© Copyright 2026 American Medical Association. All rights reserved.
An ovarian cyst is defined as a sac or pouch that develops on or within the ovary. These cysts can vary in composition, being either fluid-filled or containing semi-solid or solid material. The procedure described by CPT® Code 58800 involves the drainage of these cysts through a vaginal approach, which is considered a separate procedure. This method is particularly advantageous for patients who are medically fragile and may not tolerate more invasive surgical options, such as an open abdominal procedure. During the procedure, a transvaginal ultrasound probe is utilized to visualize internal structures, aiding in the precise localization of the cyst. A small incision may be made in the vaginal wall, or alternatively, a needle may be directly advanced through the posterior vaginal fornix to access the cyst. The primary goal of this procedure is to aspirate and drain the cyst, ensuring that all contents are removed to alleviate symptoms and prevent complications. The transvaginal approach is less invasive and typically results in a quicker recovery compared to traditional surgical methods.
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