2025 CPT code 58600
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral.
Modifiers 50 (bilateral procedure), 52 (reduced services), and others as clinically indicated.
The medical necessity for tubal ligation is established by patient request for permanent sterilization, to prevent future pregnancy.In certain cases, the procedure may be medically indicated following an ectopic pregnancy or other obstetrical complications.
The physician is responsible for the surgical procedure, including patient positioning, anesthesia administration, incision, manipulation of the fallopian tubes, ligation or transection, suturing, and wound closure.
In simple words: This surgery involves tying off or cutting the fallopian tubes to prevent pregnancy. The surgeon can do this through the abdomen or vagina.
This procedure involves ligating (tying off) or transecting (cutting) one or both fallopian tubes to prevent future pregnancy.The approach can be either abdominal or vaginal.A vaginal approach involves placing the patient in the dorsal lithotomy position under general anesthesia. The cervix is exposed, grasped with a tenaculum, and a retractor exposes the posterior cul-de-sac.An incision is made in the vaginal wall, widened, and a retractor is used to move the uterus. A fallopian tube is grasped, brought into view, folded, sutured below the fold, incised, and the cut ends are sutured. This is repeated bilaterally if necessary. The incision is then closed. An abdominal approach involves placing the patient supine under general anesthesia. An incision is made in the umbilical area to expose the fallopian tube. A clamp brings the tube into view, and it is ligated, incised, and sutured as described for the vaginal approach. The procedure is repeated bilaterally if necessary, and the incision is closed.
Example 1: A 35-year-old woman desires permanent sterilization after her third child.The procedure is performed via a laparoscopic approach., A 28-year-old woman presents with a history of ectopic pregnancy.The surgeon performs a bilateral salpingectomy (removal of the fallopian tubes) during a laparotomy., A 40-year-old woman elects for tubal ligation following a Cesarean section.
Preoperative assessment, including patient history, physical examination, and informed consent. Intraoperative documentation detailing the approach (abdominal or vaginal), the side(s) operated on, the method of tubal occlusion (ligation or transection), and any complications. Postoperative notes including the patient's recovery, any pain management, and the absence of any complications.
** This code can be reported for either unilateral or bilateral procedures.If only one fallopian tube is ligated or transected, modifier 50 should not be appended.The selection of abdominal or vaginal approach will depend on the surgeon's preference and the patient's clinical condition.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital