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CPT 58572: Laparoscopic Hysterectomy for Enlarged Uterus (>250 g)

CPT code 58572 denotes a laparoscopic hysterectomy with removal of the uterus and cervix for an enlarged uterus, typically when fibroids increase uterine weight beyond 250 g. This procedure is clinically important because it addresses symptomatic leiomyomas and other causes of uterine enlargement that impact quality of life, fertility considerations, and surgical planning. Nationally, surgical approach selection and coding accuracy affect hospital and ambulatory surgery center workflows, episode costing, and quality measurement.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an explanation of the clinical scenario captured by the code, typical sites of service, and the implications for billing and facility classification. The publication summarizes common modifiers and coding contexts (data provided), highlights benchmarks where available, and outlines relevant policy considerations affecting payment and utilization. Clinical context clarifies when CPT code 58572 is appropriate versus other hysterectomy codes based on uterine size and surgical approach. Data not available in the input is explicitly noted where applicable.

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Billing Code Overview

CPT code 58572 describes a surgical procedure in which the provider removes the uterus and cervix using laparoscopic techniques. The provider incises all uterine and cervical attachments through the laparoscope and extracts the uterus and cervix either through the trocar ports or via the vaginal canal. The code applies when the uterus is enlarged, typically due to fibroids, and the uterine specimen weighs more than 250 g.

Service type: Laparoscopic hysterectomy for enlarged uterus (usually due to fibroids)
Typical site of service: Hospital outpatient department or ambulatory surgery center; may also occur in inpatient surgical settings depending on clinical circumstances

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CPT 58572: Laparoscopic Hysterectomy for Enlarged Uterus (>250 g)

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Billing Code Overview

Service type: Laparoscopic hysterectomy for enlarged uterus (usually due to fibroids)
Typical site of service: Hospital outpatient department or ambulatory surgery center; may also occur in inpatient surgical settings depending on clinical circumstances

Clinical & Coding Specifications

Clinical Context

A 44-year-old female with symptomatic uterine fibroids presents for elective total laparoscopic hysterectomy with removal of the uterus and cervix. She reports heavy menstrual bleeding, pelvic pressure, and anemia despite medical therapy. Preoperative evaluation includes pelvic ultrasound confirming an enlarged, fibroid-laden uterus estimated >250 g, CBC, coagulation studies, and anesthesia clearance. The procedure is performed in an ambulatory surgery center or hospital operating room under general anesthesia. The surgeon uses laparoscopic ports to divide uterine and cervical attachments and removes the enlarged uterus and cervix through the trocar sites or via the vaginal canal. Typical intraoperative steps include laparoscopic inspection, ligation and transection of the uterine arteries and supporting ligaments, morcellation or transvaginal extraction as needed, hemostasis, and closure. Postoperative workflow includes recovery in PACU, postoperative pain control, discharge instructions for activity restrictions and wound care, and scheduled postoperative follow-up for pathology review and wound assessment.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, effort, or time substantially exceeds the usual for the procedure due to complexity (document specific reasons).
`23`	Unusual anesthesia	Use when the procedure is performed under general anesthesia due to unusual circumstances beyond typical sedation.
`25`	Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure	Use when a distinct E/M visit is documented on the same day as the hysterectomy.
`26`	Professional component	Use when reporting only the professional component of a global service (rare for operative surgery; more applicable to certain diagnostic services).
`51`	Multiple procedures	Use when additional unrelated procedures are performed at the same session; list secondary procedures in proper order.
`52`	Reduced services	Use when the service is partially reduced or not completed, with documentation of extent and reason.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances or patient condition.
`59`	Distinct procedural service	Use to indicate a separate procedure or service not ordinarily reported together, when appropriate and supported by documentation.
`62`	Two surgeons	Use when two surgeons of different specialties actively work together as primary surgeons.
`66`	Surgical team	Use when a surgical team performs the procedure (e.g., trauma or complex cases requiring team approach).
`78`	Unplanned return to the operating room for a related procedure during the postoperative period	Use when the patient requires an unplanned reoperation related to the original hysterectomy.
`79`	This modifier is not in the provided input list; it is intentionally omitted.	Data not applicable.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Primary specialty performing benign gynecologic hysterectomy procedures.
207VC0200X	Gynecologic Surgery	Surgeons with focus on complex pelvic surgery and minimally invasive techniques.
208100000X	Urology	Occasionally involved when concurrent urologic procedures or consults are required.
207L00000X	Female Pelvic Medicine & Reconstructive Surgery	Involved for complex pelvic floor reconstruction or concurrent prolapse repairs.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N92.0`	Excessive and frequent menstruation with regular cycle	Heavy menstrual bleeding due to fibroids is a common indication for hysterectomy.
`D25.9`	Leiomyoma of uterus, unspecified	Uterine fibroids (leiomyomas) causing uterine enlargement >250 g are a primary indication for this procedure.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Symptomatic bleeding leading to surgical management when conservative therapy fails.
`N80.0`	Endometriosis of uterus (adenomyosis)	Adenomyosis may cause an enlarged, symptomatic uterus prompting hysterectomy.
`N81.3`	Cystocele (grade unspecified)	Pelvic organ prolapse may be addressed concurrently with hysterectomy in some patients.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`51702`	Complex transurethral catheterization, with or without irrigation	May be performed intraoperatively or postoperatively if urinary retention or catheter placement is required.
`58661`	Laparoscopy, surgical; with lysis of adhesions (salpingostomy, etc.)	Performed if significant adhesions are encountered that require lysis to access the uterus.
`59200`	Removal of intrauterine device (IUD)	May occur preoperatively if an IUD is present and requires removal prior to hysterectomy.
`51990`	Cystourethroscopy, with cystoscopy procedures	Used if intraoperative cystoscopy is performed to evaluate the bladder or ureteral integrity during hysterectomy.
`58150`	Total abdominal hysterectomy, for uterus 250 g or less	Alternative approach; listed for comparison when open abdominal route is chosen instead of laparoscopic removal.

