58661 Laparoscopy remove adnexa
Also known as: laparoscopic oophorectomy, laparoscopic salpingectomy, lap ovary removal, lap removal ovary/tube, lap oophorectomy
Laparoscopy with removal of adnexa involves endoscopic removal of ovaries and/or fallopian tubes via laparoscopic approach.
In Plain Language
Laparoscopic ovary and tube removal; Minimally invasive ovary removal
Clinical Context
Minimally invasive removal of ovaries and/or tubes for pathology (cysts, torsion, malignancy, endometriosis). Avoids larger abdominal incisions.
RVU Breakdown
| Work RVU | 11.07 |
| Total RVU | 11.07 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 11.07, this code ranks in the 62nd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58661?
CPT 58661 (Laparoscopy remove adnexa) is a Surgery code. Laparoscopy with removal of adnexa involves endoscopic removal of ovaries and/or fallopian tubes via laparoscopic approach.
What is the wRVU value for CPT 58661?
The work RVU for CPT 58661 is 11.07. This code is primarily used by Gynecology. It has a 10-day global period.
When is CPT 58661 used?
Minimally invasive removal of ovaries and/or tubes for pathology (cysts, torsion, malignancy, endometriosis). Avoids larger abdominal incisions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.