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CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

CPT code 58210 denotes a radical abdominal hysterectomy with removal of the uterus and cervix including the parametrium, often combined with partial or complete vaginectomy, bilateral pelvic lymphadenectomy, para‑aortic lymph node biopsy, and possible removal of fallopian tubes and ovaries. This code captures a high‑acuity, oncologic gynecologic surgical procedure that is central to management of certain cervical and other gynecologic malignancies; it has implications for hospital resource use, surgical quality measures, and payer reimbursement policies nationally. Key payers in coverage and reimbursement discussions 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 kinds of billing considerations associated with radical hysterectomy and extensive lymph node surgery. The publication summarizes common modifiers reported with this service, situates the code within inpatient surgical care, and highlights what to review in payer policies and prior‑authorization rules. It is intended to inform billing, coding compliance, and operational planning for hospitals and surgical practices involved in major gynecologic oncology cases, and to provide a starting point for comparing payer-specific requirements and coverage language. Data not available in the input for detailed payer-specific rates, associated taxonomies, and ICD‑10 diagnosis mappings.

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Billing Code Overview

CPT code 58210 describes a radical abdominal hysterectomy, in which the provider removes the uterus and cervix including the parametrium via an abdominal incision. The procedure may also include removal of all or part of the vagina, complete pelvic lymphadenectomy on both right and left sides, biopsy of para‑aortic lymph nodes, and removal of part or all of the fallopian tubes and ovaries.

Service Type: Major open gynecologic oncologic surgery (radical hysterectomy with pelvic lymphadenectomy)

Typical Site of Service: Inpatient hospital — operating room with postoperative inpatient stay

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CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

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Get alerted when payer policies referencing 58210 are released or updated.

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Billing Code Overview

Service Type: Major open gynecologic oncologic surgery (radical hysterectomy with pelvic lymphadenectomy)

Typical Site of Service: Inpatient hospital — operating room with postoperative inpatient stay

Clinical & Coding Specifications

Clinical Context

A 52-year-old woman presents with persistent abnormal vaginal bleeding, pelvic pain, and a pelvic mass found on imaging. Biopsy reveals early-stage cervical carcinoma with parametrial involvement, and multidisciplinary tumor board consensus recommends definitive surgical management. The patient is scheduled for a radical abdominal hysterectomy with bilateral pelvic lymphadenectomy and possible para-aortic lymph node sampling. Preoperative workup includes history and physical, cross-sectional pelvic imaging (MRI/CT), anesthesia evaluation, informed consent discussing potential bilateral salpingo-oophorectomy, blood type and screen, and scheduling for an inpatient stay. Intraoperative workflow: midline or Pfannenstiel abdominal incision, resection of uterus and cervix with parametrium, en bloc removal of part of the upper vagina as indicated, pelvic lymph node dissection bilaterally, selective para-aortic node biopsy if indicated, and possible unilateral or bilateral oophorectomy. Postoperative care includes inpatient monitoring for hemodynamic stability, pain control, venous thromboembolism prophylaxis, early ambulation, drain management if placed, pathology review of uterus and nodes, and scheduling adjuvant therapy if pathology indicates need for radiation or chemotherapy.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or technical difficulty substantially exceeds typical for `58210`.
`23`	Unusual anesthesia	Use when medically necessary anesthesia is provided for a minor procedure; rarely applicable but available if unusual anesthesia circumstances occur.
`26`	Professional component	Use when reporting only the physician component of a service (e.g., interpretation of intraoperative monitoring) separate from facility billing.
`50`	Bilateral procedure	Use if documentation supports bilateral procedures billed separately (generally not appended to `58210` itself but relevant for synchronous bilateral ancillary procedures).
`51`	Multiple procedures	Use when other distinct procedures are performed at the same operative session in addition to `58210` and payer requires a multiple-procedure indicator.
`52`	Reduced services	Use when the procedure is started but not completed as planned and documentation supports partial performance.
`53`	Discontinued procedure	Use when procedure is terminated due to extenuating circumstances or safety concerns before completion.
`58`	Staged or related procedure or service by the same physician during the postoperative period	Use when a planned second-stage procedure is performed during the global period.
`62`	Two surgeons	Use when two surgeons with distinct specialties work together as primary surgeons (co-surgeons) for portions of the radical hysterectomy.
`63`	Procedure performed on infants under 4 kg	Not typically applicable to adult gynecologic surgery but included for completeness; use only if patient meets criteria.
`66`	Surgical team	Use when a surgical team (multiple surgeons providing distinct services) performs portions of the operation and payer allows team reporting.
`78`	Return to OR for a related procedure during the postoperative period	Use when an unplanned return to the operating room for a related complication occurs.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the global period.
`82`	Assistant not required (assistant surgeon not available)	Use when a surgical assistant was requested but not available and documentation supports that the assistant would have been medically necessary.