CPT 58541: Laparoscopic Subtotal Hysterectomy, Uterus Removed; Cervix Preserved

CPT-58542-LAPAROSCOPIC-SUBTOTAL-HYSTERECTOMY-SUPRACERVICAL

CPT 58542: Laparoscopic Subtotal (Supracervical) Hysterectomy

CPT-58543-LAPAROSCOPIC-SUBTOTAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58543: Laparoscopic Subtotal Hysterectomy for Enlarged Uterus (>250 g)

CPT-58544-LAPAROSCOPIC-SUPRACERVICAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58544: Laparoscopic Supracervical Hysterectomy for Enlarged Uterus

CPT-58545-LAPAROSCOPIC-MYOMECTOMY-1-TO-4-FIBROIDS-UP-TO-250G

CPT 58545: Laparoscopic Myomectomy, 1–4 Fibroids (≤250 g)

CPT-58546-LAPAROSCOPIC-MYOMECTOMY-MULTIPLE-OR-MASSIVE-FIBROIDS

CPT 58546: Laparoscopic Myomectomy for Multiple or Large Fibroids

CPT-58548-LAPAROSCOPIC-RADICAL-HYSTERECTOMY-BSO-PELVIC-LYMPHADENECTOMY

CPT 58548: Laparoscopic Radical Hysterectomy with BSO and Pelvic Lymphadenectomy

CPT-58550-LAPAROSCOPIC-ASSISTED-VAGINAL-HYSTERECTOMY-NORMAL-UTERUS

CPT 58550: Laparoscopic-Assisted Vaginal Hysterectomy, Normal-Size Uterus

CPT-58552-VAGINAL-HYSTERECTOMY-WITH-LAPAROSCOPIC-ASSISTANCE

CPT 58552: Vaginal Hysterectomy With Laparoscopic Assistance

CPT-58553-LAPAROSCOPICALLY-ASSISTED-VAGINAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58553: Laparoscopically Assisted Vaginal Hysterectomy for Enlarged Uterus

