CPT Knowledgebase - Apr 23, 2014

Regarding the omentectomy in CPT codes 58953 and 58956, for code 58953, Bilateral salpino-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking, there is no mention of total/complete omentectomy in the code descriptor, yet the clinical example in the February 2002 newsletter describes complete or entire removal of the omentum. For code 58956, Bilateral salpingo- oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy, the code descriptor states total omentectomy, but the clinical example in the CPT Changes 2005 describes complete or entire removal of the omentum.Does code 58953 include partial or total omentectomy? If only for total omentectomy, should modifier 52 be applied when a partial omentectomy is performed? For code 58956, if a complete/ total omentectomy is not performed, would modifier 52 be required to appropriately report the service?

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