58670 Laparoscopy, surgical; with fulguration of oviducts (with or without transection) With the assistance of a fiber optic laparoscope, the physician performs laparoscopic electrical cautery destruction of an oviduct with or without completely cutting through the fallopian tubes.
ICD-9-CM Vol. 3 Procedure Codes - 54.21 - Laparoscopy. Code Information. 54.21 - Laparoscopy. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
A. The correct codes are 58661 and 49321-51. Code 58661 describes partial or total oophorectomy and/or salpingectomy. If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also.
With the assistance of a fiber optic laparoscope, the physician performs laparoscopic electrical cautery destruction of an oviduct with or without completely cutting through the fallopian tubes.
To fulgurate the fallopian tubes, the physician inserts an electric cautery tool or a laser through a third incision adjacent to the fallopian tubes.
58671 Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope rings) The physician may first insert an instrument through the vagina to grasp the cervix and to manipulate the uterus during surgery.
A third incision typically is made adjacent to the fallopian tubes and the devices (Silastic bands, clips, or Falope rings) are applied to the tubes.
According to the American Medical Association’s (AMA’s) guidelines, any code designated in CPT ® as a “separate procedure” is usually a component of a more complex service or an integral component of another procedure.
Such procedures are not reported separately when performed with other procedures and services in an anatomically-related area (e.g., same skin incision, same orifice, or same surgical approach). It is appropriate to report a code identified as a separate procedure if performed alone, however.