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If this is the case, you should use 58925 (ovarian cystectomy, unilateral or bilateral) So for laparascopic aspiration or drainage of ovarian cyst, the code is 49322. For a laparoscopic removal of an ovarian cyst, however, you need to select the code based on the extent of the procedure.

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You're totally right with the 49322 And aspiration and drainage are the same thing It doesn't matter how the surgeon drains the ovarian cyst