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The CPT® Code 58605 refers to the surgical procedure of ligation or transection of the fallopian tubes, which can be performed through either an abdominal or vaginal approach. This procedure is specifically indicated for postpartum patients, meaning it is conducted during the same hospitalization following childbirth. The term 'ligation' refers to the process of tying off the fallopian tubes to prevent future pregnancies, while 'transection' involves cutting the tubes. The procedure can be unilateral, affecting one fallopian tube, or bilateral, affecting both. It is classified as a separate procedure, which implies that it is distinct from other surgical interventions that may be performed during the same hospitalization. The common language description provides a detailed overview of the surgical technique, emphasizing the careful identification and manipulation of the fallopian tubes to ensure effective sterilization while minimizing complications. This procedure is typically performed by a qualified surgeon and requires precise anatomical knowledge to execute safely and effectively.
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The procedure described by CPT® Code 58605 is indicated for the following conditions:
The procedure involves several key steps, which are detailed as follows:
Post-procedure care for patients undergoing CPT® Code 58605 includes monitoring for any signs of complications such as infection or excessive bleeding. Patients are typically advised to rest and may be given specific instructions regarding activity levels during the recovery period. Follow-up appointments may be scheduled to ensure proper healing and to address any concerns the patient may have. It is important for patients to understand the permanence of the procedure and to discuss any future family planning considerations with their healthcare provider.
| Short Descr | DIVISION OF FALLOPIAN TUBE | Medium Descr | LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX | Long Descr | Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 121 - Ligation of fallopian tubes |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit |
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| Pre-1990 | Added | Code added. |
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