Summary & Overview
CPT 58953: Hysterectomy with Bilateral Salpingo-Oophorectomy, Omentectomy, and Radical Tumor Excision
CPT code 58953 designates a complex abdominal oncologic procedure combining total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and radical excision of intraabdominal or peritoneal tumors via an abdominal incision. This code captures high-acuity surgical care commonly performed for advanced gynecologic malignancies or metastatic peritoneal disease and is relevant for hospital inpatient surgical reporting, reimbursement, and quality measurement nationwide.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical service represented by the code, typical site-of-service considerations, and the types of procedural documentation and coding specificity that influence billing and claims adjudication. The publication highlights national benchmarking context, common modifier usage patterns, and implications for facility and professional payment recognition.
The content provides operational clarity for coding professionals, surgical teams, and revenue cycle stakeholders on how CPT code 58953 is used to reflect extensive cytoreductive abdominal surgery involving gynecologic organs and the omentum, and what clinical context typically aligns with this code. Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Billing Code Overview
CPT code 58953 describes an extensive abdominal oncologic surgery in which the provider performs a total hysterectomy (removal of the uterus and cervix), bilateral salpingo-oophorectomy (removal of both ovaries and fallopian tubes), and omentectomy, combined with radical excision of intraabdominal or peritoneal tumors through an abdominal incision.
Service Type: Major abdominal oncologic surgery with cytoreductive intent
Typical Site of Service: Inpatient hospital—operating room with postoperative inpatient care
Data not available in the input for associated taxonomies, specific ICD-10 diagnoses, related codes, or service line.
Clinical & Coding Specifications
Clinical Context
A typical patient is a 58-year-old woman with advanced ovarian carcinoma presenting with increasing abdominal distension, pelvic pain, and CT evidence of large adnexal masses with omental caking and peritoneal implants. After multidisciplinary evaluation including gynecologic oncology, medical oncology, and anesthesia, the patient is scheduled for cytoreductive surgery via an open midline abdominal incision. The operative plan includes total abdominal hysterectomy with bilateral salpingo-oophorectomy, omentectomy, and radical excision of visible intra-abdominal and peritoneal tumor deposits. Perioperative workflow includes preoperative consent and counseling, surgical time-out, intraoperative exploration and tumor debulking, potential bowel resection if tumor involves serosa or mesentery, hemostasis, closure, and postoperative recovery in a monitored setting. Pathology specimens (uterus, cervix, bilateral adnexa, omentum, and tumor nodules) are sent for frozen section when indicated and definitive histopathology. Postoperative management includes pain control, DVT prophylaxis, early ambulation, and coordination for adjuvant chemotherapy with the oncology team.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier (default) | Use when no special modifier applies and service is billed normally |
22 |