2025 CPT code 58958
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, or uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy.
Modifiers may apply depending on the specific circumstances of the procedure. Consult the current CPT guidelines and payer-specific rules for applicable modifiers.
Debulking surgery (58958) is medically necessary for patients with recurrent or advanced gynecologic malignancies to reduce the tumor burden, improve the effectiveness of subsequent chemotherapy or radiation therapy, and potentially improve prognosis.Medical necessity will need to be supported by the documentation outlined above.
The surgeon's responsibilities include patient positioning, anesthesia administration, making incisions, exploring the abdomen and pelvis, removing tumors and lymph nodes, performing an omentectomy if needed, and closing the incisions.This may involve additional specialists such as an anesthesiologist.
In simple words: The doctor removes cancerous tumors from the ovaries, fallopian tubes, or uterus through a cut in the abdomen.Nearby lymph nodes are also removed, and part of the abdominal lining may be taken out, if needed. This helps to reduce the size of the cancer before other treatments.
This procedure involves the surgical removal of recurring cancerous tumors in the ovaries, fallopian tubes, peritoneum, or uterus.The surgeon makes an abdominal incision, explores the abdomen and pelvis to identify and remove as many tumors as possible.Pelvic lymph nodes are resected, and a limited number of para-aortic lymph nodes are sampled. If necessary, a portion or all of the omentum may be excised. The abdominal incision is then closed with absorbable sutures.
Example 1: A 55-year-old female patient presents with recurrent ovarian cancer after initial treatment.The surgeon performs a debulking procedure (58958) to reduce the tumor burden before chemotherapy., A 48-year-old female patient undergoes a debulking procedure (58958) for recurrent fallopian tube cancer.A partial omentectomy is performed during the surgery., A 60-year-old female patient with primary peritoneal cancer undergoes a debulking procedure (58958). Pelvic and limited para-aortic lymphadenectomy is done.
* Complete medical history including prior treatments.* Preoperative imaging (e.g., CT, MRI, ultrasound) to delineate tumor extent.* Operative report detailing the extent of resection, lymph node sampling, and omentectomy (if performed).* Pathology report confirming the diagnosis and describing the tumor's characteristics.* Postoperative imaging (as indicated).
** Always refer to the most current CPT and payer guidelines for accurate coding and billing practices.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires access to a current fee schedule which is not available.RVUs vary based on geographic location and other factors.
- Global Days: The global surgical period for this procedure is not specified in the provided data. Refer to the most current CPT guidelines for more information.
- Payment Status: Active
- Modifier TC rule: This information is not provided, consult the most current CPT guidelines.
- Fee Schedule: This information requires access to a historical fee schedule, which is not available.Historical fees vary based on location and payer.
- Specialties:Gynecologic Oncology, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center