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Thread: Filshie clip after cesarean section

  1. #1
    Join Date
    Apr 2007

    Question Filshie clip after cesarean section

    AAPC: Back to School
    The code 58611 seems to be a type of permanent solution for sterilization, ie. ligation or transection. Since there is a difference in ligation and occlusion codes when these are done as a separate procedure why then would we use a single code when done after a c-section?

  2. #2


    All female sterilization procedure ( other than laparoscopic ) done along with/during Cesarean, would fall into the codes : cesarean code (global or alone) with + 58611- be it Pomroy's technique, Falopes ring, clip or felshie clip- be it ligation or occlusion. The bottom line is, it is an open sterilization procedure done along with cesarean section. The code +58611 distinctly states as "when done at the time of cesarean"
    The clip/ring procedures are preferred than the ligation/transection Pomroy' technique's because the reversal procedures can be undertaken easily with better effect of recanalization.
    I have no problem in the selection of these codes.

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