Headline: CPT code 58976 Defines Tubal Transfer of Gametes, Zygotes, or Embryos

Lead: CPT code 58976 represents a specific assisted reproductive procedure in which a provider transfers a gamete, zygote, or embryo directly into the fallopian tube using a catheter. The code captures a targeted tubal transfer technique distinct from intrauterine embryo transfer and is relevant to fertility clinics, ambulatory surgical centers, hospital outpatient departments, and payers that cover reproductive services.

Why it matters: Tubal transfer procedures are a specialized component of assisted reproductive technology with implications for clinical pathway choice, billing specificity, and coverage policy. Clear coding ensures appropriate claims processing, utilization tracking, and alignment with clinical documentation.

Payers covered: Analysis addresses major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

What readers will learn: This publication explains the clinical scope of CPT code 58976, typical sites of service, and the service type. It outlines which major payers are considered in the coverage overview and highlights common billing modifiers associated with reproductive procedure billing when available. The report provides benchmarks, policy context, and practical coding considerations for institutions seeking accurate claims submission and reimbursement alignment.

Data note: Data not available in the input for associated taxonomies, ICD-10 diagnoses, related codes, and detailed payer-specific coverage policy language.