CPT® Code 58700

The CPT® Code 58700 refers to a surgical procedure known as salpingectomy, which can be either complete or partial and may be performed unilaterally (on one side) or bilaterally (on both sides). This procedure involves the surgical removal of the fallopian tubes, which are the structures that connect the ovaries to the uterus and play a crucial role in female reproductive health. The operation begins with an incision in the abdomen, allowing the surgeon to access the fallopian tubes. A clamp is applied to the fallopian tube at the tubouterine junction, which is the area where the fallopian tube connects to the uterus, facilitating the mobilization of the tube for removal. The broad ligament, which supports the uterus and contains blood vessels, is then exposed and clamped at its superior aspect before being incised to free the upper portion of the fallopian tube. After this, the broad ligament is repaired using mattress sutures to ensure proper healing. An elliptical incision is made around the base of the fallopian tube at its insertion point into the uterus, and dissection is carried down through the muscle layer of the uterus. The fallopian tube is then severed from the uterus and removed, followed by the repair of the uterine incision. If a bilateral salpingectomy is indicated, the same procedure is repeated on the opposite side. This procedure is classified as a separate procedure, meaning it is distinct from other surgical interventions that may be performed concurrently.