How To Use CPT Code 58805

CPT 58805 describes the drainage of ovarian cyst(s) through an abdominal incision. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58805?

CPT 58805 can be used to describe the drainage of one or more ovarian cysts from one or both ovaries through an abdominal incision. This code is used when the provider performs the procedure to remove the fluid material from the cyst(s) and closes the incision.

2. Official Description

The official description of CPT code 58805 is: ‘Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach.’

3. Procedure

1. The provider administers a general anesthetic and positions the patient in the supine position.
2. An abdominal incision is made just above the symphysis pubis, and the provider dissects down through the underlying tissue and peritoneum.
3. The provider inspects the abdominal cavity, uterus, fallopian tubes, and ovaries to locate the cyst(s).
4. A small hole or incision is made into the wall of each cyst, and the provider drains all the fluid material within.
5. Once all the cysts are drained, the provider closes the incision.

4. Qualifying circumstances

Patients eligible to undergo CPT 58805 are those with ovarian cyst(s) that require drainage. The procedure can be performed on one or both ovaries. The provider must use an abdominal approach to access and drain the cyst(s).

5. When to use CPT code 58805

CPT code 58805 should be used when the provider performs the drainage of ovarian cyst(s) through an abdominal incision. It is important to note that this code is a separate procedure and may bundle with other procedures involving the ovaries. If separate billing is allowed, the appropriate modifier should be used to indicate a distinct procedure service.

6. Documentation requirements

To support a claim for CPT 58805, the provider must document the following information:

• Diagnosis indicating the presence of ovarian cyst(s) and the need for drainage
• Details of the procedure, including the abdominal approach and the number of cysts drained
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 58805, ensure that the procedure involves the drainage of ovarian cyst(s) through an abdominal incision. It is important to follow the payer’s guidelines regarding bundling and separate billing. If separate billing is allowed, the appropriate modifier should be used to indicate a distinct procedure service.

8. Historical information

CPT 58805 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2008, with the addition of ‘unilateral or bilateral’ to the description.

9. Examples

1. A provider drains a unilateral ovarian cyst through an abdominal incision.
2. A patient undergoes the drainage of bilateral ovarian cysts through an abdominal incision.
3. A provider performs the drainage of multiple ovarian cysts from one ovary through an abdominal incision.
4. A patient with a large ovarian cyst undergoes the drainage procedure through an abdominal incision.
5. A provider drains an ovarian cyst during a separate procedure performed through an abdominal incision.
6. A patient with recurrent ovarian cysts undergoes the drainage procedure through an abdominal incision.
7. A provider performs the drainage of an ovarian cyst on a pregnant patient through an abdominal incision.
8. A patient with symptoms of ovarian cysts undergoes the drainage procedure through an abdominal incision for diagnostic and therapeutic purposes.
9. A provider drains an ovarian cyst during a laparotomy performed through an abdominal incision.
10. A patient with a complex ovarian cyst undergoes the drainage procedure through an abdominal incision.