2025 CPT code 58925
(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 ovarian cysts through an abdominal incision.
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.
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.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Refer to current Medicare Physician Fee Schedule for RVUs and payment rates.
- Global Days: Global surgical period details are not specified in the provided data; consult official coding guidelines for clarification.
- Payment Status: Active
- Modifier TC rule: The TC (Technical Component) modifier might be used if the service involves multiple surgeons, each performing different parts of the procedure.
- Fee Schedule: Historical fee schedule data is unavailable. Consult Medicare Physician Fee Schedule database for historical payment information.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office