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A wedge resection or bisection of the ovary, whether unilateral or bilateral, is a surgical procedure aimed at removing a portion of ovarian tissue that may contain a lesion. This procedure involves making an incision through the skin and subcutaneous tissue of the abdomen to access the ovaries. The surgical approach requires careful dissection to clear subcutaneous fat and incise the anterior rectus fascia, allowing for retraction of the rectus muscles. This exposes the underlying transversalis fascia and peritoneum, which are also incised to gain access to the peritoneal cavity. Once inside, the surgeon inspects the ovaries, uterus, and fallopian tubes to identify any lesions present on the ovaries. The procedure can involve excising a wedge of tissue that includes the lesion or bisecting the ovary to remove the affected section. The excised ovarian tissue is then sent for laboratory analysis to assess the nature of the lesion. After the necessary tissue has been removed, the abdomen is closed in layers to ensure proper healing and recovery.
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The wedge resection or bisection of the ovary is indicated for various conditions that may affect ovarian health. These include:
The wedge resection or bisection of the ovary involves several critical procedural steps:
After the wedge resection or bisection of the ovary, patients are typically monitored for any immediate complications. Post-procedure care may include pain management and instructions for activity restrictions to promote healing. Patients may be advised to avoid strenuous activities for a specified period. Follow-up appointments are essential to assess recovery and discuss the results of the laboratory analysis of the excised tissue. Any signs of infection or unusual symptoms should be reported to the healthcare provider promptly.
| Short Descr | PARTIAL REMOVAL OF OVARY(S) | Medium Descr | WEDGE RESCJ/BISCTJ OVARY UNI/BI | Long Descr | Wedge resection or bisection of ovary, unilateral or bilateral | 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 | 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. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery |
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| Pre-1990 | Added | Code added. |
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