How To Use CPT Code 58350

CPT 58350 describes the procedure of chromotubation of the oviduct, which involves injecting dye into the fallopian tube to determine if it is open. This article will provide an overview of CPT code 58350, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58350?

CPT 58350 is used to report the chromotubation procedure, which involves the injection of a blue-colored sterile solution into the fallopian tubes or uterus. This solution travels to the fallopian tubes, allowing the provider to visually confirm if the tubes are open or patent. The purpose of this procedure is to diagnose any tubal problems and assess the patency of the fallopian tubes.

2. Official Description

The official description of CPT code 58350 is: ‘Chromotubation of oviduct, including materials. (To report the supply of any materials, use 99070)’

3. Procedure

1. During the chromotubation procedure, the provider uses a syringe to inject a blue-colored sterile solution directly into the fallopian tubes or into the uterus.
2. The provider then visually observes the dye to determine if it spills from the ends of the tubes, indicating that the tubes are open or patent.
3. This procedure is typically performed in conjunction with laparoscopic or open abdominal procedures.
4. If the purpose of the chromotubation is to diagnose tubal problems, it can be reported in addition to the primary procedure.

4. Qualifying circumstances

CPT 58350 is performed when there is a need to assess the patency of the fallopian tubes. It is commonly used in cases where there is suspected tubal blockage or damage. The procedure is typically performed by a provider who specializes in reproductive health or gynecology.

5. When to use CPT code 58350

CPT code 58350 should be used when the provider performs the chromotubation procedure to assess the patency of the fallopian tubes. It is important to note that this code should not be used if the purpose of the chromotubation is to check the tubes’ patency after lysis or fimbrioplasty procedures.

6. Documentation requirements

To support a claim for CPT 58350, the provider must document the following information:

• Reason for performing the chromotubation procedure
• Details of the procedure, including the injection of the dye and visualization of the dye spillage
• Date and time of the procedure
• Any additional materials used during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 58350, it is important to ensure that the procedure is performed by a qualified provider and that the necessary documentation is included. If additional materials are used during the procedure, they should be reported using a HCPCS Level II supply code or CPT code 99070. It is also important to consider if CPT code 58350 should be reported in addition to the primary procedure, depending on the purpose of the chromotubation.

8. Historical information

CPT code 58350 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A gynecologist performing chromotubation during a laparoscopic procedure to assess the patency of the fallopian tubes in a patient with suspected tubal blockage.
2. A reproductive health specialist using chromotubation to diagnose tubal problems in a patient experiencing infertility.
3. A surgeon performing chromotubation as part of a diagnostic procedure to evaluate the fallopian tubes in a patient with pelvic pain.
4. A provider using chromotubation to assess the patency of the fallopian tubes after a previous tubal lysis procedure.
5. A gynecologist performing chromotubation during an open abdominal procedure to confirm the patency of the fallopian tubes in a patient with a history of tubal damage.