CPT 58661 denotes a surgical procedure involving laparoscopic removal of adnexal structures, which may comprise of partial or total oophorectomy (removal of one or both ovaries) and/or salpingectomy (removal of one or both fallopian tubes). This code is used by healthcare providers to accuratly document and bill for this surgical procedure.
Short description: Laparoscopic removal of adnexal structures.
Official descripttion: Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
Procedure for CPT Code 58661
The CPT 58661 process involves several steps:
The patient is firstly placed in the dorsal lithotomy position, and the abdomen is prepared for the surgical procedure. Anesthesia is administered. The surgeon will then place an uterine manipulator through the cervix as this provides for easier movement of the uterus during the surgery.
A laparoscope will be inserted in the abdominal cavity through a small incision made near the belly button. The abdomen is filled with CO2 gas and the patient is put into a Trendelenburg position. Small incisions are then made at various places around the abdominal area, and a camera and surgical tools are inserted through these trocars.
The process continues with the provider isolating the infundibulopelvic ligament and taking measures to control bleeding while protecting the ureter. Once the ovary and fallopian tube are free, and if no abnormalities are identified, they are removed from the abdomen. The abdominal cavity is then devoidedof air, instruments are removed and all incisions are sealed.
Qualifying circumstances CPT Code 58661
Eligible patients for the CPT code 58661 are those requiring surgical intervention due to conditions such as ovarian cysts, ectopic pregnancies and pelvic inflammatory disease. Decisions to perform the procedure are based on the patient’s medical history, physical examination results, and the provider’s clinical judgment.
When to use CPT Code 58661
It is appropriate to bill 58661 CPT code when a provider performs a laparoscopic surgical procedure involving the removal of adnexal structures, including partial or total oophorectomy and/or salpingectomy. This code should be employed to accurately document and bill this particular surgical procedure.
For a successful claim of CPT 58661, it is crucial to record the following patient data: Indication for the surgical procedure, medical history and physical examination results, as well as pathogical report detailing any specimens secured during the procedure.
Billing guidelines CPT Code 58661
It’s important to abide by certain rules and guidelines when billing for CPT code 58661. This code should only be used for laparoscopic removal of adnexal structures without any other procedures performed during the same operative session. If the procedure is bilateral, a modifier 50 should be appended to ensure accurate reimbursement.
Historical Information and Similar codes to CPT Code 58661
CPT code 58661 was introduced on January 1, 2000, with no updates since then. Other similar codes include CPT 58660, 58670, 58671, 58672, 58673 that represent different laparoscopic procedures on the adnexal structures.
Examples of CPT Code 58661
Various examples of procedures using CPT Code 58661 include procedures for patients with ovarian cysts, history of ectopic pregnancies, endometriosis, pelvic inflammatory disease or other conditions affecting the adnexal structures. The surgical treatment plan may involve laparoscopic removal of adnexal structures as parat of a comprehensive strategy.