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The CPT® Code 58950 refers to the surgical procedure known as resection of ovarian, tubal, or primary peritoneal malignancy, which includes a bilateral salpingo-oophorectomy and omentectomy. This complex operation is performed to remove cancerous tissues from the ovaries, fallopian tubes, or peritoneum, which is the lining of the abdominal cavity. The procedure begins with an incision that extends from the symphysis pubis to the xiphoid process, allowing access to the abdominal and pelvic cavities. During the exploration, the surgeon assesses the extent of the malignancy, which is crucial for determining the appropriate surgical approach. Blunt dissection techniques are employed to carefully expose the broad ligament, round ligament, ovaries, and fallopian tubes, ensuring minimal damage to surrounding structures. The ovarian vessels are identified and ligated to prevent excessive bleeding during the procedure. The broad ligament is then plicated to secure the cut edges, and the fallopian tubes and ovaries are meticulously dissected from adjacent tissues. The procedure also involves clamping and dividing the round ligaments and ligating the blood vessels bilaterally to facilitate the removal of the reproductive organs. In cases where the malignancy is primary peritoneal, the surgeon will also resect any peritoneal tumors present. For ovarian or tubal malignancies, the goal is to excise as much metastatic disease as possible. The omentum, a fold of peritoneum extending from the stomach, is also removed, which involves careful dissection to control bleeding from the associated blood vessels. Finally, the abdominal cavity is closed in layers to promote proper healing. This procedure is critical for managing advanced gynecological cancers and requires a high level of surgical expertise.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 58950 is indicated for the surgical management of malignancies affecting the ovaries, fallopian tubes, or primary peritoneal areas. The specific indications for performing this procedure include:
The procedure involves several critical steps to ensure the effective resection of malignancies. The steps are as follows:
Post-procedure care following the resection of ovarian, tubal, or primary peritoneal malignancy includes monitoring for complications such as bleeding, infection, or adverse reactions to anesthesia. Patients are typically observed in a recovery area before being transferred to a hospital room for further monitoring. Pain management is an essential aspect of post-operative care, and patients may be prescribed analgesics to manage discomfort. Additionally, patients will be advised on activity restrictions and signs of complications to watch for during their recovery period. Follow-up appointments are crucial for assessing recovery and planning any further treatment, such as chemotherapy or radiation, if necessary.
| Short Descr | RESECT OVARIAN MALIGNANCY | Medium Descr | RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO | Long Descr | Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; | 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 | 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 | 119 - Oophorectomy, unilateral and bilateral |
This is a primary code that can be used with these additional add-on codes.
| 96547 | Add On Code MPFS Status: Active Code APC N Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primary procedure) | 96548 | Add On Code MPFS Status: Active Code APC N Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code for primary procedure) |
| 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study |
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| 2010-01-01 | Changed | Code description changed. |
| 2007-01-01 | Changed | Code description changed. |
| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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