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36.4.17.8 Hysteroscopic Sterilization
Providers should use procedure code 2/F-58565 to submit claims for the fallopian tube occlusion sterilization. Procedure code 2/F-58565 is considered bilateral and excludes the occlusive sterilization system (micro-insert).
Procedure code 9-L8699 is considered for reimbursement of the occlusive sterilization device when it is billed with the UD modifier.
A hysterosalpingogram is recommended three months after a hysteroscopic sterilization procedure to ensure tubal occlusion. Procedure code 4/I/T-74740 is considered for reimbursement in this circumstance when billed with diagnosis code V252.
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