2025 CPT code 58954
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy.
Modifiers may be applicable to this code in specific situations, such as increased procedural services (modifier 22) or multiple procedures (modifier 51). Refer to the current CPT manual for detailed modifier guidelines.
Medical necessity is determined by the diagnosis and stage of the cancer, the patient's overall health, and the treatment plan.
The surgeon performs the surgery, including the abdominal incision, exploration of the abdomen, removal of the specified organs and tissues, and closure of the incision.The surgeon is responsible for obtaining informed consent and managing post-operative care.
In simple words: This is a major abdominal surgery where the uterus, cervix, fallopian tubes, ovaries, and surrounding tissues, including lymph nodes, are removed. This procedure is commonly performed to treat gynecologic cancers.
This procedure involves the complete removal of the uterus, cervix, fallopian tubes, and ovaries, along with the omentum, through an abdominal incision.It also includes radical dissection for debulking, pelvic lymphadenectomy, and limited para-aortic lymphadenectomy. This is typically performed for advanced-stage gynecologic cancers.
Example 1: A patient with advanced ovarian cancer undergoes this procedure to remove the primary tumor and affected surrounding tissues., A patient with endometrial cancer that has spread to the pelvic lymph nodes undergoes this procedure as part of their treatment., A patient with a large uterine sarcoma requires this extensive surgery for tumor removal and debulking.
Documentation should include operative notes detailing the procedure, including the extent of the dissection, lymph nodes removed, and any complications.Pre-operative imaging and pathology reports confirming the diagnosis are also required.
** As of December 1st, 2024, this information is current.However, medical coding and billing regulations are subject to change, so it is crucial to consult the most up-to-date CPT manual and other relevant resources for the most accurate and current information.
- Payment Status: Active
- Specialties:Gynecologic Oncology, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center