Taxonomy Code	Specialty	Notes
208100000X	Obstetrics & Gynecology	General OB/GYN surgeons frequently perform abdominal hysterectomies and radical procedures in collaboration with gynecologic oncologists.
208H00000X	Gynecologic Oncology	Specialists who most commonly perform radical hysterectomy with lymphadenectomy for cervical and other gynecologic malignancies.
207L00000X	General Surgery	May participate for complex pelvic resections or when colorectal or urologic involvement requires multidisciplinary approach.
2080P0207X	Reproductive Endocrinology/Infertility	Rarely involved; included for completeness when ovarian function or preservation is a consideration.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`C53.1`	Malignant neoplasm of endocervix	Common indication for radical hysterectomy with lymphadenectomy when invasive cervical cancer involves the cervix.
`C53.9`	Malignant neoplasm of cervix uteri, unspecified	Used when cervical cancer is diagnosed but specific subsite not documented; radical hysterectomy may be indicated depending on stage.
`C56.9`	Malignant neoplasm of ovary, unspecified	May prompt concomitant oophorectomy or staging procedures during radical pelvic surgery.
`D07.1`	Carcinoma in situ of endocervix	In select high-risk or extensive cases, more radical surgical approaches may be considered.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Presenting symptom that can lead to diagnostic workup and eventual hysterectomy if malignancy or refractory disease diagnosed.
`C79.2`	Secondary malignant neoplasm of ovary	Indicates metastatic disease to ovary; may influence extent of resection and lymph node sampling.
`R87.619`	Abnormal cytology of cervix, unspecified	Screening/diagnostic finding that often precedes biopsy and definitive surgical treatment for confirmed malignancy.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`38746`	Laparoscopy, surgical; para-aortic lymphadenectomy	Performed when para-aortic nodes are sampled or removed laparoscopically as part of staging; may precede or accompany `58210`.
`38571`	Lymphadenectomy, pelvic; unilateral	Represents pelvic lymph node dissection when reported separately or when extent differs from radical hysterectomy coding; bilateral dissections may be reported with bilateral-specific codes per payer rules.
`58943`	Oophorectomy, partial or total, unilateral or bilateral	Performed if one or both ovaries are removed during the radical hysterectomy; may be reported separately depending on payer bundling rules.
`49000`	Exploratory laparotomy, exploratory abdominal surgery	May be reported if an extensive exploratory procedure beyond the targeted radical hysterectomy is required.
`51702`	Cystourethroscopy, with or without irrigation and/or injection	May be performed intraoperatively if urinary tract assessment or repair is needed due to proximity of surgery to bladder/ureter.
`99100`	Anesthesia for procedures on lower abdomen; major procedure	Represents anesthesia services commonly billed alongside major abdominal gynecologic surgery; reported by anesthesia providers rather than surgeon.

