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CPT 58541: Laparoscopic Subtotal Hysterectomy, Uterus Removed; Cervix Preserved
CPT code 58541 represents a laparoscopic subtotal (supracervical) hysterectomy where the uterus is removed through a minimally invasive approach while the cervix and adnexa (fallopian tubes and ovaries) are left intact; the uterus is specified as normal in size (≤ 250 g). This code captures a commonly performed gynecologic surgical option and matters nationally because it affects surgical scheduling, resource use in ambulatory surgery centers and hospital outpatient departments, and payer policy for minimally invasive versus open hysterectomy approaches.
Key payers considered include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical intent and typical sites of service, how it maps to procedural service lines, and what components are explicitly described (uterus removed laparoscopically; cervix and adnexa preserved; uterus ≤ 250 g). The publication provides benchmarks and utilization context where available, notes applicable coding considerations, and summarizes policy implications relevant to coverage and site-of-service determination. Data not available in the input for ICD-10 diagnoses, associated taxonomies, and payer-specific reimbursement details are noted as unavailable.
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Billing Code Overview
CPT code 58541 describes a laparoscopic subtotal hysterectomy in which the uterus is removed but the cervix is left in place. The description specifies the uterus is normal in size (≤ 250 g) and the fallopian tubes and ovaries are preserved.
Service Type: Surgical — Gynecologic procedure (laparoscopic subtotal hysterectomy)
Typical Site of Service: Hospital outpatient department or ambulatory surgery center, reflecting a minimally invasive abdominal surgical approach performed under anesthesia.