CPT code 58540 represents an abdominal hysteroplasty: operative reconstruction of a congenitally anomalous uterus (for example, conversion of a bicornuate uterus to a single cavity). This gynecologic procedure is clinically significant for fertility preservation and symptom relief and may require variable operative time and resources depending on the complexity of uterine reconstruction. Nationally, correct coding and site-of-service determination affect hospital and ambulatory surgical center workflows, perioperative authorization, and claims adjudication.

Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical context and typical sites of service, a summary of common billing modifiers used with the procedure, payer coverage considerations and typical authorization concerns, and relevant coding relationships. The publication outlines common operational benchmarks and policy considerations that influence billing and reimbursement for complex gynecologic reconstructive surgery. Where specific payer policies or rates are not provided in the input, the text notes that such data is not available.

This summary serves clinicians, coding professionals, and revenue cycle stakeholders seeking a focused national overview of coding, clinical context, and payer considerations for CPT code 58540.