Revisions to Clinical Coverage Policy 1E-3, Sterilization Procedures

Effective Dec. 31, 2018, CPT code 58565 (Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants) will no longer be covered by NC Medicaid.

Effective May 1, 2019, CPT code 58340 (catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography) will no longer be covered by NC Medicaid.

For more information, providers should refer to the Clinical Coverage Policy 1E-3, Sterilization Procedures on the Division of Health Benefits (DHB) webpage.