2025 CPT code 58970
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures for In Vitro Fertilization Surgery Feed
Follicle puncture for oocyte retrieval, using any method.
Modifiers may apply depending on the circumstances of the procedure, such as 51 (multiple procedures) or 78 (unplanned return to operating room).Consult the CPT manual and NCCI edits for appropriate modifier application.
Medical necessity for 58970 is established when the patient requires assisted reproductive technology (ART) such as IVF, egg freezing, or other fertility treatments. The procedure is considered medically necessary for the successful completion of ART.
The physician places the patient in the dorsal lithotomy position, administers anesthesia (if necessary), performs the ultrasound guidance, inserts the needle, aspirates the follicular fluid, monitors for bleeding, and sends the fluid to a laboratory for oocyte verification.
- Surgery
- Surgical Procedures on the Female Genital System > Surgical Procedures for In Vitro Fertilization
In simple words: This procedure involves carefully removing eggs from the ovaries using a needle guided by ultrasound.This is often a part of fertility treatments like IVF.
This procedure involves puncturing ovarian follicles to retrieve mature eggs (oocytes).The provider uses ultrasound guidance to insert a needle, usually transvaginally, into the follicles. Follicular fluid containing oocytes is aspirated, and the fluid is then sent to an IVF technician for oocyte verification.The method of retrieval (transvaginal, transabdominal, or laparoscopic) may vary.Ultrasound guidance (CPT code 76948) is usually reported separately.This procedure is a key step in assisted reproductive technologies like in-vitro fertilization (IVF).
Example 1: A 35-year-old female patient undergoing IVF treatment requires oocyte retrieval for fertilization.The physician performs a transvaginal follicle aspiration guided by ultrasound., A 40-year-old patient undergoing egg freezing elects for a transabdominal oocyte retrieval due to prior pelvic surgeries.The physician performs the procedure under ultrasound guidance., During a laparoscopic procedure for another indication, the physician encounters multiple mature ovarian follicles and performs an oocyte retrieval during the same surgical session.
* Patient's informed consent.* Detailed operative report documenting the method of retrieval (transvaginal, transabdominal, laparoscopic), number of follicles aspirated, amount of fluid retrieved, and any complications.* Ultrasound images documenting follicle location and size.* Pathology report confirming oocyte retrieval and quality.* Anesthesia records if applicable.
** This code describes the oocyte retrieval procedure itself, regardless of the method used.Other codes may be required for associated services (e.g., anesthesia, laboratory processing of oocytes).
- Revenue Code: P5E (Ambulatory Procedures - Other)
- RVU: Information not available.RVUs vary based on geographic location, facility type, and other factors.
- Global Days : Not applicable.This is not a surgical procedure with a global surgical period.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code.This is a professional service primarily performed by a physician.
- Fee Schedule : Information not available. Fee schedules vary by payer and geographic location.
- Specialties:Reproductive Endocrinology and Infertility, Obstetrics and Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department