CPT® Code 58240

Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof

The CPT® Code 58240 refers to a complex surgical procedure known as pelvic exenteration, which is performed for patients diagnosed with gynecologic malignancies. This extensive operation involves the removal of various pelvic organs and structures, including a total abdominal hysterectomy or cervicectomy, which may be accompanied by the removal of the fallopian tubes and/or ovaries. Additionally, the procedure may include the excision of the bladder along with ureteral transplantations, and/or an abdominoperineal resection of the rectum and colon, potentially resulting in a colostomy. The procedure is characterized by a thorough exploration of the abdominal cavity, where the physician inspects critical structures such as the liver, peritoneum, bowel, and lymph nodes for any signs of malignancy. Biopsies may be taken to assess the extent of disease. The surgical approach involves meticulous dissection and ligation of various ligaments and vessels, ensuring that all affected organs are removed while preserving healthy tissue margins. The reconstruction of the pelvic area is also a significant aspect of this procedure, utilizing various techniques to restore function and anatomy post-surgery. Overall, CPT® Code 58240 encapsulates a highly intricate and multi-faceted surgical intervention aimed at treating advanced gynecologic cancers.