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CPT 58200: Abdominal Hysterectomy with Lymphadenectomy
CPT code 58200 represents an abdominal hysterectomy with removal of the uterus and cervix, often accompanied by unilateral or bilateral salpingo-oophorectomy and resection of the upper vaginal canal plus pelvic and para-aortic lymphadenectomy. This is a high-acuity, operative gynecologic procedure commonly performed for malignancy, extensive benign disease, or staging purposes. Nationally, the code is significant because it denotes inpatient surgical care with substantial resource use, influencing hospital reimbursement, surgical quality measurement, and utilization monitoring.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing context for the code, typical sites of service, and the types of documentation and procedural components embodied in the code descriptor. The publication provides benchmarks and mapping for related service lines, highlights common modifier usage (listed separately), and summarizes implications for coding accuracy and claim adjudication. The content is intended to help coding professionals, revenue integrity teams, and payer policy analysts understand the clinical scope and billing significance of CPT code 58200 at a national level.
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Billing Code Overview
CPT code 58200 describes a surgical procedure in which the provider performs an abdominal hysterectomy with removal of the uterus and cervix, and may include removal of the fallopian tubes and ovaries. The procedure also includes resection of the upper one-third of the vaginal canal and removal of specified pelvic and para-aortic lymph nodes as part of the same operative session.
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Service type: Major abdominal gynecologic surgery with lymphadenectomy
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Typical site of service: Inpatient hospital surgical setting