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2025 CPT code 58825

Transposition of one or both ovaries.

Follow the CPT guidelines for surgical procedures.Ensure accurate documentation of all components of the procedure.

Modifiers such as -50 (bilateral procedure), -22 (increased procedural services), and others may apply depending on the circumstances of the procedure.

Medical necessity is established by the need to protect the ovaries from radiation damage or to correct ovarian torsion.Documentation must clearly indicate the reason for the procedure.

The surgeon performs the procedure under general anesthesia. This involves making an incision, identifying and securing ovarian vessels, moving the ovaries to their new location, suturing them in place, and closing the incision.

IMPORTANT:Code 58679 (Unlisted laparoscopy procedure, oviduct, ovary) may be considered if the procedure is performed laparoscopically and is significantly different from other coded procedures.If performed in conjunction with another procedure, modifier -22 (increased procedural services) might be appropriate.For ovarian torsion, coding options are limited, and other codes may be necessary depending on the other procedures performed (e.g., 58920-22 for bivalving and detorsion).

In simple words: The doctor moves one or both ovaries to a new position in the pelvis and stitches them there. This is often done to protect the ovaries from radiation treatment for cancer or to fix a twisted ovary.

This procedure involves the repositioning of one or both ovaries to a different location within the pelvis.The ovaries are surgically moved and secured in their new position using sutures.This is typically performed to protect the ovaries from radiation therapy in cancer treatment or to correct ovarian torsion.

Example 1: A patient is diagnosed with cervical cancer and scheduled for pelvic radiation therapy.To protect the ovaries from radiation damage, a transposition is performed before the radiation treatment., A patient presents with acute abdominal pain due to ovarian torsion. During laparotomy, the ovary is detorsed and transposed to prevent future torsion., A patient with a history of recurrent ovarian cysts experiences a cyst that requires surgical intervention. During the procedure, the ovary is transposed to improve access and prevent future cyst formation (in rare cases).

* Preoperative diagnosis and justification for transposition.* Operative report detailing the surgical technique, including the new location of the ovary and any other procedures.* Postoperative progress notes.* Pathology report, if applicable.* Imaging studies (ultrasound, CT scan, etc.) documenting the preoperative and postoperative location of the ovaries.

** Accurate coding relies heavily on complete and detailed documentation of the procedure.In cases of uncertainty, consult with a qualified coding specialist or refer to the AMA CPT codebook and guidelines.This information is for guidance only; always refer to the most up-to-date coding manuals and payer guidelines for accurate billing.

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