Table 2.
Sterilization consent form current procedural terminology (CPT) codes in the United States of America in 2020
| CPT code | CPT code description | Respondents, n (%) |
|---|---|---|
| 58150–58152, 58200, 58570–58573, 58180, 58541–58544, 58260–58294, 58550–58554 | Hysterectomy | 9 (22%) |
| 58565 | Hysteroscopy, surgical; with bilateral Fallopian tube cannulation to induce occlusion by placement of permanent implants | 18 (44%) |
| 58600 | Ligation or transection of the Fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral | 26 (63%) |
| 58605 | Ligation or transection of Fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral during the same hospitalization (separate procedure) | 22 (54%) |
| +58611 | Ligation or transection of Fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery [not a separate procedure]. This is an add on code. | 22 (54%) |
| 58615 | Occlusion of Fallopian tube(s) by device [e.g., band, clip, Falope ring] vaginal or suprapubic approach | 24 (59%) |
| 58661 | Laparoscopy, surgical, removal of tubes and/or ovaries | 19 (46%) |
| 58662 | Laparoscopy, surgical, removal of lesions/cysts of ovaries and pelvis | 8 (20%) |
| 58670 | Laparoscopy, surgical; with fulguration of oviducts [with or without transection] | 22 (54%) |
| 58671 | Laparoscopy, surgical; with occlusion of oviducts by device [e.g., band, clip, or Falope rings] | 22 (54%) |
| 58700 | Salpingectomy, complete or partial, unilateral or bilateral | 15 (37%) |
| 58720 | Salpingo-Oophorectomy, partial or total, unilateral or bilateral | 15 (37%) |
| 58925 | Ovarian cystectomy, unilateral or bilateral | 4 (10%) |
| 58940 | Oophorectomy, partial or total, unilateral or bilateral | 10 (24%) |
| 59151, 59121 | Treatment of Ectopic w/ Salpingectomy and/or Oophorectomy | 6 (15%) |
| +59525 | Subtotal or total hysterectomy after cesarean delivery. This is an add on code. | 8 (20%) |
| Other | Option for respondents to fill in their own answer, which included responses such as “vasectomy”. | 7 (17%) |
| Unknown | Unknown | 12 (29%) |
Numbers presented as n (%)
“+” indicates an add on code, which is added to another procedure code.
Table 2 displays each CPT code that requires the sterilization consent form as well as the total number and percentage of Medicaid official respondents for each code.