Summary & Overview
CPT 58825: Ovarian Transposition via Abdominal Incision
CPT code 58825 denotes ovarian transposition performed through an abdominal incision to move and suture the ovaries behind the uterus, typically to preserve ovarian function before pelvic radiation for cancer. Nationally, this procedure is clinically significant for fertility preservation and for reducing radiation-induced ovarian failure in reproductive-age patients undergoing pelvic radiotherapy.
Key payers in national coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers can expect an overview of the clinical setting and service patterns, payer coverage considerations, and commonly observed billing practices. The publication provides benchmarks where available, summarizes relevant policy and coding guidance, and clarifies the clinical context in which CPT code 58825 is most often reported.
This report is intended for billing professionals, surgical oncologists, radiation oncologists, and payer policy staff seeking concise information on coding, site-of-service considerations, and the clinical rationale for ovarian transposition prior to pelvic radiation. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 58825 describes a surgical procedure in which the provider repositions the ovaries behind the uterus and secures them with sutures through an abdominal incision. The intent of the procedure is to protect ovarian tissue prior to pelvic radiation therapy for cancer treatment.
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Service type: Surgical sterilization/ovarian transposition procedure performed via an open abdominal approach.
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Typical site of service: Hospital operating room or ambulatory surgical center, with inpatient or outpatient surgical care depending on clinical factors and institutional practice.
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Clinical & Coding Specifications
Clinical Context
A typical patient is a premenopausal woman diagnosed with a pelvic malignancy (for example, cervical or rectal cancer) who will undergo pelvic radiation that risks ovarian failure. The gynecologic oncologist schedules an open abdominal procedure to transpose and fix the ovaries out of the radiation field (ovarian transposition). Preoperative workup includes oncologic staging, counseling about fertility and endocrine preservation, informed consent, pregnancy test if appropriate, baseline ovarian imaging, and coordination with the radiation oncology team regarding planned fields. In the operating room under general anesthesia, the surgeon places the ovaries posterior to the uterus and secures them with sutures through an abdominal incision, taking intraoperative steps to preserve vascular supply. Postoperative care includes pain control, monitoring for bleeding or infection, wound care, and communication with radiation oncology to confirm the ovaries are positioned outside planned radiation fields. The procedure is typically performed on an inpatient or same-day surgical basis at a hospital operating room or an ambulatory surgical center when clinically appropriate.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier specified in standard lists — use only if payer requires | Data not applicable unless payer explicitly requests this code |