Summary & Overview
CPT 0667T: Uterus Transplantation from Donor to Recipient
CPT code 0667T designates the surgical transplantation of a uterus harvested from a donor and implanted into a recipient. As a novel reproductive organ transplant procedure, it represents emerging clinical capability with implications for fertility restoration and advanced transplant care. Nationally, the code provides a standardized way to document and bill a complex, resource-intensive surgical service that typically occurs in hospital operating rooms and may involve multidisciplinary transplant teams.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coverage and reimbursement benchmarks where available, common billing and coding considerations tied to this transplant procedure, and the clinical context that shapes utilization and payer policy. The publication highlights trends in adoption, site-of-service considerations, and the administrative elements that influence payment and reporting for this specialized surgical service.
This summary equips hospitals, transplant programs, and coding professionals with the foundational information needed to align documentation and billing practices for CPT code 0667T, and to understand payer engagement and policy drivers at a national level.
Billing Code Overview
CPT code 0667T describes the surgical transplantation of a uterus previously harvested from a donor and implanted into a recipient. The procedure involves revascularization and anastomosis of donor uterine tissues to the recipient's pelvic vasculature and supporting structures.
Service Type: Surgical organ transplant
Typical Site of Service: Hospital operating room (inpatient or specialized surgical suite for transplantation)
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a reproductive-age woman with absolute uterine factor infertility who is approved to receive a deceased or living donor uterus transplant. Preoperative evaluation includes immunologic matching, infectious disease screening, and cross-disciplinary review by transplant surgery, gynecology, reproductive endocrinology, and transplant medicine. The recipient is admitted for a planned operative transplant under general anesthesia. The donor uterus has been previously harvested and transported to the recipient center. During surgery, the transplant surgeon and gynecologic surgeon perform vascular anastomoses to recipient pelvic vessels, reestablish uterine perfusion, and perform vaginal cuff and pelvic fixation to restore uterine support. Immediate postoperative care occurs in a monitored setting with immunosuppression initiation and frequent graft surveillance. Subsequent care includes outpatient transplant clinic visits, cytology and imaging surveillance of graft viability, management of immunosuppression, and coordination with reproductive specialists for assisted conception once graft function is confirmed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the uterus transplant requires substantially greater work, complexity, or time than typical, documented in operative report. |