Summary & Overview
CPT 58571: Laparoscopic Total Hysterectomy for Uterus 250 g or Less
CPT code 58571 represents a laparoscopic total hysterectomy for a uterus weighing 250 g or less, a procedure widely used in gynecology to address conditions such as excessive menstruation, endometriosis, uterine fibroids, and certain malignancies. This code is significant nationally due to its prevalence in minimally invasive surgical care and its role in improving patient outcomes and recovery times compared to traditional open surgery.
Major payers covering this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare. The publication provides a comprehensive overview of payer coverage, typical sites of service, and clinical indications for the procedure. Readers will gain insights into current billing benchmarks, policy updates, and the clinical context surrounding laparoscopic hysterectomy. The summary also highlights common modifiers used in billing, associated provider taxonomies, and relevant ICD-10 diagnoses, offering a clear understanding of how this code is utilized in practice.
This article is designed for healthcare professionals, billing specialists, and policy analysts seeking up-to-date information on CPT code 58571, including payer coverage, clinical relevance, and coding considerations. The content is organized to facilitate quick reference and informed decision-making in the evolving landscape of gynecological surgical services.
CPT Code Overview
CPT code 58571 describes a laparoscopic surgical procedure involving total hysterectomy for a uterus weighing 250 g or less. This minimally invasive gynecological surgery is typically performed in a hospital outpatient setting (such as Place of Service 19) or an ambulatory surgery center (Place of Service 24). The procedure is commonly indicated for various uterine conditions and is part of the broader category of gynecological surgical services.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves a woman presenting with gynecological symptoms such as excessive menstrual bleeding, pelvic pain, or abnormal uterine findings. After evaluation by a gynecology or obstetrics & gynecology physician, the patient is diagnosed with a condition such as uterine leiomyoma, endometriosis, or a malignant neoplasm of the endometrium. The clinical workflow includes preoperative assessment, imaging, and counseling. The patient is scheduled for a laparoscopic total hysterectomy for a uterus weighing 250 g or less, performed in a hospital outpatient setting or ambulatory surgery center. The procedure is indicated when conservative management has failed or is not appropriate, and the goal is to remove the uterus and cervix to address the underlying pathology.
Coding Specifications
-
Modifier
51(Multiple Procedures): Used when more than one surgical procedure is performed during the same operative session. Modifier51indicates that the procedure is part of a group of multiple procedures. -
Modifier
59(Distinct Procedural Service): Used to indicate that a procedure or service is distinct or independent from other services performed on the same day. Modifier59is applied when procedures are not normally reported together but are appropriate in certain clinical circumstances.
| Provider Taxonomy Code |
|---|