Find policies, billing codes, payers, states, and providers

CPT 58600: Ligation or Transection of Fallopian Tubes for Sterilization

CPT code 58600 covers the surgical ligation or transection of one or both fallopian tubes via an abdominal or vaginal approach. As a common permanent female sterilization procedure, this code represents an important category of reproductive surgical services with implications for surgical practice patterns, outpatient surgical capacity, and payer coverage policies nationwide. The code is used across inpatient and outpatient surgical settings, including hospital operating rooms and ambulatory surgery centers.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for tubal ligation procedures, typical sites of service, and the coding definition for 58600. The publication summarizes national benchmarks where available, highlights relevant payer coverage considerations and policy trends, and explains how 58600 fits within broader reproductive health service lines. Data limitations: Data not available in the input.

This resource is intended for billing managers, surgical coders, and policy analysts seeking a clear, national-level reference for CPT code 58600 and its clinical and administrative context.

Customize your policy alerts

Sign up for cpt 58600 policy alerts

Get alerted when payer policies referencing 58600 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 58600 describes surgical ligation or transection of one or both fallopian tubes to prevent future pregnancy. The procedure may be performed through an abdominal or vaginal approach and involves tying off or cutting the fallopian tubes to achieve sterilization.

Service type: Surgical sterilization (female tubal surgery)

Typical site of service: Hospital operating room, ambulatory surgery center, or outpatient surgical suite

Explore openpayer tools

View all tools

Find policies, billing codes, payers, states, and providers

CPT 58600: Ligation or Transection of Fallopian Tubes for Sterilization

This resource is intended for billing managers, surgical coders, and policy analysts seeking a clear, national-level reference for CPT code 58600 and its clinical and administrative context.

Customize your policy alerts

Sign up for cpt 58600 policy alerts

Get alerted when payer policies referencing 58600 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Surgical sterilization (female tubal surgery)

Typical site of service: Hospital operating room, ambulatory surgery center, or outpatient surgical suite

Clinical & Coding Specifications

Clinical Context

A typically insured 32-year-old woman with completed childbearing elects permanent sterilization. She presents to the ambulatory surgery center after counseling and informed consent. Preoperative evaluation confirms no contraindications; pregnancy test is negative. The procedure is performed under general anesthesia via a laparoscopic abdominal approach for bilateral tubal ligation using bipolar electrocautery and clips. The clinical workflow includes preoperative counseling and consent, anesthesia evaluation, operative tubal ligation (58600) with hemostasis and wound closure, post-anesthesia recovery, and discharge with postoperative instructions. Common perioperative elements include time out, surgical count, prophylactic antibiotics as indicated, postoperative pain management, and documentation of counseling regarding permanence and alternative contraception options.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier; standard practice	Apply when no specific modifier applies and billing is for the primary procedure.
`51`	Multiple procedures	When `58600` is billed with additional separate procedures performed in the same operative session.
`52`	Reduced services	When the tubal ligation is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	If the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	When an unrelated, separate procedure is performed in a different anatomical site or session.
`62`	Two surgeons	When a second surgeon is required due to complexity or comorbidity.
`63`	Procedure performed on infants less than 4 kg	Rarely applicable; used for neonatal cases meeting weight criteria.
`78`	Return to operating room for a related procedure during global period	If the patient returns to OR for a complication of the tubal ligation within the global period.
`79`	Unrelated procedure or service (Note: not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services in assistant-at-surgery capacity	When an assistant-at-surgery is billed for the procedure.
`26`	Professional component	Use if billing an interpretation or professional portion separate from technical component (rare for this procedure).
`22`	Increased procedural services	If documented work or complexity substantially exceeds typical for `58600`.
`23`	Unusual anesthesia	If performed under general anesthesia when local/regional is typical and documentation supports it.
`59`	Distinct procedural service	See above; used to indicate distinct procedures performed at the same session.

Taxonomy Code	Specialty	Notes
`2084P0400X`	Obstetrics & Gynecology	Most common specialty performing tubal ligation.
`207V00000X`	General Surgery	General surgeons perform abdominal approaches when gynecologic surgeon not available.
`363L00000X`	Family Medicine	Family physicians with procedural training may perform tubal ligation in some settings.
`207L00000X`	Surgical Oncology	Occasionally involved when combined with abdominal surgery for other indications.
`363A00000X`	Advanced Practice Registered Nurse	May assist or provide pre/postoperative care; not primary surgeon.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z30.2`	Encounter for sterilization	Primary diagnosis code indicating encounter for tubal ligation.
`Z30.9`	Encounter for contraceptive management, unspecified	Used when counseling or contraceptive management is provided in conjunction with sterilization.
`Z31.5`	Encounter for procreative management, received sterilization counseling	Used when preoperative counseling regarding sterilization is documented.
`Z98.890`	Other specified postprocedural states	Used when documenting history of prior sterilization or related surgical history when relevant to care.
`O03.9`	Spontaneous abortion, unspecified (Note: pregnancy complications context)	May be relevant if sterilization counseling occurs after pregnancy loss; use only when clinically appropriate.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58662`	Laparoscopy, surgical; with removal of adnexal structures	Performed if salpingectomy or removal of fallopian tube is indicated instead of simple ligation.
`58611`	Laparoscopy, surgical; with lysis of adhesions (salpingostomy not included)	May be performed if adhesions are present and require lysis to access tubes prior to ligation.
`49000`	Exploration, peritoneal cavity, for traumatic injury; open	May be relevant if tubal ligation is performed during an open abdominal procedure.
`54150`	Vasectomy; bilateral, office or outpatient	Not directly related but analogous sterilization procedure for male partners in counseling or concurrent family planning discussions.
`58700`	Removal of intrauterine device (IUD) (separate procedure)	May be performed in the same episode of care if an IUD removal is indicated prior to sterilization.

