CPT 58920 Ovarian Wedge Resection Reimbursement | OpenPayer

Summary & Overview

CPT 58920: Ovarian Wedge Resection/Partial Oophorectomy

Headline: CPT code 58920: Open ovarian wedge resection/partial oophorectomy for ovarian cysts

Lead: CPT code 58920 denotes an abdominal surgical procedure to remove a wedge-shaped portion or half of one or both ovaries to treat ovarian cysts. The code captures conservative ovarian-sparing resections performed via an open abdominal approach and is relevant to gynecologic surgeons, hospital billing teams, and payers evaluating procedural utilization and payment for cyst-related ovarian surgery.

CPT code 58920 represents a targeted ovarian surgical intervention intended to excise cystic tissue while preserving ovarian function when possible. Nationally, the procedure matters for clinical management of benign ovarian cysts, surgical resource planning, and coverage determinations. Key payers commonly involved in coverage and payment for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will learn the clinical context of the code, typical sites of service, and which payers are relevant to comparative coverage discussions. The publication summarizes coding intent and clinical application, outlines typical service settings, and indicates where input data were not provided. Data not available in the input are noted explicitly where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare58920CPTgynecologic surgeryovarian cystpartial oophorectomyovarian wedge resectionambulatory surgeryhospital OR

Billing Code Overview

CPT code 58920 describes an open surgical ovarian procedure in which the provider removes a wedge-shaped (pie-shaped) portion or bisects (removes half of) one or both ovaries via an abdominal incision. The procedure is performed to treat ovarian cysts by excising the cyst-bearing portion of the ovary while preserving remaining ovarian tissue.

Service type: Surgical procedure — ovarian wedge resection or partial oophorectomy
Typical site of service: Hospital operating room or ambulatory surgical center via an abdominal incision

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

Clinical & Coding Specifications

Clinical Context

A 32-year-old woman presents with persistent unilateral pelvic pain and a transvaginal ultrasound demonstrating a complex ovarian cyst measuring 6 cm with suspected hemorrhagic components. Conservative management with analgesics and follow-up imaging over 6–8 weeks failed to resolve the cyst and symptoms. The gynecologic surgeon schedules an operative ovarian wedge resection via an abdominal approach (laparotomy or mini-laparotomy) to remove the cyst and preserve ovarian tissue. Preoperative workflow includes informed consent, anesthesia evaluation, pregnancy test, coagulation assessment, and prophylactic antibiotics. Intraoperatively, the surgeon performs a pie-shaped wedge resection or partial oophorectomy of one ovary, controls hemostasis, and sends cyst tissue for pathology. Postoperative care includes monitoring in recovery, pain control, discharge instructions with activity restrictions, and pathology follow-up to guide any further management.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — default	Use when no other modifier applies and service is billed as usual.
`22`	Increased procedural services	Use when work required is substantially greater than typical for (document justification).

CPT 58900: Ovarian Biopsy via Vaginal or Abdominal Approach

CPT-58951-CYTOREDUCTIVE-SURGERY-OVARIAN-TUBAL-PERITONEAL-MALIGNANCY

CPT 58951: Cytoreductive Abdominal Surgery for Ovarian/Tubal/Peritoneal Malignancy

CPT-58952-RADICAL-DEBULKING-OVARIAN-TUBAL-PERITONEAL-MALIGNANCY

CPT 58952: Radical Debulking for Ovarian, Tubal, or Peritoneal Malignancy

CPT-58954-RADICAL-ABDOMINAL-GYNECOLOGIC-ONCOLOGIC-RESECTION

CPT 58954: Radical Abdominal Gynecologic Oncologic Resection

CPT-58925-OPEN-OVARIAN-CYSTECTOMY-ABDOMINAL-APPROACH

CPT 58925: Open Ovarian Cystectomy via Abdominal Incision

CPT-58960-OVARIAN-FALLOPIAN-TUBAL-PERITONEAL-CANCER-STAGING-LYMPHADENECTOMY

CPT 58960: Ovarian/Fallopian Tube/Peritoneal Cancer Staging with Lymphadenectomy

CPT-58958-DEBULKING-SURGERY-RECURRENT-GYNECOLOGIC-MALIGNANCY

CPT 58958: Debulking Surgery for Recurrent Gynecologic Malignancy

CPT-58950-DEBULKING-OVARIAN-TUBAL-PERITONEAL-MALIGNANCY-OPEN-ABDOMINAL

CPT 58950: Open Abdominal Debulking for Ovarian/Tubal/Peritoneal Malignancy

CPT-58943-OOPHORECTOMY-ABDOMINAL-APPROACH-OVARIAN-CANCER-STAGING

CPT 58943: Abdominal Oophorectomy with Staging

CPT-58953-HYSTERECTOMY-BILATERAL-SALPINGO-OOPHORECTOMY-OMENTECTOMY-WITH-RADICAL-TUMOR-EXCISION

CPT 58953: Hysterectomy with Bilateral Salpingo-Oophorectomy, Omentectomy, and Radical Tumor Excision

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58920

Taxonomy Code	Specialty	Notes
`207V00000X`	Obstetrics & Gynecology	Gynecologic surgeons who commonly perform ovarian wedge resections.
`207VS0113X`	Female Pelvic Medicine & Reconstructive Surgery	Subspecialists who may manage complex pelvic surgeries.
`208000000X`	General Surgery	General surgeons performing abdominal approaches when gynecologic specialists unavailable.
`363LP0800X`	Reproductive Endocrinology/Infertility	Specialists who may perform fertility-preserving ovarian surgery.
`1223N0001X`	Pediatric & Adolescent Gynecology	Providers performing ovarian procedures in adolescents when indicated.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N83.2`	Other ovarian cysts	Direct indication for ovarian cystectomy or wedge resection when symptomatic or persistent.
`N83.1`	Follicular cyst of ovary	Common benign cyst that may require surgical removal if persistent, large, or symptomatic.
`N83.0`	Hemorrhagic ovarian cyst	Cysts with bleeding may cause pain and necessitate surgical intervention.
`N97.0`	Female infertility associated with anovulation	Ovarian surgery may be performed with fertility preservation considerations in selected cases.
`R10.2`	Pelvic and perineal pain	Symptom code commonly associated with ovarian cysts prompting surgical evaluation.
`N80.0`	Endometriosis of uterus	Endometriosis can cause ovarian endometriomas that lead to wedge resection or cystectomy.
`Z48.89`	Encounter for other specified postprocedural aftercare	Used for post‑operative follow-up visits after `58920`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58661`	Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)	Performed when a minimally invasive approach is used or when greater resection is required than a wedge.
`58670`	Laparoscopy, surgical; with removal of ovarian cyst (persistent)	Alternative minimally invasive code when cystectomy is performed laparoscopically instead of open wedge resection.
`58925`	Oophorectomy, partial or total, unilateral or bilateral (separate procedure)	Used when a larger portion or entire ovary is removed rather than a wedge; may be performed in same operative setting if indicated.
`49000`	Exploratory laparotomy, exploratory celiotomy with or without biopsy(s)	May be performed if broader abdominal exploration is required prior to or with `58920`.
`58140`	Total abdominal hysterectomy with or without removal of tubes and ovaries	May be performed concurrently in patients requiring definitive management for coexisting uterine pathology.

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