CPT 58150: Abdominal Hysterectomy with Cervix Removal

CPT-58152-ABDOMINAL-HYSTERECTOMY-URETHRAL-SUSPENSION

CPT 58152: Abdominal Hysterectomy with Urethral Suspension

CPT-58180-ABDOMINAL-HYSTERECTOMY-OPEN-UTERUS-REMOVAL

CPT 58180: Abdominal Hysterectomy, Open Removal of Uterus

CPT-58200-ABDOMINAL-HYSTERECTOMY-WITH-LYMPHADENECTOMY

CPT 58200: Abdominal Hysterectomy with Lymphadenectomy

CPT-58240-PELVIC-EXENTERATION-MULTI-ORGAN-RESECTION

CPT 58240: Pelvic Exenteration for Recurrent or Advanced Cervical Cancer

CPT-58260-VAGINAL-HYSTERECTOMY-UTERUS-AND-CERVIX

CPT 58260: Vaginal Hysterectomy, Uterus and Cervix Only

CPT-58262-VAGINAL-HYSTERECTOMY-TOTAL-WITH-BSO-NORMAL-SIZE-UTERUS

CPT 58262: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy

CPT-58263-VAGINAL-HYSTERECTOMY-BILATERAL-SALPINGO-OOPHORECTOMY-ENTEROCELE-REPAIR

CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

CPT-58267-VAGINAL-HYSTERECTOMY-WITH-URETHRAL-SUSPENSION

CPT 58267: Vaginal Hysterectomy with Urethral Suspension

CPT-58270-VAGINAL-HYSTERECTOMY-SMALL-BOWEL-PROLAPSE-REPAIR

CPT 58270: Vaginal Hysterectomy with Small Bowel Prolapse Repair

Showing 1–10 of 17

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or technical difficulty substantially exceeds typical for `58210`.
`23`	Unusual anesthesia	Use when medically necessary anesthesia is provided for a minor procedure; rarely applicable but available if unusual anesthesia circumstances occur.
`26`	Professional component	Use when reporting only the physician component of a service (e.g., interpretation of intraoperative monitoring) separate from facility billing.
`50`	Bilateral procedure	Use if documentation supports bilateral procedures billed separately (generally not appended to `58210` itself but relevant for synchronous bilateral ancillary procedures).
`51`	Multiple procedures	Use when other distinct procedures are performed at the same operative session in addition to `58210` and payer requires a multiple-procedure indicator.
`52`	Reduced services	Use when the procedure is started but not completed as planned and documentation supports partial performance.
`53`	Discontinued procedure	Use when procedure is terminated due to extenuating circumstances or safety concerns before completion.
`58`	Staged or related procedure or service by the same physician during the postoperative period	Use when a planned second-stage procedure is performed during the global period.
`62`	Two surgeons	Use when two surgeons with distinct specialties work together as primary surgeons (co-surgeons) for portions of the radical hysterectomy.
`63`	Procedure performed on infants under 4 kg	Not typically applicable to adult gynecologic surgery but included for completeness; use only if patient meets criteria.
`66`	Surgical team	Use when a surgical team (multiple surgeons providing distinct services) performs portions of the operation and payer allows team reporting.
`78`	Return to OR for a related procedure during the postoperative period	Use when an unplanned return to the operating room for a related complication occurs.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the global period.
`82`	Assistant not required (assistant surgeon not available)	Use when a surgical assistant was requested but not available and documentation supports that the assistant would have been medically necessary.

