CPT® Code 58940

Oophorectomy is a surgical procedure involving the removal of one or both ovaries, which may be performed for various medical reasons, including the presence of disease, ovarian malignancy, or as a preventive measure in patients with breast cancer or those at high risk for developing ovarian cancer. The procedure is categorized under CPT® Code 58940, which encompasses both partial and total oophorectomy, whether unilateral (one ovary) or bilateral (both ovaries). During the operation, an incision is made in the skin and subcutaneous tissue of the abdomen to access the ovaries. The surgical team carefully clears the subcutaneous fat and incises the anterior rectus fascia to gain access to the underlying structures. The rectus muscles are retracted to expose the transversalis fascia and peritoneum, allowing for a thorough inspection of the ovary, uterus, fallopian tubes, and the contralateral ovary. The ovarian ligament is identified, ligated, and divided, facilitating the dissection and excision of part or all of the ovary from the surrounding tissue. If necessary, the procedure may be repeated on the opposite side. This detailed approach ensures that the surgical team can effectively address the underlying conditions necessitating the oophorectomy while minimizing complications and promoting patient safety.