Summary & Overview
CPT 58672: Laparoscopic Lysis of Tubal Adhesions
CPT code 58672 represents laparoscopic lysis of adhesions at the distal fallopian tube to re-establish tubal patency and facilitate passage of oocytes. This procedure is a focused minimally invasive gynecologic surgery with implications for fertility preservation and management of infertility related to tubal occlusion. Nationally, 58672 matters because it is part of the surgical armamentarium for treating tubal factor infertility and postoperative pelvic adhesions, with utilization driven by referral patterns between reproductive endocrinology and general gynecology.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and service setting, typical billing considerations, and the types of benchmarks and policy elements commonly analyzed for this procedure. The publication covers reimbursement benchmarking, payer coverage tendencies, coding and billing context, and clinical indications tied to fertility and adhesion management. Data not provided in the input (such as specific payor rates, ICD-10 pairings, or frequency metrics) is noted as unavailable and will be identified where relevant.
Billing Code Overview
CPT code 58672 describes a laparoscopic procedure in which the provider removes adhesions around the distal end of a fallopian tube to restore tubal patency so eggs can travel from the ovary to the uterus. This is a minimally invasive gynecologic surgery performed through a laparoscope.
Service type: Laparoscopic tubal adhesion lysis
Typical site of service: Outpatient surgical center or hospital operating room (laparoscopic gynecologic surgery)
Clinical & Coding Specifications
Clinical Context
A 33-year-old woman with a history of prior pelvic infection and infertility presents with difficulty conceiving for 18 months. Hysterosalpingography suggests proximal tubal obstruction and pelvic ultrasound shows minimal adnexal scarring. The gynecologist schedules a diagnostic laparoscopy with possible tubal adhesiolysis. In the operating room under general anesthesia, the surgeon introduces a laparoscope, inspects the pelvis, identifies adhesions encasing the distal portion of the fallopian tube near the fimbriae, and performs careful sharp and blunt adhesiolysis to free the tubal ostium and restore patency. Chromopertubation may be performed intraoperatively to confirm tubal patency. Postoperative recovery occurs in the ambulatory surgery center with standard discharge instructions and follow-up in gynecology/infertility clinic for assisted conception planning if indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default — no modifier | When no special modifier applies and reporting the primary CPT normally |
22 | Increased procedural services | When the procedure requires substantially greater work than typical (document rationale) |