Find policies, billing codes, payers, states, and providers
CPT 58571: Laparoscopic Total Hysterectomy for Uterus 250 g or Less
CPT code 58571 denotes a laparoscopic total hysterectomy for a uterus of normal size (250 g or less), removing the uterus and cervix and fallopian tubes, with optional oophorectomy. This code is a common surgical gynecologic procedure with implications for inpatient and outpatient surgical scheduling, billing compliance, and payer authorization practices nationwide. Key national payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of the clinical service represented by CPT code 58571, how it differs from closely related laparoscopic hysterectomy codes, and the typical sites where the service is performed. The publication summarizes common diagnosis associations and the surgical context for coding choices, and it presents payer coverage considerations and benchmark comparisons across major payers. Additionally, the report highlights coding distinctions relevant to surgical approach and specimen weight criteria to support correct code selection and claims submission. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 58571 policy alerts
Get alerted when payer policies referencing 58571 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 58571 describes a laparoscopic total hysterectomy for a uterus of normal size (250 g or less). The procedure involves incising the uterine, ovarian, and cervical connections through a laparoscope and removing the uterus, cervix, and fallopian tubes, with or without removal of the ovaries.
Service type: Surgical — Laparoscopic total hysterectomy
Typical site of service: Hospital outpatient surgical suite or ambulatory surgery center (laparoscopic approach via trocar ports or vaginal canal)
National Reimbursement Benchmarks
Medicare’s national mean of $839 sits well below the BUCA average commercial mean of $3,799.40, highlighting a substantial gap between government and aggregated commercial pricing for CPT 58571. Blue Cross Blue Shield and BUCA show notably higher central tendencies than Medicare, while Aetna, Cigna, and UnitedHealth Group fall between those extremes, reflecting a multi-modal market where commercial contracts generally pay multiples of the Medicare mean.
Dispersion (P75−P25) calculations show Blue Cross Blue Shield has the widest interquartile spread at $6,087.9 (P75 $7,828.6 − P25 $1,840.7), indicating significant variability in negotiated rates. BUCA’s spread is $3,837.1 (P75 $5,279.1 − P25 $1,442.0) and UnitedHealth Group’s spread is $936.3 (P75 $1,972.8 − P25 $1,036.5). Aetna and Cigna are tighter, with ranges of $828.1 and $859.9 respectively, suggesting more clustered commercial pricing for those payers.