What Is The CPT Code For Bilateral Salpingectomy?
The CPT code for bilateral salpingectomy is 58661 for laparoscopic removal of both fallopian tubes.
What is the CPT code for right salpingectomy?
A unilateral right salpingectomy is reported with CPT code 58750 when performed as an open or laparoscopic procedure.
During a cesarean section, add-on CPT code 58611 should be used for sterilization purposes, according to AAFP coding guidance. (This ensures accurate billing and reflects the extra surgical work during the C-section delivery.)
What is the CPT code for laparoscopic bilateral Salpingectomy?
Laparoscopic bilateral salpingectomy is reported with CPT code 58661 under the surgical laparoscopy section.
The code descriptor covers “with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy),” which includes removal of both fallopian tubes, as confirmed by AAPC. Most coders append modifier -50 for bilateral procedures.
What is laparoscopic bilateral salpingectomy?
Laparoscopic bilateral salpingectomy is a minimally invasive surgery to remove both fallopian tubes using small abdominal incisions and a laparoscope.
It prevents pregnancy by eliminating the pathway for the egg to meet sperm. Often performed for sterilization or as part of risk-reducing surgery in high-risk patients, according to ACOG recommendations.
What is the CPT code for laparoscopic left salpingectomy?
A laparoscopic left salpingectomy is reported using CPT code 58750 with modifier -LT to indicate laterality.
This code applies whether the procedure is therapeutic (like an ectopic pregnancy) or elective. For ectopic pregnancies with salpingectomy, some providers may use 59151, but 58750-LT is more commonly used for non-ectopic indications, per Coding Strategy.
What is the ICD 10 code for bilateral salpingectomy?
The ICD-10-CM code for status post bilateral salpingectomy is Z90.722 (Acquired absence of ovaries and tubes, bilateral).
Doctors use this code for medical documentation and billing to show the patient has had both fallopian tubes surgically removed, as outlined by CDC ICD-10-CM Official Guidelines.
What does CPT code 58670 mean?
CPT code 58670 describes laparoscopic surgical fulguration (destruction) of the fallopian tubes, often performed for permanent sterilization.
Code 58671 covers when devices like bands or clips are used for occlusion. These procedures are alternatives to salpingectomy and are also covered by AMA CPT Assistant.
What is the meaning of salpingectomy?
Salpingectomy is the surgical removal of one or both fallopian tubes, either partially or completely.
It’s different from salpingostomy, which creates an opening but doesn’t remove the tube. Salpingectomy is commonly performed for sterilization, ectopic pregnancy, or as a risk-reducing measure in BRCA carriers, according to National Cancer Institute.
Should I get my tubes removed during C section?
Current recommendations advise against routine salpingectomy during cesarean delivery; tubal ligation remains the preferred sterilization method.
ACOG states that the long-term risks of salpingectomy, such as increased surgical time or bleeding, haven’t been fully defined in this setting, as of 2026 guidance. (An individual risk–benefit discussion is essential.)
Is 58661 unilateral or bilateral?
CPT code 58661 is designed for bilateral procedures, but older guidance suggested unilateral application.
According to the 2002 AMA CPT Assistant, modifier -50 should be appended when performed bilaterally to reflect the full extent of surgical work. Most payers now expect -50 with 58661 for bilateral salpingectomy.
Do you still have periods after bilateral salpingectomy?
You will continue to have periods after bilateral salpingectomy because the uterus and ovaries remain intact.
The procedure removes only the fallopian tubes; menstrual bleeding continues unless oophorectomy is also performed. Hormonal cycles and ovulation may persist, depending on ovarian function, per Mayo Clinic.
What happens after bilateral salpingectomy?
Most patients recover within 2–4 weeks after laparoscopic bilateral salpingectomy and can return to light activities within days.
Full healing may take up to 6 weeks for abdominal approaches. Patients are advised to avoid heavy lifting and sexual activity for at least 2 weeks, following guidelines from Cleveland Clinic.
Can I get pregnant after bilateral salpingectomy?
Pregnancy is not possible after bilateral salpingectomy because both fallopian tubes, which carry the egg from the ovary to the uterus, have been removed.
However, if the uterus is preserved, in vitro fertilization (IVF) using donor eggs or previously retrieved eggs may still be an option, as stated by ASRM.
Can 58661 and 58662 be billed together?
Codes 58661 and 58662 generally cannot be billed together for the same anatomical side due to bundling edits.
But if one ovary is removed (58661) and a cyst is aspirated on the opposite side (58662), with modifiers (-RT and -LT), separate billing may be allowed by some payers. (Always verify with the specific payer policy, as advised by AAPC.)
What is used for stitching in laparoscopy?
Laparoscopic incisions are typically closed using absorbable sutures, surgical clips, or adhesive tape depending on tissue depth and surgeon preference.
Monofilament sutures like polydioxanone (PDS) are commonly used for deeper layers, while skin may be closed with subcuticular stitches or Dermabond. Staples are rarely used in laparoscopic port sites, per SAGES guidelines.
What is the CPT code for laparoscopy?
The primary CPT codes for laparoscopy are 49320 (diagnostic) and 58570–58672 (surgical), depending on the specific procedure performed.
Diagnostic laparoscopy (CPT 49320) is used when no therapeutic intervention is performed. Surgical laparoscopy codes (like 58661) include therapeutic procedures such as salpingectomy, as defined by the AMA CPT Manual.
