2025 CPT code 58822
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Drainage of ovarian abscess via abdominal approach.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT codebook and local payer guidelines.
Medical necessity for surgical drainage of an ovarian abscess is established when conservative management (antibiotics) fails to resolve the infection, the abscess is symptomatic (causing significant pain or other complications), or there is a risk of rupture or sepsis.
The provider is responsible for performing the entire procedure including anesthesia administration, incision, drainage of the abscess, irrigation, placement of drains, and closure of the incision.
In simple words: The doctor drains a pus-filled pocket (abscess) in the ovary through a cut in the belly.The area is cleaned, and a tube may be left to drain fluid. The belly is then stitched closed.
This procedure involves draining an ovarian abscess through an abdominal incision. The patient is placed in the supine position under general anesthesia.A midline or low transverse abdominal incision is made to access the abdomen. The bowel is retracted, and the pelvis and abdomen are explored to locate the abscess. The abscess is incised and drained, followed by irrigation with sterile saline. One or more drains are placed into the abscess cavity, exteriorized through a small abdominal incision, and possibly sutured to the skin. The abdominal incision is then closed with sutures.
Example 1: A 32-year-old female presents with lower abdominal pain, fever, and elevated white blood cell count.Ultrasound reveals a large tubo-ovarian abscess.After antibiotic treatment fails to resolve the infection, laparotomy with drainage of the abscess is performed., A 28-year-old female with a history of pelvic inflammatory disease develops a symptomatic ovarian abscess. Conservative management with antibiotics is unsuccessful.Surgical drainage via laparotomy is indicated to alleviate symptoms and prevent complications., A 40-year-old female undergoing a laparotomy for unrelated gynecological issues is found to have a large ovarian abscess.Intraoperative drainage is performed to address the abscess during the existing procedure.
* Preoperative diagnosis (including imaging findings)* Operative report detailing the procedure (incision type, abscess location, drainage technique, drain placement)* Pathology report (if applicable)* Postoperative course and recovery notes* Documentation of failed conservative management (antibiotics) if applicable.
** The approach to drainage (laparotomy) is specified in the code.Other approaches (e.g., laparoscopy, percutaneous drainage) would necessitate different CPT codes.Accurate documentation is critical for appropriate reimbursement.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in source. Consult the most up-to-date CPT codebook and your local payer's fee schedule for RVU values.
- Global Days: Information not available in source.The global period will vary depending on payer and other factors.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is not typically relevant to this code.This code generally encompasses the entire procedure.
- Fee Schedule: Information not available in provided sources. Consult historical CPT fee schedules and your local payer's historical data.
- Specialties:Gynecology, Obstetrics
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center