Appendix B:
CPT codes used to categorize surgical procedures for patients tested with CA125*
| Category | CPT Code | Description |
|---|---|---|
| Hysterectomy | 58571 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58150 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); |
| Hysterectomy | 58552 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58573 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58542 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58570 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; |
| Hysterectomy | 58180 | Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) |
| Hysterectomy | 58548 | Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed |
| Hysterectomy | 58550 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; |
| Hysterectomy | 58554 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58260 | Vaginal hysterectomy, for uterus 250 g or less; |
| Hysterectomy | 58262 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) |
| Hysterectomy | 58544 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| Hysterectomy | 58541 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; |
| Hysterectomy | 58572 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; |
| Hysterectomy | 58553 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; |
| Salpingectomy and or Oophorectomy | 58661 | Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) |
| Salpingectomy and or Oophorectomy | 58720 | Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) |
| Salpingectomy and or Oophorectomy | 58700 | Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) |
| Salpingectomy and or Oophorectomy | 58940 | Oophorectomy, partial or total, unilateral or bilateral; |
| Cystectomy | 58662 | Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method |
| Cystectomy | 58925 | Ovarian cystectomy, unilateral or bilateral |
a
* Inpatient procedures were identified through the above CPT codes from professional claims data in conjunction with DRG's 742 and 743 (Uterine & Adnexa procedure for non-malignancy with and without CC/MCC)