CPT code 58740 denotes open surgical lysis of adhesions involving the fallopian tubes and/or ovaries performed through an abdominal incision. The code captures an operative gynecologic procedure that can address pelvic pain, infertility, or mechanical obstruction by restoring adnexal anatomy. Nationally, accurate coding for this procedure matters for clinical documentation, appropriate facility and surgeon reimbursement, and tracking utilization of operative versus minimally invasive approaches.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for adnexal adhesion lysis, common sites of service, and typical procedural setting. The publication outlines benchmarks and utilization patterns where available, highlights relevant policy considerations that affect coverage and site-of-service decisions, and summarizes coding nuances that influence claim adjudication.

This analysis helps clinicians, billers, and policy stakeholders understand the clinical role of 58740, typical care settings, and the payer landscape affecting access and reimbursement. Data not available in the input is noted where applicable.