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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.
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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