2025 CPT code 58672
(Active) Effective Date: N/A Revision Date: N/A Surgery - Laparoscopic Procedures on the Oviduct/Ovary Surgery Feed
Laparoscopic surgical procedure involving fimbrioplasty.
Modifiers 50 (bilateral procedure) and other relevant modifiers may be applicable based on the specific circumstances of the procedure. Consult current CPT guidelines for modifier usage.
Medical necessity for fimbrioplasty is established when there is evidence of tubal obstruction or distortion impacting fertility, and other less invasive treatments have been exhausted or deemed inappropriate. Documentation must support the diagnosis of infertility, the extent of tubal pathology, and the expectation that the procedure will improve the chances of conception.
The clinical responsibility for this procedure rests with a surgeon, typically a gynecologist or reproductive endocrinologist, experienced in minimally invasive surgical techniques.This may involve preoperative consultation, informed consent, the procedure itself (including lysis of adhesions and fimbrioplasty), postoperative care, and follow-up.
In simple words: This surgery repairs or improves the fallopian tubes, which carry eggs from the ovaries to the uterus. It's done through small incisions in the abdomen using a laparoscope (a thin tube with a camera). The goal is to remove any blockages or scar tissue that may be preventing pregnancy.
This CPT code encompasses a laparoscopic surgical procedure involving fimbrioplasty, which is the surgical repair or reconstruction of the fimbriae, the finger-like projections at the end of the fallopian tube.The procedure aims to restore or improve the function of the fallopian tube, often to address infertility issues caused by adhesions or blockage.The procedure may involve lysis of adhesions, which is the removal of scar tissue that may be obstructing the fallopian tube.The procedure is typically performed using a laparoscope, a minimally invasive surgical instrument that allows for visualization and manipulation within the abdominal cavity.
Example 1: A 32-year-old woman presents with infertility and history of pelvic inflammatory disease. Laparoscopy reveals adhesions obstructing the right fallopian tube. Fimbrioplasty is performed to restore tubal patency., A 28-year-old patient has undergone previous tubal surgery.A repeat laparoscopy shows distal tubal obstruction.Fimbrioplasty is performed laparoscopically to improve the chances of conception., A 35-year-old patient presents with infertility. Diagnostic laparoscopy reveals mild distal tubal adhesions.Fimbrioplasty is performed unilaterally to improve fertility potential.
* Detailed history and physical examination documenting infertility.* Results of diagnostic testing, such as hysterosalpingography, to confirm tubal blockage or distortion.* Operative report detailing the surgical procedure, including type of adhesions encountered and the techniques used for their lysis.* Pathology report if any tissue specimens are obtained.* Postoperative care plan and follow-up visit schedule.
** This procedure may be combined with other laparoscopic procedures such as lysis of adhesions or salpingostomy.Accurate documentation of all procedures performed is essential for proper coding and reimbursement.The use of robotics in the procedure should be documented if applicable.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not available in the provided sources.Consult the current CPT codebook or relevant payer guidelines for RVU values.
- Global Days : The global period for this procedure would depend on the specific circumstances and payer rules.This information is not found in the provided data.
- Payment Status: Active
- Modifier TC rule: The applicability of a Technical Component (TC) modifier is dependent on the specific circumstances of the service and the payer guidelines. This should be determined based on the payer's requirements and the actual services provided.
- Fee Schedule : Historical fee schedule data is not available in the provided sources. Consult historical CPT codebooks or payer-specific fee schedules for relevant information.
- Specialties:Gynecology, Reproductive Endocrinology and Infertility
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient or Outpatient), Office