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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.

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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

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CPT 58611: Tubal Ligation at Time of Cesarean Delivery

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Billing Code Overview

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.
`23`	Unusual anesthesia	Use if general anesthesia is medically necessary for an otherwise regional anesthesia procedure.
`50`	Bilateral procedure	Not typically appended to `58611` (already describes bilateral or unilateral), but may be used if payer requires for bilateral notation.
`51`	Multiple procedures	Use when reporting multiple distinct procedures in addition to the primary cesarean, and payer requires modifier for multiple procedures.
`52`	Reduced services	Use when the tubal ligation is partially reduced or not fully performed.
`53`	Discontinued procedure	Use if the tubal occlusion is begun but terminated due to complication or patient instability.
`62`	Two surgeons	Use when two surgeons participate, each with distinct documented roles during the cesarean and tubal ligation.
`63`	Procedure performed on infants less than 4 kg	Rare for this code; not typically applicable but listed among possible modifiers for surgical contexts.
`76`	Repeat procedure by same physician	Not in provided list — omitted per input.
`78`	Unplanned return to OR	Use if the patient requires an immediate return to the operating room related to the cesarean/tubal procedure during the same postoperative period.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Not in provided list — omitted per input.
`59`	Distinct procedural service	Use to indicate a separate and distinct procedure when reporting additional unrelated procedures on the same day.
`26`	Professional component	Use if reporting only the professional component when applicable for ancillary services (rare for operative procedure coding).
`53`	Discontinued procedure	(Duplicate already listed)

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.

Related Diagnoses

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.

CPT 58600: Ligation or Transection of Fallopian Tubes for Sterilization

CPT-58605-POSTPARTUM-TUBAL-LIGATION-SEPARATE-PROCEDURE

CPT 58605: Postpartum Tubal Ligation, Separate Procedure

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

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

Frequently Asked Questions

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.

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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.

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Clinical & Coding Specifications

Clinical Context

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.
`23`	Unusual anesthesia	Use if general anesthesia is medically necessary for an otherwise regional anesthesia procedure.
`50`	Bilateral procedure	Not typically appended to `58611` (already describes bilateral or unilateral), but may be used if payer requires for bilateral notation.
`51`	Multiple procedures	Use when reporting multiple distinct procedures in addition to the primary cesarean, and payer requires modifier for multiple procedures.
`52`	Reduced services	Use when the tubal ligation is partially reduced or not fully performed.
`53`	Discontinued procedure	Use if the tubal occlusion is begun but terminated due to complication or patient instability.
`62`	Two surgeons	Use when two surgeons participate, each with distinct documented roles during the cesarean and tubal ligation.
`63`	Procedure performed on infants less than 4 kg	Rare for this code; not typically applicable but listed among possible modifiers for surgical contexts.
`76`	Repeat procedure by same physician	Not in provided list — omitted per input.
`78`	Unplanned return to OR	Use if the patient requires an immediate return to the operating room related to the cesarean/tubal procedure during the same postoperative period.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Not in provided list — omitted per input.
`59`	Distinct procedural service	Use to indicate a separate and distinct procedure when reporting additional unrelated procedures on the same day.
`26`	Professional component	Use if reporting only the professional component when applicable for ancillary services (rare for operative procedure coding).
`53`	Discontinued procedure	(Duplicate already listed)

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.

Related Diagnoses

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.

CPT 58600: Ligation or Transection of Fallopian Tubes for Sterilization

CPT-58605-POSTPARTUM-TUBAL-LIGATION-SEPARATE-PROCEDURE

CPT 58605: Postpartum Tubal Ligation, Separate Procedure

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

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

Frequently Asked Questions

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.

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CPT 58611: Tubal Ligation at Time of Cesarean Delivery

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Billing Code Overview

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CPT 58611: Tubal Ligation at Time of Cesarean Delivery

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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 58611: Tubal Ligation at Time of Cesarean Delivery

Sign up for cpt 58611 policy alerts

Billing Code Overview

CPT 58611: Tubal Ligation at Time of Cesarean Delivery

Sign up for cpt 58611 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

When should CPT 58611 be reported?

Who typically performs this service and where is it performed?

Which modifiers may be applicable when reporting 58611?

How does 58611 relate to other tubal ligation or delivery CPT codes?

What documentation or policy elements are noted as important when billing 58611?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

When should CPT 58611 be reported?

Who typically performs this service and where is it performed?

Which modifiers may be applicable when reporting 58611?

How does 58611 relate to other tubal ligation or delivery CPT codes?

What documentation or policy elements are noted as important when billing 58611?

References