Summary & Overview
CPT 58679: Unlisted Laparoscopic Procedure, Ovary/Oviduct
CPT code 58679 denotes an unlisted laparoscopic procedure of the female genital system, specifically for the oviduct or ovary when no specific CPT code exists. It matters nationally because it provides a billing pathway for novel, uncommon, or otherwise uncodified laparoscopic interventions in gynecologic surgery, ensuring those services can be reported and reviewed for coverage and payment. Payers typically evaluate these claims for medical necessity, documentation of the procedure, and comparability to established codes.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a national perspective on how 58679 is used in clinical billing, the typical surgical settings where it occurs (ambulatory surgical centers and hospital outpatient departments, with possible inpatient use), and the implications for claim review and adjudication. The publication summarizes common modifiers used with this code, outlines documentation and coding considerations, and presents benchmarking context and policy updates relevant to unlisted laparoscopic procedures. Data not available in the input is flagged where applicable, and the analysis focuses on clinical context, coding intent, and payer considerations rather than specific reimbursement rates.
Billing Code Overview
CPT code 58679 is an unlisted laparoscopy procedure for the female genital system, used to report laparoscopic procedures of the oviduct or ovary that lack a specific CPT code. This code captures procedures that involve new or uncommon techniques or services that are not described elsewhere in the female genital system section.
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Service type: Laparoscopic surgical procedure of the oviduct or ovary.
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be reported for inpatient hospital services when appropriate.
Clinical & Coding Specifications
Clinical Context
A 34-year-old woman with persistent unilateral adnexal pain and an adnexal mass identified on transvaginal ultrasound is scheduled for diagnostic and therapeutic laparoscopy. Preoperative evaluation includes history, physical exam, pregnancy test, and informed consent discussing potential conversion to an open procedure. Intraoperative goals include diagnostic assessment of the fallopian tube and ovary, possible excision of an adnexal mass, treatment of an uncommon or new laparoscopic procedure affecting the oviduct or ovary, and hemostasis. The typical workflow: preoperative anesthesia evaluation in an ambulatory surgery center or hospital same-day surgical unit; general endotracheal anesthesia; creation of pneumoperitoneum; laparoscopic inspection of pelvis; targeted procedure on the ovary or oviduct (for example, removal of an unusual lesion using a new laparoscopic device or technique not covered by a specific CPT code); laparoscopic hemostasis and irrigation; specimen retrieval and submission to pathology if applicable; closure of trocar sites; PACU recovery and discharge or inpatient admission based on clinical status. Typical site of service is an ambulatory surgery center or hospital operating room. Typical patient scenario includes reproductive-age women with symptomatic adnexal pathology requiring a laparoscopic approach when no specific laparoscopic CPT code describes the exact technique performed; the surgeon documents the specific operative steps and rationale for using an unlisted laparoscopy code 58679.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|