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The CPT® Code 58805 refers to the drainage of ovarian cysts, which can occur on one or both ovaries, utilizing an abdominal approach as a separate procedure. An ovarian cyst is defined as a fluid-filled sac or pouch that develops on the ovary, which may also contain semi-solid or solid material. The procedure is performed to alleviate symptoms caused by the cyst, such as pain or pressure, and to prevent potential complications. The abdominal approach involves making a suprapubic incision to access the cyst directly, allowing for thorough inspection and drainage. This method is typically chosen over a transvaginal approach when the patient is stable enough for an open procedure, as it provides better visibility and access to the cyst and surrounding structures, including the uterus and fallopian tubes. The contents of the cyst are carefully aspirated and collected for laboratory analysis, ensuring that any potential pathological findings can be evaluated. This procedure is crucial for managing ovarian cysts effectively and is performed by qualified healthcare professionals in a surgical setting.
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The procedure coded as CPT® 58805 is indicated for the drainage of ovarian cysts that may be causing discomfort or other complications. The following conditions may warrant this procedure:
The procedure for CPT® 58805 involves several detailed steps to ensure effective drainage of the ovarian cysts:
Following the drainage of the ovarian cyst, the patient is monitored for any immediate complications. Post-procedure care may include pain management and instructions for activity restrictions to promote healing. Patients are typically advised to follow up with their healthcare provider to discuss the results of the laboratory analysis and any further management that may be necessary based on the findings. Recovery time may vary depending on the individual and the extent of the procedure, but most patients can expect to resume normal activities within a few days, barring any complications.
| Short Descr | DRAINAGE OF OVARIAN CYST(S) | Medium Descr | DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL | Long Descr | Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | Non office-based surgical procedure added in CY 2008 or later; 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 |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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 | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2008-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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