Enc for proph surg for remov fallop(s) w/o gen/fam risk fctr

This code signifies a patient encounter for the surgical removal of one or both fallopian tubes as a preventative measure against future disease, such as ovarian cancer. This procedure is performed in individuals who do not have a documented genetic predisposition or a strong family history of such conditions.

Apply this code when a patient undergoes a prophylactic salpingectomy (unilateral or bilateral) solely for risk reduction, and there is no evidence of a genetic mutation (e.g., BRCA1/2) or a familial syndrome indicating increased risk. This often occurs during other pelvic surgeries, such as hysterectomy, when the patient opts for opportunistic salpingectomy.

• Ensure documentation explicitly states the prophylactic nature of the salpingectomy and the absence of known genetic/familial risk factors.
• Do not use this code if the salpingectomy is performed for a current disease process (e.g., ectopic pregnancy, hydrosalpinx) or if genetic testing confirms a high-risk mutation.
• This code is typically a secondary diagnosis, accompanying the primary reason for the overall surgical encounter (e.g., hysterectomy for fibroids).