CPT® Code 58950

The CPT® Code 58950 refers to the surgical procedure known as resection of ovarian, tubal, or primary peritoneal malignancy, which includes a bilateral salpingo-oophorectomy and omentectomy. This complex operation is performed to remove cancerous tissues from the ovaries, fallopian tubes, or peritoneum, which is the lining of the abdominal cavity. The procedure begins with an incision that extends from the symphysis pubis to the xiphoid process, allowing access to the abdominal and pelvic cavities. During the exploration, the surgeon assesses the extent of the malignancy, which is crucial for determining the appropriate surgical approach. Blunt dissection techniques are employed to carefully expose the broad ligament, round ligament, ovaries, and fallopian tubes, ensuring minimal damage to surrounding structures. The ovarian vessels are identified and ligated to prevent excessive bleeding during the procedure. The broad ligament is then plicated to secure the cut edges, and the fallopian tubes and ovaries are meticulously dissected from adjacent tissues. The procedure also involves clamping and dividing the round ligaments and ligating the blood vessels bilaterally to facilitate the removal of the reproductive organs. In cases where the malignancy is primary peritoneal, the surgeon will also resect any peritoneal tumors present. For ovarian or tubal malignancies, the goal is to excise as much metastatic disease as possible. The omentum, a fold of peritoneum extending from the stomach, is also removed, which involves careful dissection to control bleeding from the associated blood vessels. Finally, the abdominal cavity is closed in layers to promote proper healing. This procedure is critical for managing advanced gynecological cancers and requires a high level of surgical expertise.