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CPT 57531: Radical Trachelectomy with Pelvic Lymphadenectomy
CPT code 57531 represents a radical trachelectomy with bilateral total pelvic lymph node dissection and para‑aortic lymph node biopsy, sometimes including oophorectomy. This code captures a major gynecologic oncologic surgical procedure used in management of cervical malignancies and select preinvasive conditions when fertility‑sparing approaches are not appropriate. Nationally, accurate use of this CPT code is important for procedural tracking, quality measurement, and payment integrity given the complexity and resource intensity of the service. Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise clinical context for the procedure, typical sites of service, and the common billing considerations associated with a radical trachelectomy and extensive lymphadenectomy. The publication also summarizes benchmarking and coverage themes, coding and documentation priorities relevant to hospitals and surgical practices, and policy developments that may affect reimbursement and utilization management. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 57531 describes a radical trachelectomy with bilateral total pelvic lymphadenectomy and biopsy of para-aortic lymph nodes. The procedure involves surgical removal of the uterine cervix (trachelectomy) and removal of bilateral pelvic lymph nodes; the surgeon may also remove the ovaries as part of the operation.
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Service Type: Major gynecologic oncologic surgery
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Typical Site of Service: Hospital operating room or ambulatory surgical center for complex oncologic procedures