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The CPT® Code 58822 refers to the procedure for the drainage of an ovarian abscess using an abdominal approach. An ovarian abscess is a localized collection of pus within the ovary, often resulting from infection. This procedure is typically indicated for patients with an unruptured abscess, where the goal is to relieve symptoms and prevent further complications. The abdominal approach involves making an incision through the skin and subcutaneous tissue to access the abdominal cavity directly. This method allows for thorough inspection and drainage of the abscess, ensuring that any associated infections are addressed. The procedure is performed under sterile conditions, and careful attention is given to the surrounding structures to minimize complications. The drainage process involves incising the abscess, opening any septa within it, and ensuring complete evacuation of the pus. Following the drainage, the abdominal cavity is irrigated with an antibiotic solution to reduce the risk of postoperative infection, and drains are placed to facilitate ongoing drainage of any residual fluid. This comprehensive approach is crucial for effective management of ovarian abscesses and contributes to the patient's recovery and overall health outcomes.
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The procedure coded as CPT® 58822 is indicated for the following conditions:
The procedure for the drainage of an ovarian abscess using an abdominal approach involves several critical steps:
After the procedure, patients are typically monitored for any signs of complications, such as infection or excessive bleeding. The presence of drains allows for the continuous removal of fluid, which is essential for proper healing. Patients may be advised on specific post-operative care instructions, including activity restrictions and signs of potential complications to watch for. Follow-up appointments are usually scheduled to assess recovery and ensure that the abscess has been adequately drained and that no further intervention is necessary.
| Short Descr | DRAIN OVARY ABSCESS PERCUT | Medium Descr | DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH | Long Descr | Drainage of ovarian abscess; 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) | 1 - 150% payment adjustment for bilateral procedures applies. | 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 | Inpatient Procedures, not paid under OPPS | 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). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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