2025 CPT code 58940
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Ovary Surgery Feed
Oophorectomy, partial or total, unilateral or bilateral.
Modifiers may apply depending on the circumstances, such as modifier 51 for multiple procedures or modifier 22 for increased procedural services. Check the latest CPT guidelines for the use of any modifiers.
Medical necessity for oophorectomy is established based on clinical indications such as severe ovarian cyst pain unresponsive to conservative management, high risk of ovarian cancer (family history, genetic predisposition, etc.), or as part of treatment for ovarian cancer.The procedure should be medically necessary, meaning no less invasive alternative options are effective.
The surgeon is responsible for the entire procedure, including patient positioning, anesthesia administration (or oversight if administered by an anesthesiologist), incision, identification of anatomical structures, dissection, hemostasis, removal of ovarian tissue, and closure of the incision. Post-operative care may be shared with other providers as clinically appropriate.
In simple words: This surgery removes one or both ovaries, either partially or completely. The surgeon makes a cut in the lower abdomen to access and remove the ovary (or ovaries).
This procedure involves the surgical removal of all or part of one or both ovaries through an abdominal incision.The surgeon makes an incision in the lower abdomen, identifies the ovaries, fallopian tubes, and surrounding structures, carefully dissects the ovarian vessels and infundibulopelvic ligaments, removes the indicated ovarian tissue, and then closes the incision.
Example 1: A 45-year-old woman with a history of ovarian cysts undergoes a bilateral oophorectomy to prevent future cyst formation and reduce pain., A 50-year-old woman with a family history of ovarian cancer elects for a prophylactic bilateral oophorectomy to reduce her cancer risk., A 60-year-old woman with ovarian cancer undergoes a unilateral oophorectomy as part of a larger surgical intervention to remove cancerous tissues.The other ovary is deemed healthy and is left intact.
Detailed operative report specifying the type of oophorectomy (unilateral/bilateral, partial/total),preoperative diagnostic imaging (ultrasound, MRI, CT), pathology report on the removed tissue (to confirm diagnosis or rule out malignancy), and anesthesia records.Consent form signed by the patient is also required.
** Always confirm code selection with the latest CPT manual and payer-specific guidelines.Consult with coding experts for complex cases or those involving concomitant procedures.Coding decisions should be based on thorough documentation.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: TC modifier may apply based on the individual circumstances. Consult the CPT manual for details.
- Specialties:Gynecology, Oncology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient