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An ovarian cyst is defined as a sac or pouch that develops on or within the ovary. These cysts can vary in composition, being either fluid-filled or containing semi-solid or solid material. The procedure described by CPT® Code 58800 involves the drainage of these cysts through a vaginal approach, which is considered a separate procedure. This method is particularly advantageous for patients who are medically fragile and may not tolerate more invasive surgical options, such as an open abdominal procedure. During the procedure, a transvaginal ultrasound probe is utilized to visualize internal structures, aiding in the precise localization of the cyst. A small incision may be made in the vaginal wall, or alternatively, a needle may be directly advanced through the posterior vaginal fornix to access the cyst. The primary goal of this procedure is to aspirate and drain the cyst, ensuring that all contents are removed to alleviate symptoms and prevent complications. The transvaginal approach is less invasive and typically results in a quicker recovery compared to traditional surgical methods.
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The drainage of ovarian cysts using CPT® Code 58800 is indicated for the following conditions:
The procedure for the drainage of ovarian cysts involves several key steps, which are detailed as follows:
Post-procedure care following the drainage of ovarian cysts includes monitoring for any immediate complications, such as bleeding or infection. Patients may experience some discomfort or cramping following the procedure, which is generally manageable with over-the-counter pain relief. It is important for patients to follow up with their healthcare provider to ensure proper recovery and to discuss the results of any laboratory analyses performed on the cyst contents. Additionally, patients should be advised on signs of complications that would warrant immediate medical attention.
| Short Descr | DRAINAGE OF OVARIAN CYST(S) | Medium Descr | DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR | Long Descr | Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 120 - Other operations on ovary |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2008-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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