2025 CPT code 58820
(Active) Effective Date: N/A Revision Date: N/A Surgery - Incision Procedures on the Ovary Surgery Feed
Drainage of an ovarian abscess via a vaginal approach.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 51 might be used if multiple procedures are performed during the same session, while modifiers 22 and 52 can indicate increased or reduced procedural services respectively.Consult the current CPT manual for specific guidance.
Medical necessity for CPT code 58820 is established when an ovarian abscess is present and causing significant symptoms (e.g., severe pain, fever, sepsis) that require drainage. Conservative management has failed or is unlikely to be effective.The procedure is considered medically necessary to alleviate symptoms, prevent complications (e.g., rupture, peritonitis), and improve the patient's overall health.
The physician or qualified healthcare professional performs the procedure, including administering anesthesia (general or regional), making the incision, draining the abscess, placing a drainage tube (if necessary), and closing the incision. Pre-operative and post-operative care may also be included.
In simple words: The doctor drains a pus-filled cyst (abscess) on the ovary through a small cut in the vagina.This involves making an incision, removing the pus, cleaning the area, and possibly placing a small tube to help with further drainage before closing the incision.
This procedure involves draining an ovarian abscess through an open incision made in the vaginal wall.The patient is placed in the dorsal lithotomy position, and general or regional anesthesia is administered. The vaginal wall is incised to expose the pelvic cavity, and the ovarian abscess is identified and inspected. The abscess wall is incised, and the purulent material is drained.The ovarian cavity is thoroughly inspected to ensure complete drainage. The area is cleansed, and a temporary drainage tube is often placed to prevent premature closure and ensure complete drainage. Finally, the vaginal incision is closed.
Example 1: A 35-year-old female presents with pelvic pain and fever.Ultrasound reveals a large ovarian abscess.The physician performs CPT code 58820 to drain the abscess via a vaginal approach., A 28-year-old female with a history of endometriosis presents with severe pelvic pain and elevated inflammatory markers.Imaging shows an ovarian endometrioma with evidence of infection.The physician performs CPT code 58820 to drain the abscess., A 40-year-old female presents post-partum with a suspected ovarian abscess.After imaging confirms the presence of the abscess, a vaginal approach is elected by the physician. CPT code 58820 is performed to drain the abscess.
* Detailed history and physical examination noting symptoms (pelvic pain, fever, etc.) and risk factors.* Imaging studies (ultrasound, CT scan) confirming the presence and location of the ovarian abscess.* Operative report documenting the procedure, including the type of anesthesia, approach (vaginal), incision details, amount and character of the drained material, placement of a drainage tube (if applicable), and closure technique.* Pathology report (if applicable) analyzing the drained material.* Post-operative notes describing the patient's recovery and any complications.
** This code describes the drainage of an ovarian abscess via an open vaginal approach. If the abscess is drained laparoscopically, different codes apply.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: The relative value units (RVUs) for CPT code 58820 vary based on geographic location, facility type (e.g., hospital outpatient, physician office), and other factors.Consult the relevant fee schedule for specific values.
- Global Days: The global period for this procedure is likely 0 days, as it is a relatively straightforward procedure, although this can vary depending on local payer guidelines and the complexity of the case.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code as it describes a complete procedure.
- Fee Schedule: Historical fee schedule data is not available here. Consult your payer's specific fee schedule for historical pricing information.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)