CPT® Code 58920

A wedge resection or bisection of the ovary, whether unilateral or bilateral, is a surgical procedure aimed at removing a portion of ovarian tissue that may contain a lesion. This procedure involves making an incision through the skin and subcutaneous tissue of the abdomen to access the ovaries. The surgical approach requires careful dissection to clear subcutaneous fat and incise the anterior rectus fascia, allowing for retraction of the rectus muscles. This exposes the underlying transversalis fascia and peritoneum, which are also incised to gain access to the peritoneal cavity. Once inside, the surgeon inspects the ovaries, uterus, and fallopian tubes to identify any lesions present on the ovaries. The procedure can involve excising a wedge of tissue that includes the lesion or bisecting the ovary to remove the affected section. The excised ovarian tissue is then sent for laboratory analysis to assess the nature of the lesion. After the necessary tissue has been removed, the abdomen is closed in layers to ensure proper healing and recovery.