Summary & Overview
CPT 58562: Hysteroscopic Removal of Intrauterine Foreign Body
CPT code 58562 denotes hysteroscopic removal of a foreign body from the uterine lining, most commonly an intrauterine device (IUD). This operative, minimally invasive gynecologic procedure is performed under direct visualization with a hysteroscope and is a key service in reproductive and procedural gynecology. Nationally, the code matters for quality of care in device management, procedural safety, and appropriate site-of-service utilization.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and payer coverage scope. The publication provides billing and coding benchmarks, common modifier usage patterns, and payer-specific considerations where available. It also outlines procedural indications and implications for ambulatory surgical center versus hospital outpatient department settings.
This article is intended to inform billing managers, clinicians, and policy analysts about the clinical nature of the code, practical billing elements, and the payer landscape relevant to CPT code 58562. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 58562 describes the operative removal of a foreign body embedded in the lining of the uterus using a hysteroscope. The most common impacted foreign body addressed by this procedure is an intrauterine device (IUD). The procedure involves visualization of the uterine cavity with a hysteroscope and extraction of the lodged object under direct vision.
-
Service type: Operative hysteroscopic removal of intrauterine foreign body
-
Typical site of service: Ambulatory surgical center or hospital outpatient department
Clinical & Coding Specifications
Clinical Context
A 32-year-old patient presents to the outpatient gynecology clinic with a history of an intrauterine device (IUD) placed two years earlier. The patient reports abnormal bleeding and pelvic cramping; speculum and bimanual exam suggest the IUD strings are not visible. Transvaginal ultrasound confirms an intrauterine device embedded in the endometrium/uterine lining. The gynecologist schedules operative hysteroscopy with removal of the impacted foreign body under monitored anesthesia care in an ambulatory surgery center. The workflow includes preoperative assessment, informed consent, administration of anesthesia, hysteroscopic visualization of the uterine cavity, removal of the IUD using hysteroscopic graspers or forceps, inspection for retained fragments, hemostasis as needed, recovery, and discharge with postoperative instructions and follow-up.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing separately for the physician’s interpretation component if technical component billed by facility. |
50 | Bilateral procedure | Use if procedure is billed bilaterally (not commonly applicable for intrauterine device removal; included when bilateral designation is required). |