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CPT 58822: Ovarian Abscess Drainage via Abdominal Incision
CPT code 58822 denotes the surgical drainage of an ovarian abscess through an abdominal incision. This procedure addresses a potentially serious gynecologic infection that can require operative management to control sepsis, preserve reproductive structures when possible, and reduce morbidity. Nationally, accurate coding for this operation matters for clinical tracking, appropriate billing, and alignment with surgical quality and infection-management metrics.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The discussion covers payer coverage considerations and common billing practices for operative pelvic procedures.
Readers will find a concise clinical context for the procedure, expected site-of-service settings, and an outline of common modifiers and payer interactions where available. The publication also summarizes benchmark topics and policy considerations relevant to billing and reimbursement for operative gynecologic drainage procedures, and highlights elements important for correct claim submission and clinical documentation. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 58822 describes a surgical procedure to drain an ovarian abscess via an abdominal incision. This procedure is a form of operative drainage of a pelvic abscess localized to the ovary and is performed by a surgical or gynecologic provider.
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Service type: Surgical drainage / operative procedure
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Typical site of service: Hospital operating room or ambulatory surgical center, performed under appropriate anesthesia