The 58661 CPT code covers a procedure in which an ovary or ovaries and one or both fallopian tubes are removed with a laparoscope.
1. What Is CPT 58661?
CPT 58661 can be used when a provider removes the ovary/ovaries of a patient. They also remove one or two fallopian tubes with a laparoscope.
The CPT book describes the 58661 CPT code as follows: “Laparoscopy, surgical; with the removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).”
The CPT code 58661 procedure starts with a provider placing the patient in the dorsal lithotomy position. Then, they drape and prep the patient’s abdomen, and a general anesthetic is administered.
A uterine manipulator is placed through the cervix to remove the uterus. Next, the patient’s abdominal cavity is entered near the patient’s belly button with an open incision or a Veress needle for the placement of a laparoscope.
The abdomen of the patients is insufflated with CO2 to create a pneumoperitoneum. Then, the patient is put in the Trendelenburg position before they make incisions around the patient’s abdominal area to insert trocars.
The trocars give the surgeon a good view of the site, and surgical tools can be inserted.
The provider docks the robot to the laparoscope in case of robotic surgery. The infundibulopelvic ligament is isolated, and at the same time, the provider controls the bleeding and protects the ureter.
The fallopian tube or tubes and the ovary are separated from the ligament. Once separated, they are removed through a trocar site, and an incision is made into the vaginal wall to remove them.
In case of a cyst, they will be placed into a sterile back so they can be deflated and aspirated without spilling in the abdominal cavity.
The 58661 procedure is repeated on the other side in case of a bilateral procedure.
Once the ovaries and fallopian tubes are removed, they deflate and rinse the patient’s abdominal cavity.
The trocars and instruments are removed, and the sites are closed.
4. Does CPT code 58661 Need A Modifier?
CPT code 58661 is listed in the Medicare database as a unilateral procedure. You can append modifier 50 to the claim in case of a bilateral salpingo-oophorectomy procedure.