Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 CPT code 58925

Surgical removal of one or both ovarian cysts through an abdominal incision.

Refer to the official CPT coding guidelines and the most current version for detailed instructions regarding the proper use of this code.

Modifiers such as 51 (multiple procedures), 59 (distinct procedural service), 78 (unplanned return to OR), and others may apply depending on the circumstances of the case.Consult the CPT manual for details.

Medical necessity is established when symptoms (pain, pressure) are present and non-surgical management options have failed.Suspected malignancy also warrants surgical intervention.

The surgeon is responsible for all aspects of the procedure, including patient positioning, anesthesia administration, incision, exploration of the abdominal cavity, identification and excision of the cyst(s), ovarian repair, hemostasis, and wound closure.

IMPORTANT:For laparoscopic approach, consider alternative codes; for excision or destruction of endometriomas, see 49203-49205, 58957, 58958; for paracentesis, see 49082, 49083, 49084; for secondary closure of abdominal wall evisceration or disruption, use 49900.

In simple words: This surgery removes a fluid-filled sac (cyst) from one or both ovaries. The surgeon makes a cut in the lower belly to reach the ovaries and remove the cyst(s).Stitches close the incision afterwards.

Ovarian cystectomy involves the surgical removal of a cyst or cysts from one or both ovaries.The procedure typically begins with the patient placed in the supine position under general anesthesia.A lower abdominal incision is made, and the peritoneum is incised to access the abdominal cavity. The ovarian vessels are identified, and the ovaries are examined to locate the cyst(s).The cyst(s) are then excised, either intact or by removing the cyst wall and surrounding ovarian tissue.Smaller cysts may be removed whole, while larger cysts might be ruptured and dissected for complete removal. Following excision, the ovary is repaired using sutures or cautery, and any bleeding is controlled. The abdominal incision is then closed with sutures.

Example 1: A 35-year-old female presents with a large ovarian cyst causing significant pelvic pain. An open ovarian cystectomy is performed to remove the cyst., A 28-year-old female with multiple small ovarian cysts undergoes laparoscopic ovarian cystectomy. The surgeon successfully removes all cysts while preserving ovarian tissue., A 40-year-old female with a suspected malignant ovarian cyst undergoes an open cystectomy.Frozen section analysis is performed during surgery to assess malignancy.

Complete medical history and physical examination, including relevant imaging studies (ultrasound, CT scan), operative report detailing the procedure, pathology report if applicable, and post-operative progress notes.

** Always confirm the correct coding with the current CPT manual and payer guidelines.Consider using appropriate modifiers to reflect the complexity of the procedure and the specific circumstances of the case.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.