Summary & Overview

CPT 58611: Tubal Ligation at Time of Cesarean Delivery

CPT code 58611 represents intraoperative tubal interruption (ligation or occlusion) performed immediately after a cesarean delivery and reported as an add-on to the primary cesarean procedure. This code captures a common permanent sterilization method offered when a planned or opportunistic postpartum sterilization is desired during cesarean delivery. Nationally, accurate use of this code matters for quality reporting, appropriate surgical coding, and clarity in peripartum care billing.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the service, guidance on typical sites of service, and common coding practice considerations. The publication outlines payer coverage patterns and benchmarks where available, highlights relevant policy updates affecting add-on obstetric procedures, and summarizes implications for billing workflows and documentation. Data not available in the input is noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare58611CPTcesarean deliverytubal ligationobstetricsintraoperative sterilizationadd-on codesurgical codinghospital services

Billing Code Overview

CPT code 58611 describes tubal interruption performed immediately after a cesarean delivery. After the provider delivers the baby via a cesarean incision and closes the uterine incision, the provider ties off or incises one or both fallopian tubes to prevent future pregnancy. This is reported as an add-on procedure in addition to the primary cesarean delivery procedure.

Service type: Intraoperative sterilization (tubal ligation) performed at the time of cesarean delivery
Typical site of service: Hospital operating room during cesarean delivery

Clinical & Coding Specifications

Clinical Context

A 32-year-old G2P1 patient undergoes a planned low transverse cesarean delivery for repeat cesarean delivery at 39 weeks. After delivery of the neonate and closure of the uterine incision, the obstetric surgeon performs bilateral tubal ligation via postpartum sterilization through the same abdominal incision to provide permanent contraception. The workflow includes preoperative consent specific to sterilization, documentation of informed consent and counseling, verification of eligibility and waiting period per federal regulations if applicable, delivery via cesarean section, closure of the uterine incision, performance of the tubal occlusion (ligation or partial salpingectomy), and documentation that the tubal procedure was performed in addition to the primary cesarean delivery. The add-on procedure is reported with 58611 appended to the cesarean delivery primary CPT code. Typical site of service is an inpatient hospital labor and delivery or operating room. Typical providers are obstetrician-gynecologists in hospital-based maternity units.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially exceeds usual for the combined cesarean delivery and tubal ligation.

Taxonomy Code	Specialty	Notes
`207V00000X`	Obstetrics & Gynecology	Primary specialty performing cesarean delivery and postpartum tubal ligation.
`207VR0400X`	Obstetrics	Focused on labor and delivery; commonly performs cesarean delivery and immediate sterilization.
`207RH0005X`	Reproductive Endocrinology	Less commonly performs sterilization at time of cesarean but involved in sterilization counseling in some systems.
`2080P0002X`	General Surgery	May perform tubal occlusion in certain settings, though uncommon for cesarean-associated sterilization.

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`59514`	Cesarean delivery only; including postpartum care	Primary procedure code for cesarean delivery during which `58611` is reported as an add-on for tubal ligation.
`58600`	Ligation or transection of fallopian tube(s) (for sterilization)	Vaginal or abdominal tubal ligation code; `58611` is the add-on when tubal occlusion is performed at the time of cesarean after uterine closure.
`57267`	Laparoscopy, surgical; tubal ligation (for example, clip or band)	Alternative approach for sterilization; not typically used when sterilization is performed through cesarean incision but relevant in workflow when performed separately.
`58605`	Laparoscopic ligation of fallopian tubes; with fulguration	Represents laparoscopic techniques for sterilization performed separately from cesarean delivery.
`59409`	Vaginal delivery only (with postpartum care)	Included to show context of delivery-related sterilization when cesarean is not performed; `58611` specifically pairs with cesarean codes.

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