Summary & Overview
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.
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.
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Service type: Laparoscopic hysterectomy for enlarged uterus (usually due to fibroids)
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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 |