CPT code 58554 represents a vaginal hysterectomy with removal of the uterus, cervix, and fallopian tubes for a uterus larger than 250 g, performed with laparoscopic assistance to divide upper uterine and ovarian attachments. This procedure is clinically significant as it addresses symptomatic uterine conditions such as fibroids when uterine size precludes a standard vaginal approach; the laparoscopic assistance enables a minimally invasive route for larger uteri. Nationally, the code matters for surgical practice patterns, site-of-service considerations, and payer coverage policies for gynecologic surgery.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for use of CPT code 58554, common payer considerations, and the types of benchmarks and policy topics typically associated with this service, including utilization patterns, site-of-service implications (hospital OR vs ambulatory surgery center), and documentation elements that support the code’s use. The publication also outlines likely areas for insurer policy variation and coding-related issues relevant to gynecologic surgical services.

Data not available in the input: associated taxonomies, specific ICD-10 diagnoses, payer-specific coverage rules, and related codes.