How To Use CPT Code 58345

CPT 58345 describes the procedure of transcervical introduction of a fallopian tube catheter for diagnosis and/or re-establishing patency. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58345?

CPT 58345 can be used to describe the procedure of introducing a catheter through the cervix and into the fallopian tube for diagnostic purposes or to clear blockages. This procedure may involve the injection of contrast material and taking an X-ray to evaluate the status of the fallopian tube. It is commonly performed as a treatment for infertility.

2. Official Description

The official description of CPT code 58345 is: ‘Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography. Note: For radiological supervision and interpretation, use 74742.’

3. Procedure

1. The provider positions the patient in the dorsal lithotomy position and inserts a speculum into the vagina.
2. For diagnostic purposes, the provider uses a tenaculum to grasp the cervix and inserts a catheter through the cervix, passing it into the uterus and ending in the fallopian tube. Contrast material is then injected, and an X-ray is taken to evaluate the fallopian tube.
3. For therapeutic purposes, the provider uses a guide wire system to clear a blockage in the fallopian tube. Contrast material is injected, and an X-ray is taken to confirm that the fallopian tubes are open.

4. Qualifying circumstances

CPT 58345 is performed on patients who require diagnostic evaluation or re-establishment of patency in the fallopian tubes. This procedure is commonly performed for patients experiencing infertility. The provider must introduce a catheter through the cervix and into the fallopian tube, with or without the use of contrast material and hysterosalpingography.

5. When to use CPT code 58345

CPT code 58345 should be used when a provider performs the transcervical introduction of a fallopian tube catheter for diagnostic purposes or to re-establish patency. This code should be used when the procedure involves any method of introducing the catheter, with or without the use of contrast material and hysterosalpingography.

6. Documentation requirements

To support a claim for CPT 58345, the provider must document the following information:

• Reason for the procedure, such as infertility or suspected blockage
• Details of the procedure, including the use of a catheter and any additional methods or materials used
• Date and duration of the procedure
• Results of any diagnostic tests, such as X-rays or hysterosalpingography
• Any complications or adverse events that occurred during or after the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 58345, ensure that the procedure meets the criteria outlined in the official description. It is important to use the appropriate CPT code for radiological supervision and interpretation if required (74742). Additionally, consider any specific billing guidelines provided by insurance companies or payers. It is important to accurately report the procedure and any associated services or materials used.

8. Historical information

CPT 58345 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs transcervical introduction of a fallopian tube catheter with hysterosalpingography to diagnose a suspected blockage in the fallopian tube of a patient experiencing infertility.
2. A patient undergoes transcervical introduction of a fallopian tube catheter without hysterosalpingography to re-establish patency in the fallopian tube after a previous blockage was cleared.
3. A provider performs transcervical introduction of a fallopian tube catheter with fluoroscopy to diagnose a suspected blockage in the fallopian tube of a patient experiencing infertility.
4. A patient undergoes transcervical introduction of a fallopian tube catheter with selective catheter placement and hysterosalpingography to re-establish patency in the fallopian tube after a previous blockage was cleared.
5. A provider performs transcervical introduction of a fallopian tube catheter with laparoscopy and hysterosalpingography to diagnose a suspected blockage in the fallopian tube of a patient experiencing infertility.
6. A patient undergoes transcervical introduction of a fallopian tube catheter with laparoscopy to re-establish patency in the fallopian tube after a previous blockage was cleared.
7. A provider performs transcervical introduction of a fallopian tube catheter with tubal catheterization and hysterosalpingography to diagnose a suspected blockage in the fallopian tube of a patient experiencing infertility.
8. A patient undergoes transcervical introduction of a fallopian tube catheter with tubal catheterization to re-establish patency in the fallopian tube after a previous blockage was cleared.
9. A provider performs transcervical introduction of a fallopian tube catheter with laparoscopy and selective catheter placement to diagnose a suspected blockage in the fallopian tube of a patient experiencing infertility.