CPT code 58553 denotes a laparoscopically assisted vaginal hysterectomy: removal of the uterus and cervix through the vagina with laparoscopic division of upper uterine attachments, indicated for an enlarged uterus (weight >250 g), commonly for fibroid-related symptoms. Nationally, hysterectomy remains a high-volume gynecologic procedure with significant implications for surgical practice patterns, site-of-service decisions, and payer coverage policies.

Key payers referenced include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical description, expected sites of service, and benchmarking context for utilization and coverage considerations. The publication highlights common coding relationships and modifiers used with this surgical code, comparative payer approaches to site-of-service and inpatient versus outpatient determinations, and clinical context related to uterus size thresholds that affect code selection.

This summary provides clinicians, billing professionals, and policy analysts with the essential facts about CPT code 58553, what drives its medical necessity, and what aspects commonly influence reimbursement and utilization nationally. Data not available in the input is noted where applicable in detailed sections.