2025 CPT code 58951
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Initial resection of ovarian, tubal, or primary peritoneal malignancy with bilateral salpingo-oophorectomy, omentectomy, total abdominal hysterectomy, pelvic, and limited para-aortic lymphadenectomy.
Modifiers may apply based on specific circumstances. Consult the CPT manual and NCCI edits for appropriate modifier usage.Modifiers such as 51 (Multiple Procedures) or 59 (Distinct Procedural Service) might be relevant.
Surgical resection is medically necessary for the treatment of ovarian, tubal, or primary peritoneal malignancies to remove the cancer and improve the chances of survival and remission.The extent of the surgery (including lymphadenectomy) depends on the stage of cancer and may influence the prognosis.
The surgeon performs the entire procedure, including making the incisions, removing the cancerous tissue and organs, controlling bleeding, and closing the incisions. Anesthesiologist provides anesthesia.
In simple words: This surgery removes a cancerous tumor from the ovaries, fallopian tubes, or lining of the abdomen. It also involves removing the fallopian tubes, ovaries, uterus, cervix, and some lymph nodes. The surgeon makes an incision in the abdomen to perform this procedure.
This procedure involves the initial surgical removal of a malignant tumor originating in the ovary, fallopian tube, or primary peritoneum.The procedure includes bilateral salpingo-oophorectomy (removal of both fallopian tubes and ovaries), omentectomy (partial or complete removal of the omentum), total abdominal hysterectomy (removal of the uterus and cervix), and lymphadenectomy (removal of lymph nodes in the pelvis and a limited number of para-aortic lymph nodes).The approach is via an abdominal incision.The procedure aims to remove all visible cancerous tissue.
Example 1: A 55-year-old female patient is diagnosed with stage II ovarian cancer.The surgeon performs a total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and limited para-aortic lymphadenectomy to remove the cancerous tumor and surrounding tissue., A 48-year-old female patient presents with a large primary peritoneal malignancy.The surgeon performs a total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and limited para-aortic lymphadenectomy to resect the cancerous mass and obtain tissue for pathology analysis., A 60-year-old female patient diagnosed with stage III ovarian cancer undergoes a surgical procedure involving a total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, pelvic and limited para-aortic lymphadenectomy. Intraoperative findings reveal extensive spread, requiring further debulking procedures coded separately.
Complete medical history, physical examination, imaging studies (e.g., ultrasound, CT scan, MRI) confirming the diagnosis and extent of the malignancy. Intraoperative findings, including the size and location of the tumor, extent of resection, and lymph node assessment. Pathology report confirming the diagnosis of malignancy and the margins of resection. Operative report detailing all procedures performed and the amount of tissue removed. Post-operative progress notes, documenting recovery and any complications.
** This code is for the initial resection of the malignancy.Additional codes may be necessary for subsequent procedures, such as debulking or adjuvant therapy.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Gynecologic Oncology, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center