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Z90.79
ICD-10-CM
Salpingectomy

Find comprehensive information on salpingectomy including clinical documentation requirements, ICD-10-CM diagnosis codes (e.g., O07.31, O07.39), medical coding guidelines, postoperative care, and healthcare resources. Learn about unilateral and bilateral salpingectomy procedures, complications, and recovery. This resource offers valuable insights for healthcare professionals, medical coders, and patients seeking information on fallopian tube removal.

Also known as

Fallopian Tube Removal
Tubal Resection

Diagnosis Snapshot

Key Facts
  • Definition : Surgical removal of one (unilateral) or both (bilateral) fallopian tubes.
  • Clinical Signs : Ectopic pregnancy, pelvic inflammatory disease, ovarian cancer risk reduction, sterilization.
  • Common Settings : Hospital operating room, outpatient surgical center.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z90.79 Coding
O07.3-O07.3

Medical abortion complicated by

Salpingectomy following complications of medical abortion.

O00-O99

Complications of pregnancy, childbirth

Encompasses various pregnancy complications, including ectopic pregnancies requiring salpingectomy.

N70-N77

Diseases of fallopian tube and ovary

Includes inflammatory diseases or other conditions of the fallopian tube necessitating removal.

Z30-Z39

Encounter for contraceptive management

Covers sterilization procedures, including salpingectomy for elective sterilization.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the salpingectomy bilateral?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Salpingectomy
Partial Salpingectomy
Bilateral Salpingectomy

Documentation Best Practices

Documentation Checklist
  • Salpingectomy laterality (unilateral/bilateral)
  • Indication for salpingectomy (e.g., ectopic, sterilization)
  • Surgical technique (e.g., laparoscopic, open)
  • Intraoperative findings (e.g., adhesions, inflammation)
  • Postoperative diagnosis confirming salpingectomy

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (right, left, bilateral) can lead to claim denials or inaccurate reimbursement.

  • Partial vs. Total

    Coding distinction between partial and total salpingectomy must be accurate. Documentation must support the code selected.

  • Diagnosis Sequencing

    Incorrect sequencing of salpingectomy with other diagnoses (e.g., ectopic pregnancy) may impact DRG assignment and reimbursement.

Mitigation Tips

Best Practices
  • Document laterality (right, left, bilateral) for Salpingectomy coding accuracy.
  • Complete pathology report crucial for Salpingectomy ICD-10-PCS & CPT code assignment.
  • Query physician for Salpingectomy indication (e.g., ectopic pregnancy) to improve CDI.
  • Ensure medical necessity for Salpingectomy is clearly documented for compliance.
  • Review operative report for Salpingectomy details to avoid coding/billing errors.

Clinical Decision Support

Checklist
  • Verify laterality (left/right) documented.
  • Confirm indication for salpingectomy.
  • Check pathology report confirms diagnosis.
  • Ensure informed consent documented.
  • Review operative report for completeness.

Reimbursement and Quality Metrics

Impact Summary
  • Salpingectomy Reimbursement: CPT 58720, ICD-10 N83.8 impacts DRG assignment, influencing hospital payments.
  • Coding Accuracy: Precise laterality coding (e.g., 58720-RT, 58720-LT) maximizes reimbursement, minimizes denials.
  • Quality Metrics Impact: Salpingectomy data influences surgical site infection (SSI) reporting, affecting hospital quality scores.
  • Hospital Reporting: Accurate salpingectomy coding impacts OR utilization data, influencing resource allocation decisions.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code unilateral/bilateral
  • Specify partial/total removal
  • Document indication for salpingectomy
  • Consider approach laparoscopic/open
  • Link to ectopic pregnancy if applicable

Documentation Templates

Patient presents with indications for salpingectomy.  Presenting symptoms include  pelvic pain,  ectopic pregnancy confirmed by transvaginal ultrasound, or persistent hydrosalpinx.  Relevant history includes  previous tubal ligation, pelvic inflammatory disease PID, endometriosis, or infertility.  Physical examination reveals abdominal tenderness, adnexal mass, or cervical motion tenderness.  Differential diagnoses considered include appendicitis, ovarian cyst, or tubo-ovarian abscess.  Preoperative workup included complete blood count CBC, urinalysis, and beta-hCG level.  Surgical procedure performed: unilateral or bilateral salpingectomy via laparoscopy or laparotomy.  Intraoperative findings consistent with preoperative diagnosis.  Procedure performed without complications.  Postoperative diagnosis:  Salpingectomy for ectopic pregnancy, hydrosalpinx, or other indicated condition.  Patient tolerated the procedure well and was stable postoperatively.  Plan for postoperative care includes pain management, monitoring for signs of infection or bleeding, and follow-up appointment scheduled.  ICD-10 code O00.1-O00.9 for ectopic pregnancy or N70.0-N70.9 for inflammatory diseases of the uterine appendages may be applicable.  CPT codes 58720, 58740, or 58750 may be appropriate depending on the surgical approach and complexity.  Patient education provided regarding postoperative recovery, potential complications, and future fertility considerations.