Medical Coding

Category - 50,000 Series

A postpartum woman decides to have her tubes tied. She opts to wait until six weeks postpartum to have this procedure performed because she had a rough delivery. What is the correct CPT code for a bilateral tubal ligation when not performed at the same time as the postpartum hospitalization?
  1. 58600
  2. 58605
  3. 58611
Explanation
Answer: A - 58600 is the correct answer for the ligation or transection of fallopian tube(s), using the abdominal or vaginal approach and either providing a unilateral or bilateral ligation.
Code 58605 is incorrect because this code is for this procedure when done during the postpartum hospitalization. Code 58611 is incorrect because this is an “add-on” code to a cesarean delivery or other intra-abdominal surgery visit. Code 58615 is incorrect because this is the code for occlusion of the fallopian tubes by device (band, clip, Falope ring) using a vaginal or suprapubic approach.
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