Summary & Overview
CPT 58700: Open Removal of Fallopian Tube (Salpingectomy)
CPT code 58700 denotes an open abdominal procedure to remove all or part of one or both fallopian tubes. Nationally, this code captures inpatient and outpatient surgical management for conditions that require salpingectomy or partial salpingectomy via an abdominal incision. It is clinically relevant for gynecologic surgeons and hospitals because it represents a common definitive procedure for ectopic pregnancy, benign adnexal disease, sterilization when performed via laparotomy, and cases where laparoscopy is not feasible.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarks for utilization and reimbursement patterns across major payers, an outline of clinical contexts in which the code is used, and notes on site-of-service considerations. The content summarizes common billing practices and highlights areas where coding clarity matters for claims processing — for example, distinguishing open abdominal approaches from laparoscopic or vaginal procedures. Data not available in the input is noted where applicable, and the publication does not provide clinical recommendations. The focus is on coding definition, payer coverage scope, and the operational settings where CPT code 58700 is typically billed.
Billing Code Overview
CPT code 58700 describes the surgical removal of all or part of a fallopian tube on one or both sides via an abdominal incision. This procedure is a form of tubal surgery performed through an open abdominal approach rather than laparoscopic or vaginal access.
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Service type: Open tubal surgery (salpingectomy or partial salpingectomy)
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Typical site of service: Hospital operating room or ambulatory surgery center, using an abdominal incision
Clinical & Coding Specifications
Clinical Context
A 38-year-old female presents with chronic pelvic pain and recurrent ectopic pregnancy. After evaluation including pelvic ultrasound and counseling regarding fertility and risks, the gynecologic surgeon schedules an open salpingectomy via an abdominal incision. The patient is admitted to the hospital on the day of surgery. Preoperative workup includes history and physical, anesthesia evaluation, informed consent, and appropriate labs. In the operating room under general anesthesia, the surgeon makes an abdominal incision (midline or Pfannenstiel) to access the adnexa, isolates the affected fallopian tube, controls vascular pedicles, and removes all or part of one or both fallopian tubes. Hemostasis is confirmed and the abdominal wall is closed. Postoperative care includes recovery room monitoring, pain control, discharge instructions, and follow‑up for wound check and counseling on contraception or fertility planning as indicated. Typical site of service is an inpatient or ambulatory hospital surgical suite. Service type: Open surgical removal of unilateral or bilateral fallopian tube(s) (salpingectomy/salpingo-oophorectomy when ovary removed).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
50 | Bilateral procedure | Use when procedure performed on both fallopian tubes during the same operative session |
51 |