Summary & Overview
CPT 58674: Laparoscopic Ultrasound-Guided Radiofrequency Ablation of Uterine Fibroids
CPT code 58674 represents laparoscopic radiofrequency ablation of uterine fibroids performed under ultrasound guidance. This minimally invasive gynecologic procedure targets benign fibrous tumors of the uterus to reduce symptoms such as heavy bleeding, pelvic pain, and bulk-related discomfort. Nationally, the code matters because it reflects adoption of image-guided, uterus-sparing treatments that can shorten recovery compared with open surgery and influence surgical choice and coverage policies.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the procedure, common settings of care, and the types of benchmarks and policy topics typically associated with this code, including utilization patterns, site-of-service considerations, and prior authorization or coverage trends. The publication outlines where this service sits in the care pathway for symptomatic fibroids and what stakeholders commonly monitor: frequency of use, place-of-service shifts (ambulatory surgery center versus hospital), and payer coverage criteria.
Information presented is intended to provide clinical and billing clarity for stakeholders reviewing CPT code 58674, including coding teams, clinicians, and policy analysts. Data not available in the input.
Billing Code Overview
CPT code 58674 describes a procedure in which the provider ablates one or more uterine fibroids using radiofrequency energy under ultrasound guidance via a laparoscopic approach. The procedure is aimed at destroying benign fibrous tumors of the uterus to reduce symptoms related to fibroids.
Service type: Laparoscopic, image-guided fibroid ablation
Typical site of service: Ambulatory surgery center or hospital operating room, performed laparoscopically with intraoperative ultrasound guidance.
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Clinical & Coding Specifications
Clinical Context
A 42-year-old woman presents with symptomatic uterine fibroids causing heavy menstrual bleeding, pelvic pain, and bulk symptoms with desire for uterine preservation. After failed or declined medical management (eg, hormonal therapy) and evaluation including pelvic ultrasound and MRI, she is scheduled for laparoscopic ultrasound-guided radiofrequency ablation of uterine fibroids (CPT 58674). The procedure is performed under general anesthesia in an outpatient surgical center or hospital operating room. The gynecologic surgeon uses laparoscopic ports to introduce a radiofrequency ablation device and an intraoperative transabdominal or laparoscopic ultrasound probe for real-time localization and monitoring. Fibroids are ablated individually until satisfactory endpoint is achieved. Typical workflow includes preoperative history and physical, informed consent, pre-op imaging review, intraoperative laparoscopic ultrasound guidance, ablation of targeted fibroids, hemostasis confirmation, port closure, and post-anesthesia recovery with same-day discharge for most patients. Indications include symptomatic leiomyomas where uterine-sparing, minimally invasive treatment is appropriate; contraindications and patient selection are determined by the treating surgeon and preoperative imaging.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Default when no specific modifier applies |