Summary & Overview
CPT 58544: Laparoscopic Supracervical Hysterectomy for Enlarged Uterus
CPT code 58544 denotes a laparoscopic supracervical hysterectomy for an enlarged uterus—commonly due to fibroids—where the uterus, fallopian tubes, and ovaries are removed while the cervix is preserved. This procedure is clinically significant because it addresses symptomatic uterine enlargement and fibroid-related morbidity while retaining the cervical stump, which can influence postoperative surveillance and complications. Nationally, the code captures minimally invasive surgical management of larger fibroid-laden uteri and factors into surgical utilization, facility planning, and payer coverage policies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an explanation of the clinical context for the procedure, typical settings where the service is provided, and the implications for coding and billing workflows. The publication also summarizes common modifiers associated with the code and highlights related policy and reimbursement considerations used by major payers. Additionally, the report outlines benchmarks commonly tracked for hysterectomy services—such as site-of-service distribution and utilization patterns—and notes areas where policy updates or payer-specific rules can affect claims processing.
Intended for clinicians, revenue cycle professionals, and policy analysts, the summary provides a concise reference to understand what CPT code 58544 represents, where it is performed, and which payers commonly cover it. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 58544 describes a laparoscopic supracervical hysterectomy performed for an enlarged uterus (typically due to fibroids) where the uterus, fallopian tubes, and ovaries are removed but the cervix is left in place. The description specifies that the uterus is larger than normal (usually with fibroids) and weighs more than 250 g.
Service Type: Surgical — Laparoscopic supracervical hysterectomy for enlarged uterus (fibroid-related)
Typical Site of Service: Hospital outpatient surgery center or ambulatory surgical center
Clinical & Coding Specifications
Clinical Context
A 46-year-old premenopausal woman presents with symptomatic uterine fibroids causing heavy menstrual bleeding and pelvic pressure. She has completed childbearing and elected surgical management. Preoperative evaluation includes history and physical, pelvic ultrasound confirming multiple intramural fibroids and an enlarged uterus estimated >250 g, routine labs (CBC, type and screen), anesthesia assessment, and informed consent for total laparoscopic hysterectomy with ovarian removal while sparing the cervix. The procedure is scheduled in an ambulatory surgery center or hospital operating room under general anesthesia. Intraoperative steps typically include laparoscopic entry, inspection of pelvis, mobilization and ligation of the utero-ovarian pedicles or ligation of the infundibulopelvic ligaments if performing bilateral salpingo-oophorectomy, division of uterine vessels, morcellation or vaginal extraction as indicated, and careful hemostasis. Postoperative workflow includes recovery room monitoring, pain control, discharge instructions for outpatient cases or overnight admission if complications or comorbidities arise, and a postoperative clinic visit within 2 weeks to assess incision healing and symptom resolution.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the procedure requires substantially greater work than typical due to severe adhesions, extensive dissection, or unusually large uterus. |