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The CPT® Code 58611 refers to the surgical procedure of ligation or transection of the fallopian tubes, specifically when this procedure is performed concurrently with a cesarean delivery or another intra-abdominal surgical operation. This code is categorized as an add-on service, meaning it is not billed as a standalone procedure but rather in conjunction with a primary surgical procedure. The fallopian tubes, which are essential components of the female reproductive system, are accessed through an abdominal incision, allowing the surgeon to expose and manipulate them directly. The procedure involves identifying the fallopian tubes, typically by locating the fimbriated end, and then performing a ligation, which involves tying off the tubes to prevent future pregnancies. In some cases, a transection may also be performed, which involves cutting the tubes. This procedure can also be executed via a vaginal approach, although this method is less common. The use of this code is critical for accurate medical billing and coding, ensuring that healthcare providers are appropriately reimbursed for the surgical services rendered during cesarean deliveries or other related surgeries.
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The procedure associated with CPT® Code 58611 is indicated for the following conditions:
The procedure for CPT® Code 58611 involves several key steps, which are detailed as follows:
Post-procedure care for patients who have undergone the ligation or transection of fallopian tubes includes monitoring for any immediate complications related to the surgical site, such as infection or excessive bleeding. Patients are typically advised to follow up with their healthcare provider to ensure proper healing and to discuss any concerns regarding recovery. It is also important for patients to understand that this procedure is intended as a permanent form of contraception, and they should be counseled on the implications of this decision. Recovery time may vary depending on the individual and the complexity of the surgical procedure performed concurrently.
| Short Descr | LIGATE OVIDUCT(S) ADD-ON | Medium Descr | LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG | Long Descr | Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | 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) | 2 - Payment restriction for assistants at surgery does not apply 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 | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 121 - Ligation of 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). | 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). | 81 | Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number. | 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). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | FP | Service provided as part of family planning program | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | LT | Left side (used to identify procedures performed on the left side of the body) | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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