CPT® Code 0568T

Code Deleted. See 58999.

Official Description

Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound

Common Language Description

The procedure described by CPT® Code 0568T involves the introduction of a mixture of saline and air for sonosalpingography, which is a specialized ultrasound technique used to assess the patency of the fallopian tubes. This procedure is typically performed transcervically, meaning that it is conducted through the cervix. The primary goal of this test is to confirm whether the fallopian tubes are occluded, which is particularly relevant following a biopolymer fallopian sterilization procedure. During the sonosalpingography, a transvaginal ultrasound is utilized to visualize the internal reproductive structures, including the uterus and fallopian tubes. The process begins with the placement of a vaginal ultrasound probe to obtain baseline images. Following this, a catheter is inserted through the cervix into the uterus, allowing for the instillation of sterile saline and air. This mixture is essential for creating a clear view of the fallopian tubes during the ultrasound. The procedure is carefully documented with permanent images, ensuring that the physician can review the results accurately. After the saline and air mixture is introduced, the vaginal probe is removed, and a pelvic ultrasound is performed to evaluate the overall condition of the uterus, cervix, ovaries, and fallopian tubes, identifying any potential abnormalities. The physician then reviews all ultrasound images and provides a comprehensive written interpretation of the findings, which is crucial for determining the success of the sterilization procedure and the health of the reproductive system.

1. Indications

The procedure described by CPT® Code 0568T is indicated for the following conditions:

Confirmation of Fallopian Tube Occlusion This procedure is performed to verify the occlusion of the fallopian tubes, particularly after a biopolymer fallopian sterilization procedure.

2. Procedure

The sonosalpingography procedure involves several key steps to ensure accurate assessment of the fallopian tubes.

Step 1: Baseline Transvaginal Ultrasound Initially, a transvaginal ultrasound probe is inserted to obtain baseline images of the reproductive organs. This step is crucial for establishing a reference point before the introduction of saline and air.
Step 2: Catheter Insertion After the baseline images are captured, the vaginal probe is removed, and a catheter is carefully inserted through the cervix into the uterus. This catheter is essential for delivering the saline and air mixture directly into the uterine cavity.
Step 3: Instillation of Saline and Air The vaginal probe is then reinserted, and the physician instills a mixture of sterile saline and air into the uterus. This mixture is visualized during the ultrasound to confirm the closure of the fallopian tubes, allowing for real-time assessment of their patency.
Step 4: Permanent Image Documentation Throughout the procedure, permanent image documentation is obtained to ensure that there is a reliable record of the findings. This documentation is critical for later review and interpretation.
Step 5: Pelvic Ultrasound Following the instillation, the catheter and vaginal probe are withdrawn, and a pelvic ultrasound is performed. This step evaluates the uterus, cervix, ovaries, and fallopian tubes for any abnormalities, providing a comprehensive assessment of the reproductive system.
Step 6: Review and Interpretation Finally, the physician reviews all ultrasound images obtained during the procedure and provides a written interpretation of the findings, which is essential for determining the success of the procedure and any further clinical implications.

3. Post-Procedure

After the completion of the sonosalpingography, patients may be monitored for any immediate post-procedure effects. It is important to assess for any discomfort or complications that may arise. The physician will typically provide instructions regarding follow-up care and any necessary evaluations based on the ultrasound findings. Patients may be advised to report any unusual symptoms or concerns following the procedure. The results of the ultrasound will be discussed with the patient, and further management options will be considered based on the interpretation of the images.

Short Descr	INTRO MIX SALINE&AIR F/SSG
Medium Descr	INTRO MIX SALINE&AIR F/SSG CONF OCCLS FLP TUBE
Long Descr	Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound
Status Code	Carriers Price the Code
Global Days	YYY - Carrier Determines Whether Global Concept Applies
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Non-Covered Service, not paid under OPPS
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.