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CPT 58345: Transcervical Tubal Catheterization for Infertility

CPT code 58345 denotes transcervical tubal catheterization used to diagnose and treat fallopian tube obstruction in infertility care. Nationally, this procedure is an important minimally invasive option that can restore tubal patency without laparotomy, reduce time to conception for selected patients, and interface with assisted reproductive services. Payers commonly covering this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

This publication provides a concise synthesis of clinical context, payer coverage considerations, and operational benchmarks for CPT code 58345. Readers will find a description of the procedure and its typical facility settings, common billing modifiers and coding considerations, and an outline of what to expect from major payers regarding coverage and prior authorization practices. The summary also highlights where policy updates or variations in coverage may affect billing workflows and referral patterns. Data not available in the input for specific reimbursement rates or regional utilization is noted as unavailable.

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Billing Code Overview

CPT code 58345 describes a transcervical fallopian tube catheterization performed to diagnose and treat tubal occlusion as a cause of infertility. The procedure involves introducing a catheter through the cervix into the fallopian tube, often with injection of contrast material and fluoroscopic imaging (a hysterosalpingogram) to evaluate and clear blockages.

Service type: Diagnostic and therapeutic tubal catheterization for infertility
Typical site of service: Outpatient radiology or ambulatory surgical center with fluoroscopy capabilities

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CPT 58345: Transcervical Tubal Catheterization for Infertility

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Get alerted when payer policies referencing 58345 are released or updated.

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Billing Code Overview

Service type: Diagnostic and therapeutic tubal catheterization for infertility
Typical site of service: Outpatient radiology or ambulatory surgical center with fluoroscopy capabilities

Clinical & Coding Specifications

Clinical Context

A 33-year-old woman with 18 months of infertility, regular menses, and no prior pelvic surgery is scheduled for fallopian tube catheterization with hysterosalpingography guidance to evaluate and potentially clear proximal tubal occlusion. The patient presents to the outpatient radiology suite or ambulatory surgery center after pre-procedure counseling and informed consent. Intravenous access is established; a pelvic speculum exam and cervical cleansing are performed. A transcervical catheter is introduced through the cervical canal into the uterine cavity, and contrast material is injected under fluoroscopy to outline the uterine cavity and fallopian tubes. Images are obtained (hysterosalpingogram). If a proximal tubal blockage is identified, gentle pressure or selective tubal catheterization with microcatheters may be performed to attempt recanalization and clear the obstruction. Post-procedure, the patient is observed for allergic reaction, bleeding, or pelvic pain and discharged with post-procedure instructions.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier/unspecified	Data not typically used as a distinct CMS modifier; not commonly appended to claims
`11`	Office or other outpatient evaluation and management performed by the billing provider	When an E/M visit relevant to the procedure is billed by the same provider on the same day and documentation supports the visit
`22`	Unusual procedural services	When work or complexity of the procedure is substantially greater than typical and documentation supports increased work
`23`	Unusual anesthesia (local/triggering)	When medically necessary anesthesia is provided for circumstances that ordinarily do not require it
`26`	Professional component	When separate billing for the physician’s interpretation of imaging is required (technical component billed by facility)
`50`	Bilateral procedure	When the procedure is performed bilaterally and payer allows bilateral reporting for this service
`51`	Multiple procedures	When this procedure is performed with other distinct procedures on the same day and payer requires multiple-procedure modifier
`52`	Reduced services	When the service is partially reduced or not completed as documented
`59`	Distinct procedural service	When a separate, distinct service or session is performed that is not normally billed together with the primary procedure
`76`	Repeat procedure by same physician (Note: not in raw list)	Data not available in the input.