Showing 1–10 of 25

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, effort, or time substantially exceeds the usual for the procedure due to complexity (document specific reasons).
`23`	Unusual anesthesia	Use when the procedure is performed under general anesthesia due to unusual circumstances beyond typical sedation.
`25`	Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure	Use when a distinct E/M visit is documented on the same day as the hysterectomy.
`26`	Professional component	Use when reporting only the professional component of a global service (rare for operative surgery; more applicable to certain diagnostic services).
`51`	Multiple procedures	Use when additional unrelated procedures are performed at the same session; list secondary procedures in proper order.
`52`	Reduced services	Use when the service is partially reduced or not completed, with documentation of extent and reason.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances or patient condition.
`59`	Distinct procedural service	Use to indicate a separate procedure or service not ordinarily reported together, when appropriate and supported by documentation.
`62`	Two surgeons	Use when two surgeons of different specialties actively work together as primary surgeons.
`66`	Surgical team	Use when a surgical team performs the procedure (e.g., trauma or complex cases requiring team approach).
`78`	Unplanned return to the operating room for a related procedure during the postoperative period	Use when the patient requires an unplanned reoperation related to the original hysterectomy.
`79`	This modifier is not in the provided input list; it is intentionally omitted.	Data not applicable.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Primary specialty performing benign gynecologic hysterectomy procedures.
207VC0200X	Gynecologic Surgery	Surgeons with focus on complex pelvic surgery and minimally invasive techniques.
208100000X	Urology	Occasionally involved when concurrent urologic procedures or consults are required.
207L00000X	Female Pelvic Medicine & Reconstructive Surgery	Involved for complex pelvic floor reconstruction or concurrent prolapse repairs.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N92.0`	Excessive and frequent menstruation with regular cycle	Heavy menstrual bleeding due to fibroids is a common indication for hysterectomy.
`D25.9`	Leiomyoma of uterus, unspecified	Uterine fibroids (leiomyomas) causing uterine enlargement >250 g are a primary indication for this procedure.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Symptomatic bleeding leading to surgical management when conservative therapy fails.
`N80.0`	Endometriosis of uterus (adenomyosis)	Adenomyosis may cause an enlarged, symptomatic uterus prompting hysterectomy.
`N81.3`	Cystocele (grade unspecified)	Pelvic organ prolapse may be addressed concurrently with hysterectomy in some patients.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`51702`	Complex transurethral catheterization, with or without irrigation	May be performed intraoperatively or postoperatively if urinary retention or catheter placement is required.
`58661`	Laparoscopy, surgical; with lysis of adhesions (salpingostomy, etc.)	Performed if significant adhesions are encountered that require lysis to access the uterus.
`59200`	Removal of intrauterine device (IUD)	May occur preoperatively if an IUD is present and requires removal prior to hysterectomy.
`51990`	Cystourethroscopy, with cystoscopy procedures	Used if intraoperative cystoscopy is performed to evaluate the bladder or ureteral integrity during hysterectomy.
`58150`	Total abdominal hysterectomy, for uterus 250 g or less	Alternative approach; listed for comparison when open abdominal route is chosen instead of laparoscopic removal.

CPT 58541: Laparoscopic Subtotal Hysterectomy, Uterus Removed; Cervix Preserved

CPT-58542-LAPAROSCOPIC-SUBTOTAL-HYSTERECTOMY-SUPRACERVICAL

CPT 58542: Laparoscopic Subtotal (Supracervical) Hysterectomy

CPT-58543-LAPAROSCOPIC-SUBTOTAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58543: Laparoscopic Subtotal Hysterectomy for Enlarged Uterus (>250 g)

CPT-58544-LAPAROSCOPIC-SUPRACERVICAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58544: Laparoscopic Supracervical Hysterectomy for Enlarged Uterus

CPT-58545-LAPAROSCOPIC-MYOMECTOMY-1-TO-4-FIBROIDS-UP-TO-250G

CPT 58545: Laparoscopic Myomectomy, 1–4 Fibroids (≤250 g)

CPT-58546-LAPAROSCOPIC-MYOMECTOMY-MULTIPLE-OR-MASSIVE-FIBROIDS

CPT 58546: Laparoscopic Myomectomy for Multiple or Large Fibroids

CPT-58548-LAPAROSCOPIC-RADICAL-HYSTERECTOMY-BSO-PELVIC-LYMPHADENECTOMY

CPT 58548: Laparoscopic Radical Hysterectomy with BSO and Pelvic Lymphadenectomy

CPT-58550-LAPAROSCOPIC-ASSISTED-VAGINAL-HYSTERECTOMY-NORMAL-UTERUS

CPT 58550: Laparoscopic-Assisted Vaginal Hysterectomy, Normal-Size Uterus

CPT-58552-VAGINAL-HYSTERECTOMY-WITH-LAPAROSCOPIC-ASSISTANCE

CPT 58552: Vaginal Hysterectomy With Laparoscopic Assistance

CPT-58553-LAPAROSCOPICALLY-ASSISTED-VAGINAL-HYSTERECTOMY-ENLARGED-UTERUS

CPT 58553: Laparoscopically Assisted Vaginal Hysterectomy for Enlarged Uterus

Showing 1–10 of 25

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 58572: Laparoscopic Hysterectomy for Enlarged Uterus (>250 g)

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Billing Code Overview

OpenPayer

CPT 58572: Laparoscopic Hysterectomy for Enlarged Uterus (>250 g)

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References