How To Use CPT Code 58752

CPT 58752 describes a surgical procedure known as tubouterine implantation, which is performed to restore a patient’s ability to become pregnant. This article will provide an overview of CPT code 58752, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and similar codes.

1. What is CPT Code 58752?

CPT 58752 is a surgical procedure that involves suturing the fallopian tube directly into the upper part of the uterus. This procedure is performed to reestablish the patient’s ability to conceive and become pregnant. The provider performs the tubouterine implantation through an abdominal incision, allowing for the necessary surgical access.

2. Official Description

The official description of CPT code 58752 is: ‘Tubouterine implantation.’

3. Procedure

1. The patient is positioned in the supine position, and a general anesthetic is administered.
2. The provider makes an incision in the lower abdomen, just above the pubic bone, and then incises the peritoneum to explore the abdominal cavity.
3. The provider carefully inspects the abdomen, uterus, fallopian tubes, and ovaries to assess their condition.
4. If necessary, the provider frees any adhesions present and elevates the uterus and tubal segments using packing.
5. The provider then makes an incision into the top side of the uterus to create an opening and repairs the fallopian tube, removing any previously ligated portions.
6. The provider sutures the now-open tube into the opening in the uterus, ensuring a secure connection.
7. To confirm the success of the procedure, the provider performs chromotubation, injecting dye into the fallopian tube to ensure its patency and that the dye passes through the opening in the uterus.
8. Finally, the provider removes the packing and closes the abdominal incision with sutures.

4. Qualifying circumstances

CPT 58752 is typically performed on patients who have undergone a previous sterilization procedure and now wish to restore their fertility. The procedure is intended for patients who have experienced tubal ligation and desire to regain their ability to conceive. It is important to note that coverage for this reconstructive surgery may vary among different payers, and not all may reimburse for this procedure.

5. When to use CPT code 58752

CPT code 58752 should be used when a provider performs a tubouterine implantation procedure to restore a patient’s fertility. It is important to ensure that the procedure is performed through an abdominal incision and involves suturing the fallopian tube directly into the upper part of the uterus. This code should not be used for other procedures or interventions unrelated to tubouterine implantation.

6. Documentation requirements

To support a claim for CPT code 58752, the provider must document the following information:

• Patient’s medical history, including previous sterilization procedure
• Details of the surgical procedure, including the approach used and any complications encountered
• Confirmation of the successful connection between the fallopian tube and the uterus
• Documentation of chromotubation results, confirming the patency of the fallopian tube and the passage of dye through the opening in the uterus
• Any additional relevant information or findings during the procedure

7. Billing guidelines

When billing for CPT code 58752, it is important to indicate whether the procedure was performed unilaterally or bilaterally. If both fallopian tubes are reconnected, the modifier 50, Bilateral procedure, should be added to the code. However, it is crucial to note that coverage for this procedure may vary among payers, and it is advisable to verify reimbursement policies before submitting claims.

8. Historical information

CPT code 58752 was added to the Current Procedural Terminology system on January 1, 1990. The most recent update to this code was in 2017 when it was added to the Inpatient Only (IPO) list for Medicare.

9. Examples

1. A patient who previously underwent tubal ligation desires to restore her fertility. The provider performs a tubouterine implantation procedure, reconnecting the fallopian tube to the upper part of the uterus.
2. A woman who had her fallopian tubes ligated during a previous sterilization procedure now wishes to conceive. The provider performs a tubouterine implantation, suturing the fallopian tube directly into the uterus to restore her fertility.
3. A patient who underwent tubal ligation years ago wants to regain her ability to become pregnant. The provider performs a tubouterine implantation, creating a connection between the fallopian tube and the upper part of the uterus.
4. A woman who had her fallopian tubes tied off during a sterilization procedure now desires to conceive. The provider performs a tubouterine implantation, surgically connecting the fallopian tube to the uterus to restore her fertility.
5. A patient who previously underwent tubal ligation wishes to restore her fertility. The provider performs a tubouterine implantation, suturing the fallopian tube directly into the upper part of the uterus to enable conception.
6. A woman who had her fallopian tubes ligated during a previous sterilization procedure now desires to conceive. The provider performs a tubouterine implantation, creating a connection between the fallopian tube and the upper part of the uterus to restore her fertility.
7. A patient who underwent tubal ligation years ago wants to regain her ability to become pregnant. The provider performs a tubouterine implantation, connecting the fallopian tube to the uterus to restore her fertility.