Taxonomy Code	Specialty	Notes
207Q00000X	Reproductive Endocrinology / Infertility	Specialists who manage infertility and perform or coordinate tubal evaluation and treatment
208D00000X	Obstetrics & Gynecology	Commonly perform hysterosalpingography referrals, tubal catheterization may be performed by gynecologists
2086S0102X	Radiology – Diagnostic	Interpreting fluoroscopic imaging and performing image-guided tubal catheterization in radiology suite

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N97.9`	Female infertility, unspecified	Common indication for hysterosalpingography and tubal evaluation
`N97.0`	Female infertility due to anovulation	Part of infertility workup; tubal patency assessment complements ovulatory evaluation
`N97.8`	Female infertility, other specified	Covers other infertility causes prompting tubal assessment
`N89.8`	Other specified noninflammatory disorders of the cervix	Cervical factors may require attention during transcervical catheter placement
`N80.0`	Endometriosis of uterus	Endometriosis is associated with tubal disease and infertility, prompting evaluation

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58345`	Hysterosalpingography with fallopian tube catheterization, with or without injection of contrast material and radiologic supervision and interpretation	Primary procedure: transcervical catheterization of the tube to diagnose and attempt to clear blockages
`59070`	Fetal non-stress test (Data not typically related)	Data not available in the input.
`76942`	Ultrasound guidance for needle placement	May be used adjunctively for guidance during selective tubal catheterization in some settings
`71045`	Radiologic examination, chest; single view (Data not typically related)	Data not available in the input.

CPT 58300: Contraceptive Intrauterine Device (IUD) Placement

CPT-58301-IUD-REMOVAL

CPT 58301: Removal of Contraceptive Intrauterine Device (IUD)

CPT-58321-INTRACERVICAL-INSEMINATION-PREPARED-SPERM

CPT 58321: Intra-cervical Insemination with Prepared Sperm

CPT-58322-INTRAUTERINE-INSEMINATION-IUI-INSERTION-OF-PREPARED-SPERM

CPT 58322: Intrauterine Insemination (Insertion of Prepared Sperm)

CPT-58323-SPERM-PREPARATION-FOR-INSEMINATION

CPT 58323: Sperm Preparation for Insemination

CPT-58340-UTERINE-FALLOPIAN-TUBE-CONTRAST-OR-SALINE-CATHETERIZATION

CPT 58340: Uterine and Fallopian Tube Catheterization with Saline or Contrast

CPT-58346-HEYMAN-CAPSULE-UTERINE-BRACHYTHERAPY-INSERTION

CPT 58346: Heyman Capsule Insertion for Uterine Brachytherapy

CPT-58350-CHROMOTUBATION-FALLOPIAN-TUBE-PATENCY-ASSESSMENT

CPT 58350: Chromotubation for Fallopian Tube Patency Assessment

CPT-58353-THERMAL-ENDOMETRIAL-ABLATION-WITHOUT-HYSTEROSCOPY

CPT 58353: Thermal Endometrial Ablation Without Hysteroscopy

CPT-58356-ENDOMETRIAL-CRYOABLATION-UTERINE-BLEEDING

CPT 58356: Endometrial Cryoablation for Abnormal Uterine Bleeding

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier/unspecified	Data not typically used as a distinct CMS modifier; not commonly appended to claims
`11`	Office or other outpatient evaluation and management performed by the billing provider	When an E/M visit relevant to the procedure is billed by the same provider on the same day and documentation supports the visit
`22`	Unusual procedural services	When work or complexity of the procedure is substantially greater than typical and documentation supports increased work
`23`	Unusual anesthesia (local/triggering)	When medically necessary anesthesia is provided for circumstances that ordinarily do not require it
`26`	Professional component	When separate billing for the physician’s interpretation of imaging is required (technical component billed by facility)
`50`	Bilateral procedure	When the procedure is performed bilaterally and payer allows bilateral reporting for this service
`51`	Multiple procedures	When this procedure is performed with other distinct procedures on the same day and payer requires multiple-procedure modifier
`52`	Reduced services	When the service is partially reduced or not completed as documented
`59`	Distinct procedural service	When a separate, distinct service or session is performed that is not normally billed together with the primary procedure
`76`	Repeat procedure by same physician (Note: not in raw list)	Data not available in the input.

