Summary & Overview
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.
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.
Clinical & Coding Specifications
Clinical Context
A 42-year-old woman with symptomatic uterine fibroids and menorrhagia presents for surgical management after conservative treatments failed. Preoperative evaluation includes pelvic ultrasound confirming a normal-sized uterus (estimated weight ≤250 g), routine labs, anesthesia assessment, and informed consent for laparoscopic total hysterectomy. The procedure is performed in an accredited ambulatory surgery center or hospital operating room under general anesthesia. The surgeon creates laparoscopic ports, transects the uterine and cervical attachments laparoscopically, and removes the uterus and cervix either through the trocar ports or via the vaginal canal. Intraoperative steps include laparoscopic visualization, division of ligaments and vascular pedicles, inspection for hemostasis, possible cystoscopy if indicated, and standard recovery in post-anesthesia care before discharge or inpatient admission based on clinical status.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier (default) | Use when no modifier applies; standard reporting of the service |
22 | Increased procedural services | Use when work or time substantially exceeds usual for (document rationale) |