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A salpingostomy, also known as salpingoneostomy or neosalpingostomy, is a surgical procedure that involves creating an opening in the fallopian tube through an abdominal incision. This procedure is primarily indicated for the treatment of hydrosalpinx, a condition characterized by the accumulation of fluid within the fallopian tube. Hydrosalpinx typically occurs due to an obstruction at the end of the tube, which can result from various factors such as previous infections, surgeries, or other injuries. When the tube becomes obstructed, the normal secretions that are produced cannot be expelled, leading to a buildup of fluid that causes the tube to swell. During the procedure, the surgeon makes an incision in the lower abdomen to access the abdominal cavity, where the uterus, fallopian tubes, and ovaries are carefully inspected. The presence of adhesions, which are bands of scar tissue that may be causing obstruction, is assessed, and any identified adhesions around the fallopian tube, ovary, and round ligament are lysed to facilitate access and improve the surgical outcome. The fallopian tube is then distended through a transcervical injection of saline or dye, which helps to visualize the condition of the tube. The hydrosalpinx is subsequently opened using surgical instruments such as scissors, a micro-needle, or a laser, creating a new tubal os that allows for the potential passage of ovum and sperm. The procedure may also involve making additional radial incisions to further enhance the opening of the tube. To confirm that the tube is patent, additional dye may be injected into the uterus before the abdominal incision is closed, ensuring that the procedure has successfully restored the function of the fallopian tube.
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The salpingostomy procedure is primarily indicated for the following conditions:
The salpingostomy procedure involves several critical steps to ensure successful treatment of the affected fallopian tube:
After the salpingostomy procedure, patients may require monitoring for any complications related to the surgery. Expected recovery includes managing any postoperative pain and following up with the healthcare provider to assess the success of the procedure. Patients may also be advised on fertility considerations and any additional treatments that may be necessary based on their individual circumstances. It is important for patients to adhere to any postoperative care instructions provided by their healthcare team to ensure optimal recovery and outcomes.
| Short Descr | CREATE NEW TUBAL OPENING | Medium Descr | SALPINGOSTOMY | Long Descr | Salpingostomy (salpingoneostomy) | 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) | 1 - 150% payment adjustment for bilateral procedures applies. | 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 | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 123 - Other operations on 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). | LT | Left side (used to identify procedures performed on the left side of the body) |
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| Pre-1990 | Added | Code added. |
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