CPT® Code 58823

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The CPT® Code 58823 refers to the procedure for the drainage of a pelvic abscess using a percutaneous approach, which can be performed either transvaginally or transrectally. A pelvic abscess is a localized collection of pus that can occur in the pelvic region, often associated with conditions such as ovarian cysts or pericolic infections. The procedure aims to alleviate symptoms and prevent complications by effectively draining the abscess. In the transvaginal approach, the physician utilizes an ultrasound probe equipped with a drainage catheter to accurately locate and access the abscess through the vaginal canal. Conversely, the transrectal approach involves the physician palpating the abscess via the rectum, also under radiological guidance, to ensure precise catheter placement. Both methods involve the insertion of a catheter into the abscess cavity, allowing for the removal of pus and, if necessary, the placement of a drainage system to facilitate ongoing drainage. This minimally invasive technique is crucial for managing pelvic abscesses, providing relief from pain and preventing further infection or complications.