How To Use CPT Code 58920

CPT 58920 describes the excision procedure on the ovary, specifically the wedge resection or bisection of the ovary. 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 58920?

CPT 58920 is used to describe the excision procedure on the ovary, specifically the wedge resection or bisection of the ovary. This code is used when a provider removes a pie-shaped (wedge) section or half (bisects) of one or both ovaries through an abdominal incision. The procedure is typically performed to treat ovarian cysts.

2. Official Description

The official description of CPT code 58920 is: ‘Wedge resection or bisection of ovary, unilateral or bilateral.’

3. Procedure

1. The patient is positioned in the supine position and given a general anesthetic.
2. The provider makes an incision in the lower abdomen, just above the symphysis pubis, and continues through the underlying tissue and peritoneum.
3. The provider examines the abdominal cavity and identifies the ovarian vessels and ovaries.
4. The provider determines the area of the ovary that needs to be removed and either excises a triangular or wedge-shaped piece of tissue or cuts the ovary into two pieces and removes one portion.
5. The provider sutures the edges of the ovary where the tissue was removed and controls any bleeding using electric current or sutures.
6. The provider closes the abdominal incision with sutures.

4. Qualifying circumstances

CPT 58920 is performed on patients who require the excision of a wedge-shaped or bisected portion of one or both ovaries. This procedure is typically done to treat ovarian cysts. The patient must be positioned in the supine position and receive a general anesthetic. The provider must make an abdominal incision, examine the abdominal cavity, and identify the ovarian vessels and ovaries. The excision and closure of the ovary must be performed according to the specific guidelines outlined in the code description.

5. When to use CPT code 58920

CPT code 58920 should be used when a provider performs a wedge resection or bisection of the ovary, either unilaterally or bilaterally. This code is appropriate for cases where the excision of a wedge-shaped or bisected portion of the ovary is necessary to treat ovarian cysts or other related conditions.

6. Documentation requirements

To support a claim for CPT 58920, the provider must document the following information:

• Patient’s diagnosis necessitating the excision procedure
• Details of the procedure performed, including whether it was unilateral or bilateral
• Date of the procedure
• Start and end time of the procedure
• Specific findings during the procedure, such as the size and location of the ovarian cysts
• Any complications or additional procedures performed
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 58920, ensure that the procedure meets the specific requirements outlined in the code description. The excision must be performed on the ovary, either unilaterally or bilaterally, using a wedge resection or bisection technique. It is important to follow the guidelines for documentation and submit the necessary supporting documentation with the claim.

8. Historical information

CPT 58920 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs a wedge resection of the left ovary to remove a large ovarian cyst.
2. A patient undergoes a bilateral bisection of the ovaries to treat multiple ovarian cysts.
3. A provider performs a unilateral wedge resection of the right ovary to remove a benign tumor.
4. A patient with recurrent ovarian cysts undergoes a bilateral wedge resection of the ovaries.
5. A provider performs a unilateral bisection of the left ovary to remove a dermoid cyst.
6. A patient with endometriosis undergoes a bilateral wedge resection of the ovaries to alleviate symptoms.
7. A provider performs a unilateral wedge resection of the right ovary to remove a hemorrhagic cyst.
8. A patient with polycystic ovary syndrome undergoes a bilateral bisection of the ovaries to improve fertility.
9. A provider performs a unilateral wedge resection of the left ovary to remove an ovarian mass.
10. A patient with ovarian cancer undergoes a bilateral wedge resection of the ovaries as part of their treatment plan.