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The procedure described by CPT® Code 58900 refers to a biopsy of the ovary, which can be performed on one or both ovaries, hence the term unilateral or bilateral. This procedure is classified as a separate procedure, indicating that it is distinct from other surgical interventions that may be performed concurrently. During the biopsy, the physician makes an incision through the skin and subcutaneous tissue of the abdomen to access the ovaries. The process involves careful dissection through various layers of abdominal tissue, including the anterior rectus fascia and the rectus muscles, to reach the peritoneal cavity. Once the ovaries are visualized, any lesions present are identified, and tissue samples are collected for laboratory analysis. This procedure is critical for diagnosing conditions affecting the ovaries, such as tumors or cysts, and is performed with the intent of obtaining accurate histological information to guide further management. After the biopsy, the abdominal layers are meticulously closed to ensure proper healing and minimize complications.
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The biopsy of the ovary, as described by CPT® Code 58900, is indicated for various clinical scenarios where there is a need to obtain tissue samples from the ovaries. The following conditions may warrant this procedure:
The procedure for performing a biopsy of the ovary involves several critical steps to ensure accurate tissue sampling and patient safety. The following outlines the procedural steps:
Following the biopsy of the ovary, patients are typically monitored for any immediate complications, such as bleeding or infection. Post-procedure care may include pain management, instructions for activity restrictions, and guidance on wound care. Patients are usually advised to avoid strenuous activities for a specified period to promote healing. Follow-up appointments are essential to discuss the results of the laboratory analysis and to determine any further management based on the findings of the biopsy. It is important for patients to report any unusual symptoms, such as severe pain or signs of infection, to their healthcare provider promptly.
| Short Descr | BIOPSY OF OVARY(S) | Medium Descr | BIOPSY OVARY UNI/BI SEPARATE PROCEDURE | Long Descr | Biopsy of ovary, unilateral or bilateral (separate procedure) | 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 | 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) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 130 - Other diagnostic procedures, female organs |
| 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 | GC | This service has been performed in part by a resident under the direction of a teaching physician | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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