2025 CPT code 58679
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Unlisted laparoscopy procedure of the oviduct or ovary.
Modifiers may apply depending on the specifics of the procedure performed.Modifiers such as 50 (bilateral procedure), 51 (multiple procedures), and others may be appropriate in certain circumstances. Consult the CPT manual for modifier usage guidelines.
The medical necessity is established by the presence of a clinical indication (e.g., pain, infertility, or abnormal findings during diagnostic laparoscopy) requiring the specific unlisted laparoscopic procedure. Supporting documentation is critical for demonstrating medical necessity to the payer.The procedure must be deemed necessary by the physician and appropriately documented.
The physician performs the laparoscopic procedure, including the insertion of the laparoscope and any necessary surgical tools, and the completion of the procedure.Post-operative care is also the responsibility of the physician.
In simple words: This code is for a laparoscopic (keyhole surgery) procedure on a woman's fallopian tubes or ovaries when there isn't a specific medical code for it.The doctor uses a small camera and tools through tiny cuts to do the surgery. Since it's not a standard procedure, extra paperwork is needed to explain what was done.
This CPT code, 58679, reports laparoscopic procedures on the oviduct or ovary that lack a specific, active CPT code.It encompasses procedures utilizing new or uncommon technologies or techniques not otherwise categorized within the existing CPT coding system. This code should only be used when no other appropriate CPT code exists to accurately describe the performed service.The use of this unlisted code necessitates comprehensive documentation, including a cover letter justifying its selection and comparing the procedure to similar, coded procedures, along with operative notes and other supporting medical records.
Example 1: A patient presents with an ovarian mass of unclear etiology.Laparoscopic exploration reveals a complex adnexal mass requiring partial oophorectomy.No other specific CPT code covers this specific surgical technique and resection., A patient experiences chronic pelvic pain attributed to tubal pathology.Laparoscopic examination reveals significant tubal adhesions requiring lysis and adhesiolysis.This situation requires the use of 58679 because the precise extent of the procedure doesn't match any existing code., During a routine laparoscopic procedure for another condition, an unexpected and unanticipated finding necessitates an unlisted procedure on the fallopian tubes, such as repair of a rare congenital anomaly.
* Detailed operative report describing the procedure and rationale for using unlisted code.* Preoperative and postoperative diagnosis.* Imaging studies (if applicable).* Justification for the medical necessity of the procedure.* Comparison with similar coded procedures to justify the reimbursement amount.* Any pathology reports.
** Accurate documentation is paramount when using 58679.The lack of a specific code necessitates a clear, detailed explanation of the procedure, justifying both the medical necessity and the billing amount.Failure to provide comprehensive documentation can lead to claim denials.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Unknown. RVUs for unlisted codes are determined on a case-by-case basis by payers based on submitted documentation.
- Global Days: Unknown. Global days will depend on the specific procedure performed and the payer's guidelines.
- Payment Status: Active
- Modifier TC rule: The applicability of a TC modifier depends on the specific procedure performed. If the procedure involves distinct professional and technical components, a TC modifier may be applicable. This should be determined based on the specific payer's guidelines and the components of the procedure.
- Fee Schedule: Historical fee schedule information is unavailable for unlisted codes. Reimbursement for 58679 is determined on a case-by-case basis based on the submitted documentation.
- Specialties:Obstetrics and Gynecology, General Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)