Summary & Overview
CPT 58150: Abdominal Hysterectomy with Cervix Removal
CPT code 58150 represents an abdominal hysterectomy with removal of the cervix, with the option to remove the fallopian tubes and ovaries in whole or in part. This operative gynecologic procedure is widely performed for benign and malignant conditions and is a common driver of surgical utilization and inpatient surgical resource use across the United States. Understanding coding and payment patterns for 58150 is important for hospital billing, surgeon compensation, and payer policy development nationwide.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis highlights typical sites of service (operating room in inpatient and outpatient surgical settings), commonly observed modifiers, and areas where coding clarification affects claim adjudication. Readers will find benchmarks on utilization and reimbursement patterns, an overview of clinical contexts in which the procedure is used, and summaries of recent policy or coding guidance that may affect claims processing.
The publication provides practical reference points for revenue cycle teams, surgical departments, and payer policy staff who need concise information on how CPT code 58150 is applied, documented, and reviewed in routine clinical practice. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 58150 describes an abdominal hysterectomy with removal of the cervix, performed through an abdominal incision. The procedure may include total or partial removal of the ovaries and fallopian tubes at the provider's discretion.
Service type: Operative surgical procedure — abdominal hysterectomy
Typical site of service: Inpatient or outpatient surgical setting, operating room via abdominal approach
Clinical & Coding Specifications
Clinical Context
A 46-year-old woman with symptomatic uterine fibroids presents with heavy menstrual bleeding, pelvic pressure, and anemia despite medical management. After preoperative evaluation including labs, imaging, and anesthesia clearance, the patient is scheduled for an open total abdominal hysterectomy with possible salpingo-oophorectomy. The clinical workflow includes preoperative counseling and consent, perioperative antibiotics and venous thromboembolism prophylaxis, general anesthesia, an abdominal incision (typically Pfannenstiel or low transverse), dissection of the uterus and cervix with ligation of the uterine vessels, and removal of the uterus and cervix. The surgeon documents whether the fallopian tubes and ovaries are removed (bilateral salpingo-oophorectomy or unilateral oophorectomy) or left in place. Intraoperative findings, estimated blood loss, any concurrent procedures (adhesiolysis, cystoscopy), and final specimen description are recorded. Postoperative care includes pain control, monitoring for bleeding or infection, and follow-up to review pathology results and recovery milestones.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work, time, or complexity substantially exceeds usual for 58150 and documented. |