2025 CPT code 58770
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Salpingostomy (salpingoneostomy):Surgical reopening of a blocked fallopian tube to restore fertility.
Modifiers 50 (bilateral procedure), 22 (increased procedural services), 51 (multiple procedures), and others as clinically indicated may be appended to 58770 as needed.
Medical necessity for salpingostomy is established when a woman desires to conceive, and tubal obstruction is confirmed by appropriate imaging studies to be the cause of infertility.The procedure is considered medically necessary to restore fertility. The clinical documentation should demonstrate the relationship between tubal obstruction, infertility, and the need for the surgery.
The surgeon's responsibilities include patient positioning, anesthesia administration, abdominal incision, peritoneal incision, abdominal exploration, inspection of the abdominal cavity, uterus, fallopian tubes, and ovaries, isolation of the distal fallopian tube, incision of the blocked end, creation of flaps, bleeding control, repositioning of flaps to create a new opening, chromotubation (if performed), irrigation of the abdominal cavity, removal of packing, and closure of the abdominal incision.
In simple words: This surgery opens a blocked fallopian tube so eggs can travel from the ovary to the uterus.The doctor makes a cut in the lower abdomen, opens the tube, and makes sure it's open again.
Salpingostomy, also known as salpingoneostomy, is a surgical procedure to create a new opening in the distal end of a fallopian tube that is closed or blocked.The procedure is typically performed via an abdominal incision. The surgeon inspects the abdominal cavity, uterus, fallopian tubes, and ovaries.The blocked end of the fallopian tube is isolated, incised using scissors, electrosurgery, or a laser, and reshaped to create multiple flaps. Bleeding is controlled, and the flaps are repositioned to create a new opening. Chromotubation (dye injection) may be used to confirm tubal patency. The abdominal cavity is irrigated, and the incision is closed.
Example 1: A 32-year-old woman presents with infertility and history of pelvic inflammatory disease.A salpingostomy is performed to restore tubal patency., A 28-year-old woman with a history of ectopic pregnancy undergoes a salpingostomy to repair tubal damage following salpingectomy. The procedure is performed during laparotomy for other gynecological procedures., A 35-year-old woman who previously underwent tubal ligation requests reversal.A salpingostomy is performed bilaterally, and modifier 50 is added to indicate bilateral procedures.
* Preoperative history and physical examination* Operative report detailing the procedure, including type of incision, method of tubal opening creation, and chromotubation results (if performed).* Postoperative course notes documenting recovery and complications.* Imaging studies (e.g., hysterosalpingogram, ultrasound) to document tubal patency before and after the procedure.* Pathology report if tissue samples were collected during the surgery.
** Always ensure complete and accurate clinical documentation to support the medical necessity and accurate coding of 58770.Consult the most up-to-date CPT codebook and payer-specific guidelines for current coding and reimbursement information.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.Consult the current CPT codebook or a relevant fee schedule for RVU data.
- Global Days : The global period for this procedure is not specified in the provided data.Refer to payer-specific guidelines and the CPT codebook for clarification.
- Payment Status: Active
- Modifier TC rule: This information is not specified.Refer to CPT guidelines for appropriate modifier use.
- Fee Schedule : Fee schedule data is not available in the provided text. Consult your local fee schedule or payer contract.
- Specialties:Obstetrics and Gynecology, Reproductive Endocrinology and Infertility
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office