Summary & Overview
CPT 58720: Abdominal Oophorectomy with Salpingectomy
CPT code 58720 represents an abdominal procedure removing all or part of a fallopian tube and all or part of an ovary, performed unilaterally or bilaterally via an abdominal incision. This code captures a commonly performed gynecologic operation with implications for surgical resource use, site-of-service decisions, and payer coverage policies nationwide. It is relevant for hospitals, ambulatory surgical centers, surgeons, and payers due to variation in reimbursement, length of stay, and bundle considerations.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical procedure and its typical settings, payer coverage considerations, and commonly applied modifiers. The publication outlines national benchmarks where available, highlights policy and billing considerations affecting facility and professional claims, and provides clinical context for when an abdominal approach is used versus minimally invasive alternatives. Data not available in the input is noted where applicable, and readers will gain a practical reference for coding and administrative workflows related to CPT code 58720.
Billing Code Overview
CPT code 58720 describes a surgical procedure in which the provider removes all or part of a fallopian tube and all or part of an ovary via an abdominal incision. The procedure may be performed on one side (unilateral) or both sides (bilateral).
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Service type: Abdominal adnexal surgery (oophorectomy with salpingectomy)
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Typical site of service: Inpatient or outpatient hospital surgical suite; may also be performed in ambulatory surgical centers depending on clinical factors and payer rules.
Clinical & Coding Specifications
Clinical Context
A 42-year-old woman presents with chronic, severe pelvic pain and a persistent adnexal mass suspicious for a benign ovarian neoplasm on imaging. After evaluation including pelvic ultrasound and MRI, the gynecologic surgeon schedules an open unilateral salpingo-oophorectomy via a lower abdominal incision due to prior abdominal surgery and extensive adhesions. The patient is admitted to an ambulatory surgical unit or hospital operating room. Preoperative workflow includes history and physical, informed consent documenting removal of the fallopian tube and ovary, anesthesia evaluation (general anesthesia common), and appropriate labs and crossmatch if indicated. Intraoperative steps include abdominal entry via a laparotomy incision, identification and mobilization of the affected adnexa, ligation of the infundibulopelvic ligament and mesosalpinx, excision of the fallopian tube and ovary (unilateral or bilateral as indicated), hemostasis, and closure of the abdominal wall. Postoperative care consists of PACU monitoring, pain management, discharge instructions or inpatient recovery depending on clinical status, and pathology submission of the specimen for histologic diagnosis.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
50 | Bilateral Procedure | Use when bilateral salpingo-oophorectomy is performed during the same operative session. |