CPT Code 58700: Salpingectomy, Complete or Partial, Unilateral or Bilateral (Separate Procedure)

CPT code 58700 covers salpingectomy—partial or complete fallopian tube removal—performed as a separate procedure for sterilization or risk reduction.

Use Code

What is CPT code 58700?

CPT code 58700 refers to a surgical procedure called salpingectomy—the removal of all or part of a fallopian tube. This medical procedural code applies whether the procedure is done on one side (unilateral) or both sides (bilateral), and whether the removal is complete or only a portion. It is categorized under excision procedures involving the oviduct ovary.

Salpingectomy under 58700 CPT code is typically performed through an abdominal incision and is billed as a separate procedure, meaning it is not done in conjunction with other major pelvic surgeries. Common indications include tubal ligation for sterilization, treatment of ectopic pregnancy, or as a preventive measure for individuals at high genetic risk for ovarian or breast cancer. When used for risk-reducing purposes, documentation and prior authorization are often required.

It’s important to note that CPT code 58700 differs from related codes, such as CPT 58720, which includes removal of both the fallopian tube and ovary, and CPT 58661, which is used for laparoscopic procedures on the oviduct or adnexal structures. Proper coding ensures accurate billing and clinical documentation, especially when this surgical procedure is performed independently.

CPT Code 58700 documentation requirements

When reporting CPT Code 58700 (Salpingectomy, complete or partial, unilateral or bilateral, separate procedure), documentation must clearly support medical necessity and meet payer guidelines—especially for sterilization or hereditary cancer risk reduction.

Key operative documentation must include:

Indication for surgery (e.g., mass, cyst, torsion, BRCA status)
Preoperative imaging or diagnostic findings
Laterality of excision (unilateral vs. bilateral)
Description of surgical technique (incision type, dissection, hemostasis)
Anatomical findings (adhesions, hemorrhage, neoplasm)
Estimated blood loss and closure

If the procedure is part of a larger surgery performed (e.g., hysterectomy), document whether the adnexal removal was separately indicated or incidental.

Additional required documentation:

Signed sterilization consent form, with signature dated at least 30 but no more than 180 days before the procedure
Interpreter’s statement and signature if applicable
Signature of the person obtaining consent, including procedure description
Patient’s age (typically 45–65) if done for risk-reduction
Family history or genetic risk documentation (e.g., BRCA status, bilateral breast cancer in relatives)
Submission of attestation forms confirming risk factors, if required by the carrier
Prior authorization approval, when applicable
Confirmation that the service provided was not bundled with a more extensive surgery unless separately indicated

CPT Code 58700 billing guidelines

The billing guidelines for CPT Code 58700 (Salpingectomy, complete or partial, unilateral or bilateral, separate procedure) include the following key points:

CPT 58700 can be billed as a sterilization procedure only when accompanied by the diagnosis code Z30.2 (Encounter for sterilization) and the modifier FP if billing under Family Planning Only Pregnancy-Related or Family Planning Only programs. The modifier FP is required to indicate the procedure is for family planning purposes.
CPT code 58700 is considered a separate procedure designation and should not be billed with other procedures performed that include fallopian tube removal as part of a larger surgery (e.g., cesarean section). For sterilization performed during a C-section, the appropriate add-on code is 58611, not code 58700.
Medicare and other carriers may not pay CPT 58700 with related procedures if performed on the same day. Claims for 58700 may be denied or reduced if considered part of another procedure, and appropriate claim adjustment reason codes and messages will be applied to explain denials or reductions.
Proper documentation including signed sterilization consent forms (e.g., HHS-687) is necessary for billing 58700 as sterilization. The consent must meet regulatory requirements such as timing and signatures to avoid claim denials.
Use appropriate modifiers to indicate multiple procedures (Modifier 51), distinct evaluation and management services provided (Modifier 25), or other relevant circumstances to ensure correct payment.
When CPT code 58700 is performed for reasons other than sterilization (e.g., treatment of disease), documentation must support the medical necessity to justify billing.
Some NCCI edits some carriers apply to this procedure designation on 58700, especially when bundled with hysterectomy or adnexal surgery. Review edits closely to avoid denials from hit NCCI edits.

Other relevant CPT codes

58661 – Laparoscopic salpingo-oophorectomy
58600, 58605, 58611, 58615 - These are various tubal ligation codes, which may be relevant if a salpingectomy is performed as part of a sterilization procedure.
58565 - Hysteroscopic sterilization procedures.
58152 – TAH with bilateral salpingo-oophorectomy
58720 – Salpingo-oophorectomy with hysterectomy
58940 – Oophorectomy for ovarian neoplasm

Frequently asked questions

Yes. The CPT code covers unilateral or bilateral removal of fallopian tubes via laparotomy. However, it does not include ovaries unless separately indicated under a different current procedural terminology code.

Yes, if not already bundled. Use 58152 if both are done together through an open abdominal approach as defined by the American Medical Association in the CPT manual.

No. Use 58661 for laparoscopic procedures performed. CPT code 58700 applies only when the procedure is done via laparotomy and performed vaginally does not apply.