Summary & Overview
CPT 58152: Abdominal Hysterectomy with Urethral Suspension
CPT code 58152 denotes an abdominal hysterectomy with removal of the uterus and cervix via an abdominal incision, optionally including partial or total salpingo-oophorectomy, with concurrent urethral suspension for stress urinary incontinence. This combined gynecologic and anti-incontinence procedure is commonly performed in surgical settings and has implications for coverage, billing bundling, and postoperative care nationally. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing overview of the procedure, typical sites of service, common modifier usage (listed separately), and the national payer scope covered in the analysis. The publication outlines benchmarks and policy-relevant considerations for coding and claims adjudication, highlights clinical context for combining pelvic organ surgery with anti-incontinence procedures, and notes where input data is not available. Data not available in the input are explicitly identified in relevant sections elsewhere in the publication.
Billing Code Overview
CPT code 58152 describes an abdominal hysterectomy with removal of the uterus and cervix through an abdominal incision. The procedure may include total or partial removal of the fallopian tubes and ovaries. Because the patient also has stress urinary incontinence in this description, the provider suspends the urethra to supporting structures with sutures as part of the same operative session.
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Service type: Major gynecologic surgical procedure (abdominal hysterectomy with urethral suspension)
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Typical site of service: Inpatient hospital or ambulatory surgery center, depending on clinical factors and facility capabilities
Clinical & Coding Specifications
Clinical Context
A 58-year-old woman with symptomatic uterine fibroids, menorrhagia, and long-standing stress urinary incontinence presents for definitive surgical management. After conservative measures failed and hysterectomy was chosen, the patient undergoes an abdominal total hysterectomy with possible bilateral salpingo-oophorectomy. Because of clinically significant stress urinary incontinence confirmed by history, physical exam, and urodynamic testing, the surgeon performs a concurrent urethral suspension (suture-based urethropexy) to restore urethral support.
Preoperative workflow includes history and physical, informed consent discussing combined procedures and risks, preoperative labs and imaging as indicated, and anesthesia evaluation. Intraoperative workflow involves abdominal entry (open laparotomy), removal of the uterus and cervix (and fallopian tubes/ovaries as indicated), assessment of hemostasis, and placement of sutures to suspend the urethra to supporting structures. Postoperative care includes pain management, monitoring for bleeding or urinary retention, catheter management if used, and routine postoperative follow-up in clinic to evaluate wound healing and urinary function.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier reported (standard) | Use when no modifier applies and report as the primary code without additional indicator. |