantation of either the isthmic or the ampullary segment of the tube into the uterus. The sterilization best suited for this method of reversal is one in which the portion of the tube next to the uterus has been destroyed, i.e., when a cornual anastomosis is not feasible.

What is CPT code 58671?

CPT 58671, Under Laparoscopic Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT) code 58671 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary.

What is transection of fallopian tubes?

58600 Ligation or transection of the fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral. The physician ties off the fallopian tube or removes a portion of it on one or both sides. The procedure may be done through a small incision just above the pubic hairline.

What is the ICD 10 code for repeat cesarean?

Repeat C-section ICD-10. I cannot find a code that indicates a repeat cesarean section in Icd-10. The crosswalk for 654.21 is O34. 21 but the wording is "maternal care for scar from previous cesarean delivery." Or do I use O82?

How does tubal ligation fail?

The younger you are at the time it's done, the more likely it is to fail. If you do conceive after having a tubal ligation, there's a risk of having an ectopic pregnancy. This means the fertilized egg implants outside the uterus, usually in a fallopian tube. An ectopic pregnancy requires immediate medical treatment.

Where do I get my tubes tied?

You can get a tubal ligation at a doctor's office, hospital, or health clinic. Many Planned Parenthood health centers also do sterilization procedures. Some choose to get sterilized right after giving birth or having an abortion.

Is CPT 58670 a bilateral procedure?

If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT code 58661 would be reported and not 58670. Report CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), would be reported for the bilateral salpingectomy.

How is BTL done?

What Happens in the Tubal Ligation Procedure? While the patient is under anesthesia, one or two small incisions (cuts) are made in the abdomen (one usually near the navel), and a device similar to a small telescope on a flexible tube (called a laparoscope) is inserted through the incision.

Why was adiana discontinued?

The manufacturer stopped producing the Adiana system for financial reasons in 2012. A type of permanent birth control for women, the Adiana system used low-level radiofrequency energy along with two small silicone pieces placed in each of the fallopian tubes.

How much does it cost to reverse tubal ligation?

The average cost of a tubal ligation reversal in the United States is $8,685. However, depending on factors such as where you live and what tests you need beforehand, the costs range from $5,000 to $21,000. Insurance doesn't usually cover the cost of the surgery, but your doctor's office may offer a payment plan.

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