2025 CPT code 58660
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Oviduct/Ovary Surgery Feed
Laparoscopic surgical lysis of adhesions (salpingolysis, ovariolysis) as a separate procedure.
Modifiers 22 (Increased procedural service) and 59 (Distinct procedural service) might be appropriate in certain cases, depending on the complexity and the extent of the lysis of adhesions.Consult the CPT manual and payer guidelines for specific modifier application rules.
Medical necessity for 58660 is established when there's clinical evidence of adhesions causing symptoms (e.g., pelvic pain, infertility, bowel obstruction) and the procedure is deemed appropriate to alleviate those symptoms.Detailed documentation supporting this clinical indication is crucial for reimbursement.
The clinical responsibility involves preoperative assessment, obtaining informed consent, performing the laparoscopic procedure (including insertion of trocars, creation of pneumoperitoneum, lysis of adhesions, and closure of incisions), and postoperative care.The surgeon is responsible for appropriate documentation of the procedure and any complications.
- Surgery
- Surgery > Surgical Procedures on the Female Genital System > Surgical Procedures on the Oviduct/Ovary > Laparoscopic Procedures on the Oviduct/Ovary
In simple words: This code describes a minimally invasive surgery to remove scar tissue that can stick to the fallopian tubes and/or ovaries.The surgeon uses a small camera and tiny instruments inserted through small cuts in the belly to break up the scar tissue and restore normal function. This code is only used if this removal of scar tissue is the only surgery performed.
This CPT code, 58660, represents laparoscopic surgical lysis of adhesions, specifically salpingolysis (lysis of fallopian tube adhesions) and/or ovariolysis (lysis of ovarian adhesions).The procedure involves the removal of adhesions—bands of scar tissue—that may form around the fallopian tubes and/or ovaries, hindering their normal function.It's performed laparoscopically, meaning through small incisions with the aid of a laparoscope and specialized instruments.This code is reported only when the lysis of adhesions is performed as a standalone procedure, separate from other surgical interventions. If performed as part of another procedure, it's typically bundled into the primary procedure code.
Example 1: A 35-year-old female presents with chronic pelvic pain.Laparoscopy reveals extensive adhesions around her right fallopian tube, causing obstruction.Salpingolysis is performed laparoscopically to release the adhesions.Code 58660 is reported., A 42-year-old female undergoes laparoscopic myomectomy (removal of uterine fibroids).During the procedure, significant adhesions are encountered near the ovaries, requiring ovariolysis for optimal surgical access and to prevent potential complications.Code 58660 may be bundled with the myomectomy code, or modifier 59 may be necessary depending on documentation and payer rules., A 28-year-old female has undergone multiple previous surgeries and presents with significant pelvic adhesions affecting both fallopian tubes and ovaries.Laparoscopic lysis of adhesions (salpingolysis and ovariolysis) is the primary goal of the procedure. Code 58660 is reported as the primary procedure.
** Accurate documentation is crucial for proper coding and reimbursement.Clinicians should clearly document the extent of adhesions, the techniques used, and the time spent on the lysis of adhesions.Any complications encountered during the procedure should also be documented.Pay close attention to payer specific guidelines and NCCI edits when reporting this code.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: The RVUs for this code vary depending on the geographic location and other factors.Consult the CMS's Physician Fee Schedule for the most up-to-date RVU values.
- Global Days: The global surgical period is not applicable for this procedure as it is typically reported as a separate procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable for this code.
- Fee Schedule: Historical fee schedules vary by year and payer; consult fee schedule databases for details.
- Specialties:Obstetrics and Gynecology, General Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient and Outpatient), Office