It should be easy to get birth control and other important health needs at no cost to you. But sometimes it’s not so easy. If you’re still paying out-of-pocket for your birth control and other health care, use our information below to start getting help.
Step 3: Use the instructions and template letter below to appeal to your health insurance company if they are incorrectly charging you out-of-pocket costs when they shouldn’t.
We often see insurance companies denying full coverage of bilateral salpingectomies on the basis that the billing code used by the provider is not a preventative code. The CPT-code 58661 (Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/ or salpingectomy)) and ICD-10 code Z30.2 (Encounter for sterilization are the appropriate codes for the bilateral salpingectomy) are the appropriate preventive codes for a bilateral salpingectomy.
We often see these procedures coded correctly but still denied by insurance, who claim 58661 is not a preventative code. This is incorrect, as 58661 is a preventive code. A helpful coding guide can be found here (relevant pages 23-25).