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CPT 58570: Total Laparoscopic Hysterectomy for Normal-Sized Uterus
CPT code 58570 represents a total laparoscopic hysterectomy for a normal-sized uterus (≤ 250 g), performed by transecting uterine and cervical attachments laparoscopically and removing the specimen via trocar ports or the vaginal canal. This code defines a commonly performed minimally invasive gynecologic surgical service with implications for surgical resource use, site-of-service decisions, and national utilization patterns. It matters nationally because laparoscopic hysterectomy has become a standard approach for many benign and select malignant gynecologic indications, affecting hospital and ambulatory surgery center volumes, operating room scheduling, and payer coverage policies.
Key payers considered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarking context on utilization and site-of-service trends, clinical scope and coding guidance tied to uterus size, and payer coverage considerations where available. The publication also outlines common modifiers associated with surgical episodes and highlights where service definitions constrain code assignment.
The report provides a concise clinical description, administrative coding context, and a national perspective on where 58570 fits within minimally invasive gynecologic care pathways. Data not available in the input is noted where applicable, and the focus remains on clarifying what the code represents and the typical clinical and billing settings in which it is reported.
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Billing Code Overview
CPT code 58570 describes a total laparoscopic hysterectomy in which the provider disconnects all uterine and cervical attachments via laparoscopy and removes the uterus and cervix either through trocar ports or through the vaginal canal. The procedure definition specifies a normal-sized uterus (≤ 250 g).
Service Type: Surgical — Minimally Invasive Gynecologic Surgery
Typical Site of Service: Hospital outpatient department or ambulatory surgery center, where laparoscopic equipment and trocar access are available for minimally invasive operative gynecologic procedures.