2025 CPT code 58952
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Initial surgical resection of ovarian, tubal, or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural services, 59 for distinct procedural service).
The procedure is medically necessary when a patient is diagnosed with an ovarian, tubal, or primary peritoneal malignancy that requires surgical resection.The extent of resection depends on the individual case and the patient's general health and condition. Debulking is considered medically necessary when complete resection is not feasible, to increase the effectiveness of subsequent chemotherapy or radiation therapy.
The surgeon performs the procedure under general anesthesia. Responsibilities include making abdominal incisions, exploring the abdomen and pelvis to assess the extent of malignancy, performing bilateral salpingo-oophorectomy and omentectomy, radically resecting intra-abdominal or retroperitoneal tumors, controlling bleeding, and closing the abdomen in layers. Preoperative and postoperative care are also the surgeon's responsibility.
In simple words: The surgeon removes cancerous tumors from the ovaries, fallopian tubes, or abdominal lining. This includes removing both fallopian tubes and ovaries, as well as some tissue near the stomach.The surgeon also tries to remove as much of the cancer as possible from the abdomen and pelvis.
This procedure involves the initial surgical resection of an ovarian, tubal, or primary peritoneal malignancy.It includes bilateral salpingo-oophorectomy (removal of both fallopian tubes and ovaries) and omentectomy (partial or complete removal of the omentum).A radical dissection is performed for debulking (removing as much of the tumor as possible) of intra-abdominal or retroperitoneal tumors. The procedure is performed through an abdominal incision. The surgeon may also take cytologic washings and subdiaphragmatic scrapings to assess the extent of the malignancy.
Example 1: A 45-year-old female patient presents with a large ovarian mass and elevated CA-125 levels. Imaging confirms a large ovarian tumor.The surgeon performs a 58952 procedure to remove the tumor, both ovaries and fallopian tubes, and parts of the omentum. Extensive debulking is performed to remove visible tumor nodules. Post-op, the patient undergoes chemotherapy., A 60-year-old female patient is diagnosed with peritoneal carcinomatosis secondary to ovarian cancer.The surgeon performs a 58952 procedure, removing as much visible tumor as possible from the peritoneal cavity, in addition to the ovaries, fallopian tubes, and omentum. This is followed by chemotherapy and supportive care., A 38-year-old female presents with a large tubo-ovarian mass.Laparotomy reveals a malignant tumor. The surgeon performs a 58952, which includes the removal of both ovaries and fallopian tubes and a significant amount of omental tissue to remove the entire tumor bulk. The patient later undergoes further treatment to manage the cancer.
* Preoperative diagnosis and clinical findings supporting the need for surgery.* Operative report detailing the extent of resection, including size and location of tumors, lymph node status (if applicable), and any other relevant findings.* Pathology report confirming the diagnosis and extent of the malignancy.* Documentation of any complications encountered during the procedure and post-operative recovery.* Imaging studies (ultrasound, CT scan, MRI) that support the diagnosis and the extent of the disease.* Any relevant prior medical records related to the cancer.
** This code should only be used for the initial surgical resection of the malignancy.If the patient requires additional procedures related to the resection of the malignancy, such as secondary cytoreductive surgery, additional CPT codes must be used.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: TC modifier is not applicable.
- Specialties:Gynecologic Oncology, Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center