CPT® Code 58661

The CPT® Code 58661 refers to a laparoscopic surgical procedure that involves the removal of adnexal structures, which may include either a partial or total oophorectomy (removal of the ovary) and/or salpingectomy (removal of the fallopian tube). This procedure is typically performed through small incisions in the abdomen, utilizing a laparoscope, which is a thin, lighted tube that allows the surgeon to view the internal organs on a monitor. The common language description outlines the steps involved in the procedure, starting with the insertion of a tenaculum into the vagina to grasp the cervix, which helps in positioning the uterus. A periumbilical port is then established, and pneumoperitoneum is created by insufflating the abdominal cavity with air, allowing for better visibility and access to the pelvic organs. The surgeon inspects the abdominal cavity, elevates the fimbrial end of the fallopian tube and ovary, and proceeds to create a window in the peritoneum of the broad ligament. The infundibulopelvic ligament is then grasped, ligated, and transected, followed by the severing of the posterior leaf of the broad ligament up to its attachment to the uterus. The fallopian and ovarian ligaments are coagulated or ligated, and the tube is severed and removed, either with or without the ovary. The procedure concludes with an inspection of the pelvic area for any bleeding, withdrawal of instruments, and closure of the portal incisions. This minimally invasive approach is associated with reduced recovery times and less postoperative pain compared to traditional open surgery.