CPT 58605: Postpartum Tubal Ligation, Separate Procedure

CPT-58611-TUBAL-LIGATION-AT-CESAREAN-DELIVERY

CPT 58611: Tubal Ligation at Time of Cesarean Delivery

CPT-58615-TUBAL-OCCLUSION-DEVICE-VAGINAL-OR-SUPRAPUBIC-APPROACH

CPT 58615: Tubal Occlusion with Device, Vaginal or Suprapubic Approach

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier; standard practice	Apply when no specific modifier applies and billing is for the primary procedure.
`51`	Multiple procedures	When `58600` is billed with additional separate procedures performed in the same operative session.
`52`	Reduced services	When the tubal ligation is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	If the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	When an unrelated, separate procedure is performed in a different anatomical site or session.
`62`	Two surgeons	When a second surgeon is required due to complexity or comorbidity.
`63`	Procedure performed on infants less than 4 kg	Rarely applicable; used for neonatal cases meeting weight criteria.
`78`	Return to operating room for a related procedure during global period	If the patient returns to OR for a complication of the tubal ligation within the global period.
`79`	Unrelated procedure or service (Note: not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services in assistant-at-surgery capacity	When an assistant-at-surgery is billed for the procedure.
`26`	Professional component	Use if billing an interpretation or professional portion separate from technical component (rare for this procedure).
`22`	Increased procedural services	If documented work or complexity substantially exceeds typical for `58600`.
`23`	Unusual anesthesia	If performed under general anesthesia when local/regional is typical and documentation supports it.
`59`	Distinct procedural service	See above; used to indicate distinct procedures performed at the same session.

Taxonomy Code	Specialty	Notes
`2084P0400X`	Obstetrics & Gynecology	Most common specialty performing tubal ligation.
`207V00000X`	General Surgery	General surgeons perform abdominal approaches when gynecologic surgeon not available.
`363L00000X`	Family Medicine	Family physicians with procedural training may perform tubal ligation in some settings.
`207L00000X`	Surgical Oncology	Occasionally involved when combined with abdominal surgery for other indications.
`363A00000X`	Advanced Practice Registered Nurse	May assist or provide pre/postoperative care; not primary surgeon.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z30.2`	Encounter for sterilization	Primary diagnosis code indicating encounter for tubal ligation.
`Z30.9`	Encounter for contraceptive management, unspecified	Used when counseling or contraceptive management is provided in conjunction with sterilization.
`Z31.5`	Encounter for procreative management, received sterilization counseling	Used when preoperative counseling regarding sterilization is documented.
`Z98.890`	Other specified postprocedural states	Used when documenting history of prior sterilization or related surgical history when relevant to care.
`O03.9`	Spontaneous abortion, unspecified (Note: pregnancy complications context)	May be relevant if sterilization counseling occurs after pregnancy loss; use only when clinically appropriate.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58662`	Laparoscopy, surgical; with removal of adnexal structures	Performed if salpingectomy or removal of fallopian tube is indicated instead of simple ligation.
`58611`	Laparoscopy, surgical; with lysis of adhesions (salpingostomy not included)	May be performed if adhesions are present and require lysis to access tubes prior to ligation.
`49000`	Exploration, peritoneal cavity, for traumatic injury; open	May be relevant if tubal ligation is performed during an open abdominal procedure.
`54150`	Vasectomy; bilateral, office or outpatient	Not directly related but analogous sterilization procedure for male partners in counseling or concurrent family planning discussions.
`58700`	Removal of intrauterine device (IUD) (separate procedure)	May be performed in the same episode of care if an IUD removal is indicated prior to sterilization.

CPT 58605: Postpartum Tubal Ligation, Separate Procedure

CPT-58611-TUBAL-LIGATION-AT-CESAREAN-DELIVERY

CPT 58611: Tubal Ligation at Time of Cesarean Delivery

CPT-58615-TUBAL-OCCLUSION-DEVICE-VAGINAL-OR-SUPRAPUBIC-APPROACH

CPT 58615: Tubal Occlusion with Device, Vaginal or Suprapubic Approach

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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 58600: Ligation or Transection of Fallopian Tubes for Sterilization

Sign up for cpt 58600 policy alerts

Billing Code Overview

OpenPayer

CPT 58600: Ligation or Transection of Fallopian Tubes for Sterilization

Sign up for cpt 58600 policy alerts

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