In simple words: A procedure to permanently close off the fallopian tubes, preventing pregnancy.The doctor uses a small device like a band or clip to block the tubes.This can be done through the vagina or with a small incision above the pubic bone.

The provider uses a device to close off one or both fallopian tubes. This procedure can be performed through a vaginal approach (incision in the vaginal wall) or a suprapubic approach (incision above the pubic bone).For the vaginal approach, the patient is placed in the dorsal lithotomy position under general anesthesia. The cervix is exposed, and a tenaculum is used to grasp the lip of the cervix. A retractor exposes the posterior cul-de-sac. The vaginal wall is incised, and another retractor moves the uterus out of the way. The fallopian tube is grasped and brought into the operative field, where a ring or clip constricts it. This is repeated for the other tube if necessary. The incision is then closed with sutures. For the suprapubic approach, the patient is placed in the supine position under general anesthesia. An incision is made above the pubic bone to expose the fallopian tube(s). The same occlusion technique as the vaginal approach is used, and the incision is closed with sutures.

Example 1: A 35-year-old woman desires permanent sterilization and chooses bilateral tubal occlusion via a vaginal approach., A 28-year-old woman with a history of difficult vaginal deliveries undergoes a cesarean section and elects to have tubal occlusion performed via a suprapubic approach during the same procedure., A 42-year-old woman with a history of ectopic pregnancy requires a salpingectomy (removal of a fallopian tube) and chooses to have the remaining tube occluded using this code during the same surgical session.

Documentation should include the surgical approach (vaginal or suprapubic), the type of device used for occlusion (band, clip, ring), the laterality of the procedure (unilateral or bilateral), any complications encountered, and postoperative instructions.