2025 CPT code 58611
(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) during Cesarean delivery or intra-abdominal surgery; add-on code.
Modifiers are not applicable to this add-on code, as the value of the procedure is set.
Medical necessity for 58611 is established when a patient undergoing a Cesarean section or other intra-abdominal surgery also requests permanent sterilization. The procedure is considered medically necessary when performed concurrently to minimize additional surgical procedures.
The obstetrician-gynecologist or surgeon performs this procedure during a Cesarean section or another abdominal surgery.
In simple words: This code means the doctor tied or cut the fallopian tubes during a Cesarean delivery or other abdominal surgery to prevent future pregnancies.This is done at the same time as the main surgery, and it's not a separate operation.
This CPT code, 58611, represents the ligation (tying off) or transection (cutting) of one or both fallopian tubes. This procedure is performed as an add-on during a Cesarean section or other intra-abdominal surgery and is not considered a standalone procedure.It involves accessing the fallopian tubes, using instruments like clamps and scissors, and either tying them off or cutting and sealing them to prevent pregnancy.Hemostasis (control of bleeding) is crucial, and the procedure is integrated into the primary surgery. The code's purpose is to provide permanent birth control in conjunction with another procedure.
Example 1: A patient undergoing a Cesarean section expresses a desire for permanent sterilization. The surgeon performs a tubal ligation (58611) during the Cesarean section., A patient is undergoing a laparotomy for a suspected ectopic pregnancy. During the procedure, the surgeon identifies and performs a bilateral salpingectomy (removal of fallopian tubes), which would be coded differently, but if only ligation/transection is performed, then code 58611 would be used., A patient with endometriosis undergoes a laparoscopic procedure to remove the endometrial tissue.The surgeon performs a tubal ligation (58611) in addition during the procedure.
Operative report detailing the procedure performed, including the method used (ligation or transection), and confirmation of bilateral or unilateral procedure.Consent form indicating the patient's informed consent for sterilization.Patient medical history indicating the medical necessity.
** This code is specifically for tubal ligation or transection performed during Cesarean delivery or other intra-abdominal surgery. It is not separately payable and is always added to another primary procedure code.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: The RVUs for this add-on code are included within the primary procedure's RVUs and are not separately reported.Reimbursement is based on the overall surgical package.
- Global Days: This is an add-on code; the global surgical period is determined by the primary procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is an add-on code.
- Fee Schedule: Historical fee schedule data is not available in provided source. Consult your local Medicare Administrative Contractor (MAC) for historical fee schedule data.
- Specialties:Obstetrics and Gynecology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center