What is tumor debulking surgery?
What is tumor debulking surgery?
(TOO-mer dee-BUL-king) Surgical removal of as much of a tumor as possible. Tumor debulking may increase the chance that chemotherapy or radiation therapy will kill all the tumor cells. It may also be done to relieve symptoms or help the patient live longer. Also called debulking.
What is the CPT code for Ureterolysis?
50715
| CPT Code | Brief Description |
|---|---|
| 44005 | Enterolysis (freeing of intestinal adhesion) |
| 50715 | Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis |
| 50722 | Ureterolysis for ovarian vein syndrome |
| 50725 | Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava |
What is laparotomy debulking?
The goal of debulking is to remove as much cancerous tissue in the patient’s abdomen as possible, leaving behind no tumor nodules that measure more than 1 centimeter in diameter. This procedure is especially necessary for patients whose cancer has spread throughout the abdomen and may improve patient survival rates.
How is debulking surgery done?
The operation varies widely depending on the type and stage of the cancer. Some debulking surgeries may be done in a minimally invasive manner that requires small incisions (laparoscopic), while others require open surgery using one large incision to gain access to the abdomen.
What is the difference between debulking and cytoreductive surgery?
Debulking is a surgical procedure aimed to remove as much of a tumor as possible, when a tumor cannot be completely excised. Cytoreductive surgery is similar to debulking, but more extensive, including the peritoneum – a membrane that covers the abdominal cavity.
What is the CPT code 58662?
A Code 58662 (laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) would cover the removal of the left ovarian excrescences, but does not capture the lysis of adhesions. Many payers bundle this procedure because they believe it is incidental.
What is the difference between CPT 58571 and 58552?
58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.
How long is debulking surgery?
If performed with chemotherapy, the debulking surgery may take six to 12 hours to complete. After surgery, you may have a tube (drain) in your abdomen to get rid of any fluid, but this is usually removed within a couple of days. The length of your hospital stay depends on the type of surgery you require.
What is the CPT code for debulking of gynecologic cancer?
Those procedures are included as “debulking”. 58957 is a code that is used for resection of recurrent gynecologic cancer. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done.
What is the CPT code for laparoscopic BSO debulking?
If you perform a laparoscopic hysterectomy, BSO, debulking, the proper CPT code would be 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed).
What is the CPT code for radical dissection for debulking?
If radical dissection for debulking is done, then you would report code 58954 (Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy). Codes 58953-58956 can be used for cancer at all sites including the uterus.
What is debulking surgery for abdominal cancer?
In general, debulking surgery is used on cancer that has spread widely in the abdomen, and it aims to take out all visible tumors. However, which abdominal areas or organs are removed depends on the extent and type of cancer. For example, debulking surgery for ovarian cancer may include full or partial removal of the following organs and tissues:
