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The procedure described by CPT® Code 58671 involves a laparoscopic surgical technique specifically aimed at occluding the oviducts, which are also known as fallopian tubes. This method is commonly referred to as tubal ligation and is performed using a device such as a band, clip, or Falope ring. The primary goal of this procedure is to provide a permanent form of contraception by preventing the passage of eggs from the ovaries through the fallopian tubes, thereby inhibiting fertilization. The laparoscopic approach allows for minimal invasiveness, which typically results in reduced recovery time and less postoperative discomfort compared to traditional open surgical methods. During the procedure, a laparoscope is utilized to visualize the abdominal cavity, ensuring that the surgeon can accurately place the occlusion device around the fallopian tubes. This technique is particularly beneficial for patients seeking a long-term contraceptive solution while minimizing the risks associated with larger surgical incisions.
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The procedure described by CPT® Code 58671 is indicated for the following conditions:
The procedure involves several key steps to ensure successful occlusion of the oviducts:
Post-procedure care typically involves monitoring the patient for any immediate complications, such as bleeding or infection. Patients may experience some discomfort or pain, which can usually be managed with prescribed analgesics. Recovery time can vary, but many patients are able to return to normal activities within a few days. It is important for patients to follow any specific post-operative instructions provided by their healthcare provider, including signs of complications to watch for and follow-up appointments to ensure proper healing.
| Short Descr | LAPAROSCOPY TUBAL BLOCK | Medium Descr | LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS | Long Descr | Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 49320 Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 121 - Ligation of fallopian tubes |
This is a primary code that can be used with these additional add-on codes.
| 49327 | Addon Code MPFS Status: Active Code APC N ASC N1 Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imaging guidance, if performed, single or multiple (List separately in addition to code for primary procedure) |
| 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. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GA | Waiver of liability statement issued as required by payer policy, individual case | 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 | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service |
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| 2011-01-01 | Changed | Short description changed. |
| 2000-01-01 | Added | First appearance in code book in 2000. |
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