CPT® Code 58953

The procedure described by CPT® Code 58953 involves a comprehensive surgical intervention known as a bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy, and radical dissection for debulking. This complex operation is typically performed to address advanced gynecological malignancies, particularly when there is a need to remove both ovaries and fallopian tubes (bilateral salpingo-oophorectomy), along with the uterus (total abdominal hysterectomy) and the omentum, which is a fold of peritoneum extending from the stomach. The term 'debulking' refers to the surgical removal of as much of the tumor mass as possible to alleviate symptoms and improve the effectiveness of subsequent treatments, such as chemotherapy. The procedure may also involve a radical dissection, which is a more extensive removal of surrounding tissues and lymph nodes to ensure that cancerous cells are effectively excised. The surgical approach typically includes an abdominal incision, allowing the surgeon to access the pelvic organs and perform the necessary dissection and removal of tissues. This procedure may be accompanied by pelvic lymphadenectomy and limited para-aortic lymphadenectomy, although in this specific code, those lymph nodes are not removed. The overall goal of this surgery is to manage metastatic disease and improve patient outcomes through comprehensive surgical intervention.