Summary & Overview
CPT 58575: Laparoscopic Total Hysterectomy with BSO and Omentectomy for Cancer
CPT code 58575 represents a laparoscopic oncologic gynecologic procedure: total hysterectomy with removal of the cervix, bilateral salpingo-oophorectomy, and omentectomy performed for cancer. This code captures a complex minimally invasive surgical approach used in gynecologic oncology to remove primary reproductive organs and the omentum when indicated by malignant disease. Nationally, accurate coding for this procedure matters for case mix, quality measurement, hospital and surgeon reimbursement, and oncology care pathways.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing context for 58575, an outline of typical sites of service and service type, and information useful for benchmarking and policy review. The publication highlights common modifiers used with this service and notes where input data is missing.
The content is organized to provide: (1) a clinical description and typical procedural setting, (2) payer coverage context and common billing modifiers, and (3) areas where additional coding or diagnostic detail is required. Data not available in the input is flagged where applicable. This overview is written for a national audience interested in procedural coding, payer policy, and gynecologic oncology service lines.
Billing Code Overview
CPT code 58575 describes a laparoscopic procedure in which the provider removes the uterus, cervix, ovaries, and fallopian tubes (total hysterectomy with bilateral salpingo-oophorectomy) and then removes the entire omentum through the laparoscope, via the trocar ports or through the vaginal canal. The procedure is performed specifically for cancer.
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Service type: Major gynecologic oncologic surgical procedure (laparoscopic total hysterectomy with bilateral salpingo-oophorectomy and omentectomy)
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Typical site of service: Operating room in an inpatient or outpatient surgical facility where laparoscopic oncology procedures are performed
Clinical & Coding Specifications
Clinical Context
A typical patient is a 58-year-old woman with biopsy-proven ovarian or endometrial carcinoma presenting for definitive surgical staging and cytoreduction. Preoperative workup includes pelvic imaging (transvaginal ultrasound, CT or MRI), tumor markers (CA-125), medical clearance, and counseling about extent of surgery and potential need for conversion to laparotomy. In the operating room under general anesthesia, the gynecologic oncologist performs a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and laparoscopic omentectomy via trocar ports; specimens are removed through the laparoscope or vaginally for pathologic staging. Intraoperative steps include abdominal access and insufflation, diagnostic survey, adhesiolysis as needed, vascular control and transection of the utero-ovarian ligaments, uterine artery control, en bloc removal of the uterus, cervix, fallopian tubes and ovaries, and complete resection of the greater omentum due to malignant involvement or as part of staging. Postoperative workflow includes monitoring in PACU, pain control, VTE prophylaxis, pathology review for staging, and coordination of adjuvant oncology care based on final pathology.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier — standard reporting | Use when no special circumstances or modifiers apply to the service |