CPT Code 58340 | Description, Procedure & Billing Guidelines (2022)
Bill CPT 58340 for catheterization of contrast material or saline infusion for sonohysterography (SIS) or hysterosalpingography (HSG).
1. What Is CPT Code 58340?
The 58340 CPT code procedure aims to look for abnormalities or a blockage in the uterus or the fallopian tubes of a female patient.
The provider uses a catheter with contrast material or saline and moves it into a female patient’s uterus or the fallopian tubes.
They then simultaneously perform an X-ray or ultrasound and look for abnormalities or blockages.
2. Description
The CPT book describes CPT code 58340 as: “Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography.”
3. Procedure
The provider begins the 58340 CPT code procedure by placing the female patient in the dorsal lithotomy position. Then, they insert the speculum into the vagina of the patient.
3.1 Sonohysterography
The CPT 58340 procedure can be performed with sonohysterography (SIS) and happens as follows. First, the provider uses a flexible catheter and moves it through the patient’s cervix into the uterus cavity.
Then, the provider administers saline into the patient’s uterus through the flexible catheter.
The provider (simultaneously) uses a separately reportable ultrasound to detect abnormalities inside the patient’s uterus.
3.2 Hysterosalpingography
The 58340 CPT code procedure can also be performed with hysterosalpingography (HSG). During this procedure, dye is injected into the patient’s uterus. This then spread into the patient’s fallopian tubes.
The dye allows the provider to observe the patient’s fallopian tubes and look for blockages or abnormalities with an X-ray.
Finally, they end the procedure by removing the speculum and the catheter.
4. How To Use CPT Code 58340
Use CPT code 58340 in conjunction with CPT 76831; you are billing a procedure in which a provider injected contrast material (for example, air) and saline into the patient’s uterine cavity to evaluate the uterus with ultrasound.
You could report 58340 with CPT 74740 if the provider injected contrast material instead of saline.
In the case above, an X-ray assessment is required to evaluate the tubes and the patient’s uterus. A radiologist often performs this, but the provider who injected the contrast material interprets the X-ray.
You might report CPT 76831 if the provider performed an ultrasound inside the patient’s uterus after the saline injection.
5. Resources
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/sonohysterography
https://www.radiologyinfo.org/en/info/hysterosalp
