How To Use CPT Code 58950

CPT 58950 describes the resection (initial) of ovarian, tubal, or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy. 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 58950?

CPT 58950 can be used to describe the surgical procedure performed to remove an ovarian, tubal, or primary peritoneal malignancy. This procedure involves the removal of the fallopian tubes, ovaries, and omentum. The provider uses an abdominal approach to perform this surgery.

2. Official Description

The official description of CPT code 58950 is: ‘Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy.’

3. Procedure

1. The provider administers a general anesthetic and positions the patient in the supine position.
2. An incision is made in the lower abdomen, just above the symphysis pubis.
3. The provider examines the abdomen and peritoneal cavity for any spread of the malignant tumor.
4. Another incision is made to expose the broad ligament.
5. The provider dissects the fallopian tube from the ligament and removes it from the abdomen.
6. The infundibulopelvic ligament is incised to free the ovary from its connection to the pelvic wall, and the ovary is removed.
7. This procedure is repeated on the opposite side.
8. If any visible tumor is found in the area, it is resected.
9. The provider then performs an omentectomy, partially or completely removing the thin tissue lining the abdomen around the stomach.
10. The abdominal incision is closed with absorbable sutures.

4. Qualifying circumstances

CPT 58950 is performed on patients with ovarian, tubal, or primary peritoneal malignancy. The procedure is indicated when the removal of the fallopian tubes, ovaries, and omentum is necessary to treat the malignancy. The provider must use an abdominal approach to perform the surgery.

5. When to use CPT code 58950

CPT code 58950 should be used when the provider performs the resection of ovarian, tubal, or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy. This code is appropriate for the initial surgery to remove the malignancy. It should not be used for subsequent surgeries or for other procedures unrelated to the resection of the malignancy.

6. Documentation requirements

To support a claim for CPT 58950, the provider must document the following information:

• Patient’s diagnosis of ovarian, tubal, or primary peritoneal malignancy
• Details of the surgical procedure performed, including the removal of the fallopian tubes, ovaries, and omentum
• Date of the surgery
• Any additional procedures performed, such as resection of visible tumor
• Signature of the provider performing the surgery

7. Billing guidelines

When billing for CPT 58950, ensure that the procedure meets the criteria for resection of ovarian, tubal, or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy. Use the appropriate CPT code based on the specific procedure performed. It is important to accurately document the details of the surgery to support the claim.

8. Historical information

CPT 58950 was added to the Current Procedural Terminology system on January 1, 1990. There have been several changes to the code over the years, including updates to the description and terminology. The most recent change was in 2017 when it was added to the Inpatient Only (IPO) list for Medicare.

9. Examples

1. A provider performs a resection of ovarian malignancy with bilateral salpingo-oophorectomy and omentectomy for a patient with a confirmed diagnosis of ovarian cancer.
2. A patient undergoes a resection of primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy as part of their treatment for advanced peritoneal cancer.
3. A provider performs a resection of tubal malignancy with bilateral salpingo-oophorectomy and omentectomy for a patient with a history of fallopian tube cancer.
4. A patient with a diagnosis of primary peritoneal malignancy undergoes a resection with bilateral salpingo-oophorectomy and omentectomy to remove the cancerous tissue.
5. A provider performs a resection of ovarian malignancy with bilateral salpingo-oophorectomy and omentectomy for a patient with a suspicious ovarian mass.
6. A patient with a confirmed diagnosis of tubal cancer undergoes a resection with bilateral salpingo-oophorectomy and omentectomy to remove the cancerous tissue.