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CPT 58548: Laparoscopic Radical Hysterectomy with BSO and Pelvic Lymphadenectomy
CPT code 58548 denotes a laparoscopic radical hysterectomy with bilateral salpingo-oophorectomy and comprehensive pelvic lymphadenectomy, with some para‑aortic node removal. This code represents a complex, oncologic gynecologic surgical procedure used in the management of invasive uterine or cervical malignancies and other conditions requiring extensive uterine and nodal resection. Nationally, it is important because it captures care that involves multidisciplinary surgical teams, significant operative resources, and downstream oncologic treatment planning.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical and billing context for the procedure, typical sites of service, and common billing considerations associated with major laparoscopic gynecologic oncology operations. The publication offers benchmarks and payment context where available, outlines policy and documentation factors that commonly affect coding and claims adjudication, and summarizes clinical indications relevant to assigning the code. Data not available in the input will be noted as such. This resource is intended for billing professionals, revenue cycle managers, and clinical staff seeking a concise reference for CPT code 58548.
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Billing Code Overview
CPT code 58548 describes a laparoscopic radical hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy, including excision of the parametrium, cardinal and uterosacral ligaments, and removal of pelvic lymph nodes on both sides with partial removal of para‑aortic nodes. This procedure is a major gynecologic oncologic operation.
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Service type: Major minimally invasive gynecologic surgery (laparoscopic radical hysterectomy with bilateral salpingo-oophorectomy and lymph node dissection)
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Typical site of service: Hospital operating room or ambulatory surgery center with full surgical oncology support