Summary & Overview
CPT 58662: Laparoscopic Excision/Destruction of Ovarian or Peritoneal Lesions
CPT code 58662 represents laparoscopic destruction or excision of lesions, tumors, or cysts on the ovary and adjacent pelvic or peritoneal surfaces. This operative gynecologic code captures minimally invasive interventions aimed at removing or ablating abnormal growths affecting the ovary, uterine-adjacent tissues, bladder- or rectum-adjacent areas, and peritoneum. Nationally, this code is relevant for hospital outpatient departments, ambulatory surgical centers, and inpatient surgical billing where minimally invasive gynecologic surgery is performed.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for using this code, typical sites of service, and common payer considerations. The publication summarizes benchmarks and utilization patterns where available, highlights policy and coding guidance that affect coverage and payment decisions, and provides operational notes relevant to billing teams and revenue cycle managers. The content is intended for a national audience of clinicians, coding professionals, and healthcare administrators seeking concise information on the use and administrative handling of CPT code 58662.
Billing Code Overview
CPT code 58662 describes laparoscopic destruction or excision of lesions, tumors, or cysts located on the ovary, around the bladder, uterus, rectum, or on the peritoneum. This procedure is performed using a laparoscope to access the pelvic and lower abdominal cavities and address abnormal growths affecting the female reproductive organs and adjacent peritoneal surfaces.
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Service type: Minimally invasive operative gynecologic procedure (laparoscopic lesion/tumor/cyst destruction or excision)
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Typical site of service: Hospital outpatient department or ambulatory surgical center; may also occur in inpatient surgical settings depending on clinical severity and patient status
Clinical & Coding Specifications
Clinical Context
A 34-year-old woman presents with progressive lower abdominal pain and imaging that demonstrates a 4-cm cystic lesion on the left ovary with septations and concern for endometrioma versus hemorrhagic cyst. The gynecologic surgeon schedules a diagnostic and operative laparoscopy with planned ovarian cystectomy. Under general anesthesia in an ambulatory surgery center or hospital operating room, the surgeon creates pneumoperitoneum, inserts a laparoscope and ancillary ports, inspects the pelvis and peritoneal surfaces, and identifies the ovarian lesion. The surgeon uses sharp dissection and/or electrosurgical energy to excise the cyst from the ovary and evacuates cyst contents; any visible implants on the uterus, bladder peritoneum, rectum, or contralateral ovary are ablated or excised as indicated. Hemostasis is achieved, the pelvis is irrigated, and specimens are sent to pathology. The expected site of service is an operating room in an ambulatory surgical center or inpatient hospital; typical service type is laparoscopic operative gynecologic surgery. Postoperative recovery includes routine anesthesia emergence, brief observation in PACU, and discharge with postoperative instructions or admission if clinically required. Providers involved typically include a gynecologic surgeon (surgical specialist), an anesthesiologist (or CRNA), and perioperative nursing staff. Relevant documentation includes operative report with lesion location and size, technique of excision or destruction, specimens submitted, intraoperative findings, estimated blood loss, and postoperative condition.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |