CPT code 58660 denotes a laparoscopic lysis of adhesions procedure in which a provider removes adhesions surrounding the fallopian tubes and ovaries via a laparoscope. This minimally invasive gynecologic surgery is commonly used to treat pelvic pain, infertility related to tubal occlusion, or pelvic adhesive disease. Nationally, correct coding for 58660 affects surgical quality reporting, reimbursement for ambulatory and hospital-based gynecologic services, and resource planning for minimally invasive pelvic surgery.

Key payers discussed in this publication include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and an overview of common modifiers associated with surgical billing. The report outlines benchmarks for utilization and reimbursement practices where available, highlights relevant coding considerations, and summarizes policy or coverage updates that commonly affect laparoscopic gynecologic procedures. The content is aimed at billing professionals, practice managers, and health policy analysts seeking a practical reference for CPT code 58660 and its role in gynecologic surgical services.