CPT® Code 58951

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy

The CPT® Code 58951 refers to a surgical procedure involving the resection of ovarian, tubal, or primary peritoneal malignancies, which is performed in conjunction with a bilateral salpingo-oophorectomy and omentectomy, as well as a total abdominal hysterectomy, pelvic, and limited para-aortic lymphadenectomy. This complex procedure is typically indicated for patients diagnosed with malignancies in the ovaries, fallopian tubes, or peritoneum, where the extent of the disease necessitates a comprehensive surgical approach to remove affected tissues and organs. The surgery begins with an incision in the abdomen, allowing the surgeon to explore the abdominal and pelvic cavities to assess the malignancy's spread. The procedure involves meticulous dissection to remove the ovaries, fallopian tubes, and omentum, while also addressing any metastatic disease present. The total abdominal hysterectomy component entails the removal of the uterus and cervix, along with the associated ligaments and blood vessels. Additionally, the pelvic and para-aortic lymph nodes are examined and excised as necessary to ensure comprehensive treatment of the malignancy. This procedure is critical for managing advanced gynecological cancers and aims to achieve optimal tumor debulking while preserving as much surrounding healthy tissue as possible.