CPT® Code 58615

The procedure described by CPT® Code 58615 involves the occlusion of the fallopian tubes using a device such as a band, clip, or Falope ring. This procedure can be performed through either a vaginal or suprapubic approach, which are two distinct surgical techniques used to access the fallopian tubes. In the vaginal approach, the surgeon makes an incision in the posterior fornix of the vagina to reach the posterior cul-de-sac, allowing for direct access to the fallopian tubes. The fallopian tube is then identified and grasped in its mid-portion with forceps, after which the occlusion device is applied around the tube. This process is typically repeated on the opposite fallopian tube if necessary. Alternatively, in the suprapubic approach, a small incision is made just above the pubic bone. The surgeon locates the fimbriated end of the fallopian tube, which is identifiable by the adjacent round ligament. Similar to the vaginal approach, the mid-portion of the fallopian tube is grasped with forceps, and the occlusion device is placed around it. This method is also repeated on the contralateral side as needed. The occlusion of the fallopian tubes is a form of permanent contraception, effectively preventing the passage of eggs from the ovaries to the uterus.