From the Research
The CPT code for control of bleeding of the right ovary is 58662. This code describes laparoscopic surgical treatment for fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface with or without biopsy, which includes procedures performed to control ovarian bleeding. The selection of the specific code depends on the exact technique used, the approach (laparoscopic vs. open), and whether other procedures were performed simultaneously.
Some key points to consider when selecting a CPT code for control of bleeding of the right ovary include:
- The approach used (laparoscopic or open) 1
- The specific technique used to control the bleeding, such as cauterization, suturing, or application of hemostatic agents 2, 3
- Whether the procedure was performed as part of a more extensive procedure, such as a salpingo-oophorectomy or oophorectomy 4, 5
- The importance of preserving ovarian reserve, particularly in younger patients or those who desire to have children 2, 3, 5
It is essential to document the specific technique used to control the bleeding and any other procedures performed simultaneously to ensure accurate coding and billing.
In terms of preserving ovarian reserve, studies have shown that the use of hemostatic sealants or suturing may be preferable to bipolar coagulation, as these methods may result in less damage to the ovarian tissue and a smaller decline in anti-Müllerian hormone (AMH) levels 2, 3, 5. However, the choice of technique will depend on the individual patient's needs and the surgeon's professional judgment.
Overall, the CPT code for control of bleeding of the right ovary is 58662, and the selection of this code will depend on the specific details of the procedure performed.