58800 Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach
This would definitely be incorrect if the cyst is drained laparoscopically. You should never use a code for a different approach than what was done, even if that means using unlisted codes.
58661 and 49322 are CCI edits as 58661 is a more extensive procedure than 49322.
IF it were appropriate, 58661 & 49322 could be billed together with -59, -XU, -XS, -XE, -XP.
I do not think it is appropriate in this case. For example, I would bill them together if cyst was drained on the left, and tube removed on right. Or some other situation where the procedures were distinct and sepa