CPT® Code 58954

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

The procedure described by CPT® Code 58954 involves a comprehensive surgical approach for the treatment of gynecological conditions, particularly those associated with malignancies. This procedure is known as a bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy, and radical dissection for debulking. It is performed to remove the ovaries and fallopian tubes (salpingo-oophorectomy), the uterus (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 reduce the volume of cancerous tissue, which can help alleviate symptoms and improve the effectiveness of subsequent treatments. In addition to these primary procedures, CPT® Code 58954 includes pelvic lymphadenectomy and limited para-aortic lymphadenectomy, which involve the removal of lymph nodes in the pelvic region and a limited number of nodes from the para-aortic area. This is crucial for staging the cancer and determining the extent of disease spread. The procedure is typically performed through an abdominal incision, allowing the surgeon to access the reproductive organs and surrounding structures effectively. The detailed steps of the procedure ensure that all affected tissues are addressed, and the surgical team takes care to control bleeding and ensure a thorough inspection of the surgical site to maximize the removal of metastatic disease.