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If this is the case, you should use 58925 (ovarian cystectomy, unilateral or bilateral)

For a laparoscopic removal of an ovarian cyst, however, you need to select the code based on the extent of the procedure. You're totally right with the 49322 It doesn't matter how the surgeon drains the ovarian cyst And aspiration and drainage are the same thing So for laparascopic aspiration or drainage of ovarian cyst, the code is 49322.