Summary & Overview
CPT 58571: Laparoscopic Total Hysterectomy for Uterus 250 g or Less
CPT code 58571 represents a laparoscopic total hysterectomy for a uterus weighing 250 g or less, a procedure widely used in gynecology to address conditions such as excessive menstruation, endometriosis, uterine fibroids, and certain malignancies. This code is significant nationally due to its prevalence in minimally invasive surgical care and its role in improving patient outcomes and recovery times compared to traditional open surgery.
Major payers covering this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare. The publication provides a comprehensive overview of payer coverage, typical sites of service, and clinical indications for the procedure. Readers will gain insights into current billing benchmarks, policy updates, and the clinical context surrounding laparoscopic hysterectomy. The summary also highlights common modifiers used in billing, associated provider taxonomies, and relevant ICD-10 diagnoses, offering a clear understanding of how this code is utilized in practice.
This article is designed for healthcare professionals, billing specialists, and policy analysts seeking up-to-date information on CPT code 58571, including payer coverage, clinical relevance, and coding considerations. The content is organized to facilitate quick reference and informed decision-making in the evolving landscape of gynecological surgical services.
CPT Code Overview
CPT code 58571 describes a laparoscopic surgical procedure involving total hysterectomy for a uterus weighing 250 g or less. This minimally invasive gynecological surgery is typically performed in a hospital outpatient setting (such as Place of Service 19) or an ambulatory surgery center (Place of Service 24). The procedure is commonly indicated for various uterine conditions and is part of the broader category of gynecological surgical services.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves a woman presenting with gynecological symptoms such as excessive menstrual bleeding, pelvic pain, or abnormal uterine findings. After evaluation by a gynecology or obstetrics & gynecology physician, the patient is diagnosed with a condition such as uterine leiomyoma, endometriosis, or a malignant neoplasm of the endometrium. The clinical workflow includes preoperative assessment, imaging, and counseling. The patient is scheduled for a laparoscopic total hysterectomy for a uterus weighing 250 g or less, performed in a hospital outpatient setting or ambulatory surgery center. The procedure is indicated when conservative management has failed or is not appropriate, and the goal is to remove the uterus and cervix to address the underlying pathology.
Coding Specifications
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Modifier
51(Multiple Procedures): Used when more than one surgical procedure is performed during the same operative session. Modifier51indicates that the procedure is part of a group of multiple procedures. -
Modifier
59(Distinct Procedural Service): Used to indicate that a procedure or service is distinct or independent from other services performed on the same day. Modifier59is applied when procedures are not normally reported together but are appropriate in certain clinical circumstances.
| Provider Taxonomy Code | Specialty Description |
|---|---|
207VG0400X | Gynecology Physician |
207V00000X | Obstetrics & Gynecology Physician |
207VF0040X | Female Pelvic Medicine and Reconstructive Surgery Physician |
Related Diagnoses
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N92.0- Excessive and frequent menstruation with regular cycle- Relevant for patients experiencing abnormal uterine bleeding, which may necessitate hysterectomy if conservative treatments fail.
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N80.0- Endometriosis of uterus- Indicates the presence of endometrial tissue within the uterus, often causing pain and bleeding, and may require surgical intervention.
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D25.9- Leiomyoma of uterus, unspecified- Refers to uterine fibroids, a common indication for hysterectomy due to symptoms like pain or heavy bleeding.
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N85.8- Other specified noninflammatory disorders of uterus- Encompasses various noninflammatory uterine conditions that may warrant surgical removal.
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C54.1- Malignant neoplasm of endometrium- Represents endometrial cancer, for which hysterectomy is a definitive treatment option.
Related CPT Codes
58570- Laparoscopic hysterectomy, uterus 250 g or less (removal of uterus and cervix via laparoscope)
58570 is closely related to 58571 and may be used as an alternative depending on the specific surgical approach and clinical scenario. Both codes involve laparoscopic removal of the uterus and cervix for a uterus weighing 250 g or less. In clinical workflow, these codes are not typically used together but may be selected based on the extent of the procedure and documentation.
National Reimbursement Benchmarks
National mean rates for CPT code 58571 show a significant gap between Medicare and commercial payers. Medicare's mean rate is $839.04, while the BUCA (average commercial) mean rate is $1,266.31, highlighting a difference of $427.27 per case.
Rate dispersion varies notably across payers. Blue Cross Blue Shield exhibits the tightest range, with a difference of $530.60 between its 75th and 25th percentiles. UnitedHealth Group has the widest spread, with a $902.00 difference, indicating greater variability in contracted rates. Cigna also shows substantial dispersion at $858.50. The table and chart below present the full breakdown of national benchmarks for each payer.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.