Wiki 58661 vs 58670 for sterilization

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kellyjseidl@gmail.com

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There is a discussion going around the local OBGYN offices for which code is correct to use when a patient is requesting a tubal ligation for sterilization only. The code that has been used is 58670 which states, fulguration of oviducts. The CPT 58661 is the removal tubes and represents the work that is being done. The thinking that was used when using CPT 58670 was that the procedure was only for sterilization and it represented the work value which they felt was less than a salpingectomy. Thanks in advance. Kelly
 
ACOG's original guidance was to use 58670 not 58661 when performing a laparoscopic salpingectomy for sterilization. Then about 2 years ago, they flipped that recommendation and stated 58661 is the correct coding. ACOG has revamped their website significantly and the previous links I had no longer point to the references.
Here is another post discussing this. The body of the ACOG new recommendation is there.
 
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