Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
Chromotubation of the oviduct is a medical procedure that involves the introduction of a dye into the uterine cavity to assess the patency of the fallopian tubes. This procedure is essential for evaluating the reproductive health of individuals, particularly in the context of infertility investigations. During chromotubation, the dye is carefully observed as it travels through the fallopian tubes and spills into the peritoneal cavity, providing critical information about the condition of the tubes. The procedure not only helps in determining whether the tubes are open or blocked but also allows for the assessment of the pelvic cavity for any abnormalities. Additionally, chromotubation can aid in identifying peritubal adhesions, which are bands of scar tissue that can affect fertility, as well as the presence of endometriosis, a condition where tissue similar to the lining inside the uterus grows outside of it. Overall, chromotubation serves as a valuable diagnostic tool in reproductive medicine, offering insights into potential causes of infertility and guiding further treatment options.
© Copyright 2026 Coding Ahead. All rights reserved.
Chromotubation of the oviduct is indicated for several specific conditions and evaluations related to female reproductive health. The following are the primary indications for performing this procedure:
The chromotubation procedure involves several key steps that are performed to ensure accurate evaluation of the fallopian tubes and pelvic cavity. The following outlines the procedural steps:
Following the chromotubation procedure, patients are typically advised to rest for a short period. It is common to experience mild cramping or discomfort, which usually resolves quickly. Patients may be instructed to monitor for any unusual symptoms, such as severe pain or heavy bleeding, and to report these to their healthcare provider. Follow-up appointments may be scheduled to discuss the results of the procedure and any further steps that may be necessary based on the findings. Overall, the recovery process is generally straightforward, and most patients can resume normal activities within a day or two.
| Short Descr | REOPEN FALLOPIAN TUBE | Medium Descr | CHROMOTUBATION OVIDUCT W/MATERIALS | Long Descr | Chromotubation of oviduct, including materials | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 123 - Other operations on fallopian tubes |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | KT | Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Guideline information changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.