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CPT 58805: Ovarian Cyst Drainage via Abdominal Incision
CPT code 58805 identifies a surgical ovarian cyst drainage performed through an abdominal incision. This procedure is used to evacuate fluid or contents from one or more ovarian cysts and may be performed for symptom relief, management of adnexal masses, or to obtain diagnostic material. As an operative gynecologic service, it can be delivered in hospital operating rooms or ambulatory surgical centers and may have implications for surgical utilization, postoperative care, and procedural coding accuracy nationally.
Key payers in national coverage and billing discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the procedure, common sites of service, and the categories of payers typically involved in coverage and reimbursement decisions.
This publication provides benchmarks and operational guidance on coding and billing practices associated with CPT code 58805, summarizes relevant policy considerations and payer coverage patterns, and contextualizes the procedure within surgical gynecology. It highlights points pertinent to claims submission, documentation needs, and typical care settings, and it flags areas where input data was not available.
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Billing Code Overview
CPT code 58805 describes a surgical procedure in which a provider drains one or more ovarian cysts from one or more ovaries through an abdominal incision. The procedure is a form of operative gynecologic intervention aimed at removing cystic fluid or contents to relieve symptoms, address mass effect, or obtain diagnostic material.
Service Type: Surgical procedure — gynecologic, open abdominal approach
Typical Site of Service: Hospital operating room or ambulatory surgical center (inpatient or outpatient surgical setting depending on clinical context and patient factors)