2025 CPT code 58943
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Oophorectomy (partial or total, unilateral or bilateral) for ovarian, tubal, or primary peritoneal malignancy, including para-aortic and pelvic lymph node biopsies, peritoneal washings, biopsies, diaphragmatic assessments, with or without salpingectomy and/or omentectomy.
Modifiers may be applicable depending on the circumstances and payer requirements (e.g., modifier -59 for distinct procedural services, -51 for multiple procedures).Refer to payer-specific guidelines.
Medical necessity for this procedure is established by a diagnosis of ovarian, tubal, or primary peritoneal cancer.The extent of surgical resection is determined based on the stage of the disease and the surgeon’s judgment. The procedure aims to remove the cancerous tissue, adequately stage the disease, and potentially improve survival rates.
The surgeon's responsibilities include patient positioning, administering anesthesia, performing the incisions, collecting tissue samples (lymph nodes, peritoneum, diaphragm), assessing the peritoneal cavity for cancer spread, performing the oophorectomy, salpingectomy (if applicable), and omentectomy (if applicable), and closing the incisions.Pathology interpretation is done separately by a pathologist.
In simple words: This code describes surgery to remove one or both ovaries, along with lymph node samples and other tissue, to treat cancer of the ovaries, fallopian tubes, or lining of the abdomen.Additional parts of the surgery may include removing fallopian tubes or a part of the membrane covering the stomach and intestines.
This CPT code, 58943, encompasses the surgical removal of all or part of one or both ovaries (oophorectomy) in cases of ovarian, tubal, or primary peritoneal cancer.The procedure includes para-aortic and pelvic lymph node biopsies, peritoneal washings and biopsies, and diaphragmatic assessment.A salpingectomy (fallopian tube removal) and/or omentectomy (omentum removal) may also be performed as part of this procedure.
Example 1: A 55-year-old female presents with symptoms suggestive of ovarian cancer.A laparotomy is performed, revealing a large ovarian mass.A total bilateral oophorectomy is performed, along with pelvic and para-aortic lymph node biopsies, peritoneal washings, and biopsies.A partial omentectomy is also done. Pathology confirms ovarian cancer., A 48-year-old female undergoes a staging laparotomy for suspected ovarian cancer.The surgeon performs a partial right oophorectomy, bilateral salpingectomy, pelvic and para-aortic lymph node biopsies, peritoneal washings, and biopsies.Pathology results are negative for malignancy., A 62-year-old female presents with recurrent ovarian cancer. The surgeon performs a debulking procedure which includes a total oophorectomy, partial omentectomy, pelvic lymphadenectomy, and limited para-aortic lymphadenectomy. Significant tumor reduction is achieved. Post-operative chemotherapy is planned.
Complete operative report detailing all procedures performed, pathology reports confirming the diagnosis of malignancy and extent of resection, imaging studies (e.g., ultrasound, CT scan) showing the tumor and extent of disease, medical records documenting the patient's symptoms and history, and any relevant pre- and post-operative notes.
** This code is specifically for malignant conditions.For benign conditions, individual procedure codes should be used.Always refer to the most current CPT and NCCI guidelines for accurate coding.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available within the provided sources and would require consultation with a specific payer's fee schedule or relative value unit (RVU) database for up-to-date information.
- Global Days: The global period for this procedure would depend on the payer and specific circumstances; however, given the significant surgical involvement, a 90-day global period is commonly used.
- Payment Status: Active
- Modifier TC rule: This code does not typically utilize TC modifiers as it is a comprehensive surgical procedure.
- Fee Schedule: Fee schedules vary widely based on location, payer, and year. Consult specific fee schedules for historical data.
- Specialties:Gynecologic Oncology, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center