CPT® Code 58565

The procedure described by CPT® Code 58565 involves a surgical hysteroscopy that is specifically performed to achieve bilateral fallopian tube cannulation. This technique is utilized to induce occlusion of the fallopian tubes through the placement of permanent implants, which is a method commonly employed in elective sterilization procedures. During this surgical intervention, the physician first conducts a thorough pelvic examination to assess the patient's anatomy and condition. Following this examination, a speculum is inserted into the vagina to provide visibility and access to the cervix. A single-toothed tenaculum is then applied to the anterior lip of the cervix to stabilize it during the procedure. The next step involves dilating the cervix to allow for the introduction of the hysteroscope, a specialized instrument equipped with a camera and light source that enables the physician to visualize the uterine cavity. Once the hysteroscope is in place, the physician examines the uterine cavity and evaluates the openings of the fallopian tubes. The procedure continues with the cannulation of the first fallopian tube, where a small insert is placed to occlude the tube, effectively preventing the passage of sperm and eggs. This process is then mirrored on the contralateral side, ensuring that both fallopian tubes are occluded. After the completion of the cannulation, the hysteroscope and tenaculum are carefully removed, and any bleeding from the cervix is addressed to ensure patient safety and comfort. This procedure is significant for individuals seeking permanent contraception and is performed under sterile conditions to minimize the risk of complications.