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BETA v.3.0

2025 CPT code 58671

Laparoscopy, surgical; with occlusion of oviducts by device (e.g., band, clip, or Falope ring).

Surgical laparoscopy always includes diagnostic laparoscopy. To report a diagnostic laparoscopy (peritoneoscopy) separately, use 49320.

Modifier 52 (Reduced services) may be used if only one tube is occluded.

Medical necessity for sterilization should be established through documentation of the patient's informed decision and understanding of the procedure's permanence.

In simple words: The doctor uses a small camera and tiny instruments inserted through small cuts in the belly to close off the fallopian tubes. This is done to prevent pregnancy.

This code describes a laparoscopic procedure where the fallopian tubes are occluded using a device such as a band, clip, or Falope ring. The procedure involves placing the patient in the dorsal lithotomy position, prepping and draping the abdomen, administering general anesthesia, and inserting a uterine manipulator. The abdominal cavity is accessed with a Veress needle or open incision, a laparoscope is inserted, and the abdomen is insufflated with CO2. Trocars are placed for surgical tools, and the fallopian tubes are identified and occluded with the chosen device. The abdominal cavity is then irrigated and deflated, and the incisions are closed.

Example 1: A 35-year-old female desires permanent sterilization and elects to undergo laparoscopic tubal ligation with Falope rings., A 28-year-old female with a history of ectopic pregnancy undergoes laparoscopic tubal occlusion with clips., A 42-year-old female undergoes laparoscopic tubal ligation with bands after delivering her third child via cesarean section.

Documentation should include operative notes detailing the method of occlusion (band, clip, ring), confirmation of bilateral occlusion, and any complications encountered. Informed consent for sterilization should also be documented.

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