2025 CPT code 58720
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Surgical removal of one or both fallopian tubes and ovaries.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the appropriate modifier guidelines.
Medical necessity for a salpingo-oophorectomy is typically established in cases of severe endometriosis, ovarian cysts or tumors, prophylactic measures for high-risk cancer patients, or in conjunction with other gynecological procedures such as a hysterectomy.
The surgeon is responsible for performing the salpingo-oophorectomy, including prepping the patient, making incisions, dissecting and removing the fallopian tubes and ovaries, controlling bleeding, and closing the incisions. An anesthesiologist may be involved in administering anesthesia.
In simple words: This surgery removes one or both fallopian tubes and ovaries.It's done through an incision in the abdomen. The doctor will remove the tubes and ovaries, control any bleeding, and close the incision. A catheter might be used to help drain fluids.
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure). This procedure involves the surgical removal of all or part of one or both fallopian tubes and ovaries. The approach can be unilateral (one side) or bilateral (both sides).The procedure may be performed via an abdominal incision, requiring the patient to be placed in the supine position under general anesthesia.The surgeon makes incisions to access the broad ligament, dissects the fallopian tubes, and removes them.The infundibulopelvic ligament is incised to release the ovaries, which are then removed. Hemostasis is achieved, and the abdomen is closed. A Foley catheter may be placed for drainage.
Example 1: A 45-year-old woman presents with severe endometriosis and chronic pelvic pain. A bilateral salpingo-oophorectomy is performed to alleviate her symptoms., A 50-year-old woman with a family history of ovarian cancer elects to have a prophylactic bilateral salpingo-oophorectomy to reduce her risk., A 30-year-old woman undergoes a unilateral salpingo-oophorectomy due to a complex ovarian cyst that cannot be managed conservatively.
* Detailed operative report describing the procedure performed, including the approach (unilateral or bilateral), extent of resection, and any complications encountered.* Preoperative diagnosis and justification for the procedure.* Patient's history and physical examination findings.* Pathology report for any tissue removed.* Anesthesia records.* Postoperative course and recovery.
** Always verify the code's accuracy and appropriateness with the most up-to-date CPT codebook and payer guidelines before submitting claims. The information provided here is for educational purposes only.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.Consult the appropriate fee schedule for current RVU values.
- Global Days: The global period for this procedure will vary depending on the payer and specific circumstances of the surgery. Consult payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a complete surgical procedure.
- Fee Schedule: This information is not available in the provided sources. Consult appropriate fee schedules.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center