CPT® Code 58960

Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy

The CPT® Code 58960 refers to a surgical procedure known as laparotomy, specifically performed for the staging or restaging of malignancies associated with the ovaries, fallopian tubes, or primary peritoneal areas. This procedure is often referred to as a "second look" operation, which indicates that it is typically conducted after an initial treatment to assess the current status of the disease. The laparotomy may include various additional interventions such as omentectomy, which is the surgical removal of the omentum, a fold of peritoneum extending from the stomach, as well as peritoneal washing, which involves the collection of fluid from the peritoneal cavity for diagnostic purposes. During the procedure, a thorough examination of the abdominal and pelvic peritoneum is conducted, and biopsies may be taken to evaluate the presence of cancerous cells. The diaphragm is also assessed, and limited para-aortic lymphadenectomy may be performed, which involves the removal of lymph nodes located near the aorta to check for metastasis. The procedure is comprehensive, requiring careful dissection and manipulation of surrounding tissues while preserving critical structures such as the genitofemoral nerve and psoas muscle. Overall, CPT® Code 58960 encapsulates a complex surgical intervention aimed at providing crucial information regarding the extent of malignancy and guiding further treatment decisions.