Taxonomy Code	Specialty	Notes
208100000X	Obstetrics & Gynecology	General OB/GYN surgeons frequently perform abdominal hysterectomies and radical procedures in collaboration with gynecologic oncologists.
208H00000X	Gynecologic Oncology	Specialists who most commonly perform radical hysterectomy with lymphadenectomy for cervical and other gynecologic malignancies.
207L00000X	General Surgery	May participate for complex pelvic resections or when colorectal or urologic involvement requires multidisciplinary approach.
2080P0207X	Reproductive Endocrinology/Infertility	Rarely involved; included for completeness when ovarian function or preservation is a consideration.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`C53.1`	Malignant neoplasm of endocervix	Common indication for radical hysterectomy with lymphadenectomy when invasive cervical cancer involves the cervix.
`C53.9`	Malignant neoplasm of cervix uteri, unspecified	Used when cervical cancer is diagnosed but specific subsite not documented; radical hysterectomy may be indicated depending on stage.
`C56.9`	Malignant neoplasm of ovary, unspecified	May prompt concomitant oophorectomy or staging procedures during radical pelvic surgery.
`D07.1`	Carcinoma in situ of endocervix	In select high-risk or extensive cases, more radical surgical approaches may be considered.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Presenting symptom that can lead to diagnostic workup and eventual hysterectomy if malignancy or refractory disease diagnosed.
`C79.2`	Secondary malignant neoplasm of ovary	Indicates metastatic disease to ovary; may influence extent of resection and lymph node sampling.
`R87.619`	Abnormal cytology of cervix, unspecified	Screening/diagnostic finding that often precedes biopsy and definitive surgical treatment for confirmed malignancy.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`38746`	Laparoscopy, surgical; para-aortic lymphadenectomy	Performed when para-aortic nodes are sampled or removed laparoscopically as part of staging; may precede or accompany `58210`.
`38571`	Lymphadenectomy, pelvic; unilateral	Represents pelvic lymph node dissection when reported separately or when extent differs from radical hysterectomy coding; bilateral dissections may be reported with bilateral-specific codes per payer rules.
`58943`	Oophorectomy, partial or total, unilateral or bilateral	Performed if one or both ovaries are removed during the radical hysterectomy; may be reported separately depending on payer bundling rules.
`49000`	Exploratory laparotomy, exploratory abdominal surgery	May be reported if an extensive exploratory procedure beyond the targeted radical hysterectomy is required.
`51702`	Cystourethroscopy, with or without irrigation and/or injection	May be performed intraoperatively if urinary tract assessment or repair is needed due to proximity of surgery to bladder/ureter.
`99100`	Anesthesia for procedures on lower abdomen; major procedure	Represents anesthesia services commonly billed alongside major abdominal gynecologic surgery; reported by anesthesia providers rather than surgeon.

CPT 58150: Abdominal Hysterectomy with Cervix Removal

CPT-58152-ABDOMINAL-HYSTERECTOMY-URETHRAL-SUSPENSION

CPT 58152: Abdominal Hysterectomy with Urethral Suspension

CPT-58180-ABDOMINAL-HYSTERECTOMY-OPEN-UTERUS-REMOVAL

CPT 58180: Abdominal Hysterectomy, Open Removal of Uterus

CPT-58200-ABDOMINAL-HYSTERECTOMY-WITH-LYMPHADENECTOMY

CPT 58200: Abdominal Hysterectomy with Lymphadenectomy

CPT-58240-PELVIC-EXENTERATION-MULTI-ORGAN-RESECTION

CPT 58240: Pelvic Exenteration for Recurrent or Advanced Cervical Cancer

CPT-58260-VAGINAL-HYSTERECTOMY-UTERUS-AND-CERVIX

CPT 58260: Vaginal Hysterectomy, Uterus and Cervix Only

CPT-58262-VAGINAL-HYSTERECTOMY-TOTAL-WITH-BSO-NORMAL-SIZE-UTERUS

CPT 58262: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy

CPT-58263-VAGINAL-HYSTERECTOMY-BILATERAL-SALPINGO-OOPHORECTOMY-ENTEROCELE-REPAIR

CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

CPT-58267-VAGINAL-HYSTERECTOMY-WITH-URETHRAL-SUSPENSION

CPT 58267: Vaginal Hysterectomy with Urethral Suspension

CPT-58270-VAGINAL-HYSTERECTOMY-SMALL-BOWEL-PROLAPSE-REPAIR

CPT 58270: Vaginal Hysterectomy with Small Bowel Prolapse Repair

Showing 1–10 of 17

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

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Billing Code Overview

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CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References