Ob-Gyn Coding Alert

Question: What code should I use for oophoropexy performed for polycystic ovarian syndrome, not for radiation therapy: 58662 or 58825?


New Jersey Subscriber

Answer: Code 58825 (Transposition, ovary[s]) is not applicable in this case. If the ob-gyn had moved the ovary out of harm's way due to radiation treatment, the procedure is referred to as transposition of the ovary and you'd report 58825. In this case, however, the surgeon probably sutured the ovary in place, so it can no longer twist. You won't find a CPT code for this.

Your first choice of 58662 (Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) includes the term "laparoscopy" in the code definition, and we can assume the ob-gyn performed the procedure laparoscopically.

Therefore, you would use the unlisted laparoscopy code 58679 (Unlisted laparoscopy procedure, oviduct, ovary).

If the ob-gyn performed this procedure in conjunction with some other procedure that did have a CPT code, you would add modifier 22 (Unusual procedural services) to that code.