CPT® Code 58820

The CPT® Code 58820 refers to the procedure for the drainage of an ovarian abscess using a vaginal approach, specifically an open technique. This procedure is performed to address an ovarian abscess, which is a localized collection of pus within the ovary, typically resulting from infection. The transvaginal approach involves making an incision in the vaginal wall, allowing direct access to the ovary through the posterior vaginal fornix. This method is particularly indicated for patients with an unruptured abscess, as it minimizes the need for more invasive abdominal surgery. The procedure entails careful dissection to reach the abscess, followed by incision and drainage of the abscess cavities, which may contain septa or partitions that need to be opened to ensure complete drainage. In cases where the transvaginal approach is not suitable, an abdominal approach may be utilized, which involves a more extensive surgical procedure to access the abscess. This approach includes making an incision through the abdominal wall, inspecting the abdominal cavity for other potential abscesses, and ensuring that the bowel is free of infection before proceeding with the drainage of the ovarian abscess. The procedure concludes with the placement of drains and irrigation of the abdominal cavity with an antibiotic solution to prevent further infection.