Summary & Overview
CPT 58671: Laparoscopic Tubal Occlusion
CPT code 58671 denotes laparoscopic tubal occlusion, a minimally invasive surgical procedure in which a device is used to close the fallopian tubes for permanent sterilization. Nationally, this code captures a commonly performed contraceptive surgical option with implications for surgical resource use, outpatient surgical capacity, and payer coverage policies.
Key payers included in this discussion are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage policies and reimbursement levels for 58671 can influence site-of-service decisions (ambulatory surgical center versus hospital operating room) and utilization trends for permanent sterilization.
Readers will find an overview of the clinical context for laparoscopic tubal occlusion, typical sites of service, and the operational considerations tied to billing CPT code 58671. The publication summarizes payer coverage scope, common billing modifiers (listing provided in the input), and what is available about related code groupings. Where specific input data is missing, the text identifies those gaps as "Data not available in the input." This national-level summary is intended to orient clinical administrators, coders, and policy analysts to the clinical meaning, billing context, and payer relevance of CPT code 58671.
Billing Code Overview
CPT code 58671 describes a procedure in which the provider uses a device to close off the fallopian tubes through a laparoscope. This is a minimally invasive sterilization procedure performed via laparoscopic access.
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Service type: Surgical procedure — laparoscopic tubal occlusion
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Typical site of service: Ambulatory surgical center or hospital operating room
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 34-year-old woman presents to gynecology for permanent surgical sterilization after completing her family. She has undergone counseling and consents to laparoscopic tubal occlusion with a device (e.g., clips or rings). Preoperative evaluation includes history, physical exam, pregnancy test, and informed consent. The procedure is performed in an ambulatory surgery center or hospital operating room under general anesthesia. The surgeon establishes pneumoperitoneum, inserts a laparoscope and accessory ports, identifies both fallopian tubes, and applies a device to occlude each tube. Hemostasis and port-site closure are completed. Typical immediate workflow includes pre-op check-in, anesthesia induction, laparoscopic device placement (bilateral), recovery room monitoring, and discharge with postoperative instructions. Indications include desire for permanent contraception; contraindications include current pregnancy or active pelvic infection. Expected post-procedure follow-up is an outpatient visit or phone check within 1–6 weeks to assess healing and complications such as bleeding or infection.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Procedure or service furnished to the beneficiary at no cost to the third-party payer | Use when the service is provided free of charge and cannot be billed to the payer |