CPT® Code 58565

1. Indications

The procedure described by CPT® Code 58565 is indicated for patients seeking permanent contraception through elective sterilization. The following conditions or situations may warrant the performance of this procedure:

• Elective Sterilization Patients who have made an informed decision to undergo a permanent method of birth control.
• Desire for Permanent Contraception Individuals who do not wish to have any future pregnancies and are certain about their decision regarding family planning.
• Medical Evaluation Patients who have undergone a thorough medical evaluation and pelvic examination, confirming the appropriateness of this surgical intervention.

2. Procedure

The surgical procedure begins with a comprehensive pelvic examination to assess the patient's reproductive anatomy and overall health. Following this examination, the physician inserts a speculum into the vagina to enhance visibility of the cervix. A single-toothed tenaculum is then applied to the anterior lip of the cervix, which helps to stabilize the cervix during the procedure. The next step involves dilating the cervix to facilitate the introduction of the hysteroscope. Once the cervix is adequately dilated, the hysteroscope is carefully inserted into the uterine cavity. Upon introduction of the hysteroscope, the physician conducts a thorough examination of the uterine cavity, assessing the condition of the endometrium and evaluating the openings of the fallopian tubes. The first fallopian tube is then cannulated, which involves the insertion of a small device designed to occlude the tube. This step is crucial as it prevents the passage of sperm and eggs, thereby achieving the goal of permanent contraception. After successfully cannulating the first tube, the same process is repeated on the contralateral side to ensure that both fallopian tubes are occluded. Once the cannulation of both fallopian tubes is complete, the physician carefully removes the hysteroscope and tenaculum from the cervix. Finally, any bleeding that may have occurred from the cervix during the procedure is controlled to ensure the patient's safety and comfort.

3. Post-Procedure

After the completion of the procedure, patients are typically monitored for a short period to ensure there are no immediate complications. Post-procedure care may include instructions regarding activity restrictions, pain management, and signs of potential complications such as excessive bleeding or infection. Patients are advised to follow up with their healthcare provider for any concerns and to discuss the implications of the procedure on their reproductive health. Recovery time may vary, but most patients can expect to resume normal activities within a few days, depending on their individual circumstances and the physician's recommendations.