Taxonomy Code	Specialty	Notes
207Q00000X	Reproductive Endocrinology / Infertility	Specialists who manage infertility and perform or coordinate tubal evaluation and treatment
208D00000X	Obstetrics & Gynecology	Commonly perform hysterosalpingography referrals, tubal catheterization may be performed by gynecologists
2086S0102X	Radiology – Diagnostic	Interpreting fluoroscopic imaging and performing image-guided tubal catheterization in radiology suite

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N97.9`	Female infertility, unspecified	Common indication for hysterosalpingography and tubal evaluation
`N97.0`	Female infertility due to anovulation	Part of infertility workup; tubal patency assessment complements ovulatory evaluation
`N97.8`	Female infertility, other specified	Covers other infertility causes prompting tubal assessment
`N89.8`	Other specified noninflammatory disorders of the cervix	Cervical factors may require attention during transcervical catheter placement
`N80.0`	Endometriosis of uterus	Endometriosis is associated with tubal disease and infertility, prompting evaluation

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58345`	Hysterosalpingography with fallopian tube catheterization, with or without injection of contrast material and radiologic supervision and interpretation	Primary procedure: transcervical catheterization of the tube to diagnose and attempt to clear blockages
`59070`	Fetal non-stress test (Data not typically related)	Data not available in the input.
`76942`	Ultrasound guidance for needle placement	May be used adjunctively for guidance during selective tubal catheterization in some settings
`71045`	Radiologic examination, chest; single view (Data not typically related)	Data not available in the input.

CPT 58300: Contraceptive Intrauterine Device (IUD) Placement

CPT-58301-IUD-REMOVAL

CPT 58301: Removal of Contraceptive Intrauterine Device (IUD)

CPT-58321-INTRACERVICAL-INSEMINATION-PREPARED-SPERM

CPT 58321: Intra-cervical Insemination with Prepared Sperm

CPT-58322-INTRAUTERINE-INSEMINATION-IUI-INSERTION-OF-PREPARED-SPERM

CPT 58322: Intrauterine Insemination (Insertion of Prepared Sperm)

CPT-58323-SPERM-PREPARATION-FOR-INSEMINATION

CPT 58323: Sperm Preparation for Insemination

CPT-58340-UTERINE-FALLOPIAN-TUBE-CONTRAST-OR-SALINE-CATHETERIZATION

CPT 58340: Uterine and Fallopian Tube Catheterization with Saline or Contrast

CPT-58346-HEYMAN-CAPSULE-UTERINE-BRACHYTHERAPY-INSERTION

CPT 58346: Heyman Capsule Insertion for Uterine Brachytherapy

CPT-58350-CHROMOTUBATION-FALLOPIAN-TUBE-PATENCY-ASSESSMENT

CPT 58350: Chromotubation for Fallopian Tube Patency Assessment

CPT-58353-THERMAL-ENDOMETRIAL-ABLATION-WITHOUT-HYSTEROSCOPY

CPT 58353: Thermal Endometrial Ablation Without Hysteroscopy

CPT-58356-ENDOMETRIAL-CRYOABLATION-UTERINE-BLEEDING

CPT 58356: Endometrial Cryoablation for Abnormal Uterine Bleeding

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 58345: Transcervical Tubal Catheterization for Infertility

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Billing Code Overview

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CPT 58345: Transcervical Tubal Catheterization for Infertility

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 58345: Transcervical Tubal Catheterization for Infertility

Sign up for cpt 58345 policy alerts

Billing Code Overview

CPT 58345: Transcervical Tubal Catheterization for Infertility

Sign up for cpt 58345 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure does CPT 58345 describe and where is it typically performed?

Which billing modifiers are commonly associated with CPT 58345 and when are they used?

Are there related CPT codes or adjunctive procedures I should be aware of when billing 58345?

What diagnosis codes are commonly associated with CPT 58345?

Which payers commonly cover CPT 58345 and does the page provide payer-specific authorization details?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure does CPT 58345 describe and where is it typically performed?

Which billing modifiers are commonly associated with CPT 58345 and when are they used?

Are there related CPT codes or adjunctive procedures I should be aware of when billing 58345?

What diagnosis codes are commonly associated with CPT 58345?

Which payers commonly cover CPT 58345 and does the page provide payer-specific authorization details?

References