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OP laparoscopy with right ovarian cystectomy & bil salpingectomy

Chelsey Posted Thu 07th of November, 2019 10:39:30 AM
Provider performed OP laparoscopy with right ovarian cystectomy & bilateral salpingectomy. Diagnoses - Right 4-cm dermoid cyst Desires ovarian cancer risk reduction. Procedure Using the needle-tip cautery, an incision was made across the ovarian capsule. The edges of the capsule and cyst wall were then separated. There was rupture of the dermoid cyst. The cyst wall was separated from the ovarian capsule down to the level of the base. The ovarian cyst wall was removed. The fallopian tubes were then excised using Gyrus bilaterally with good hemostasis. There was a 4-cm follicular cyst noted on the left ovary which was aspirated. Would 58661 be the correct CPT code?
SuperCoder Answered Fri 08th of November, 2019 03:38:16 AM

Hi Chelsey,

Thank you for your question.

For laparoscopic right ovarian cystectomy for dermoid cyst cautery we will use CPT 58662-rt (Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method). And for bilateral salpingectomy we will report CPT 58661-51 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]; multiple procedures) in addition to 58662. 

Chelsey Posted Fri 08th of November, 2019 11:27:45 AM
Thank you!
Chelsey Posted Fri 08th of November, 2019 11:44:31 AM
I'm just never sure if I should be using 58661 when done for sterilization/cancer risk reduction.
SuperCoder Answered Mon 11th of November, 2019 09:24:03 AM

You are welcome. Yes, its okay to use 58661 for cancer risk reduction procedures. (e.g: Benign neoplasm, Chronic salpingitis, atrophy of right ovary and fallopian tubes, Polyp of other parts of female genital tract, and many more). Feel free to ask for any further query. Thank you.

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