2025 CPT code 57530
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Surgical removal of the uterine cervix (trachelectomy, cervicectomy, amputation of cervix).
Modifiers may be applicable depending on the circumstances of the procedure.Consult current modifier guidelines.Examples include modifiers for multiple procedures (51), reduced services (52), and unusual procedural services (22).
Medical necessity is established based on the presence of a specific condition necessitating the removal of the cervix. This could include cancerous or precancerous lesions, severe cervical dysplasia, or other conditions where the cervix is the source of significant morbidity.Documentation must support the clinical indication for the procedure.
The surgeon performs the surgical removal of the cervix, including patient positioning, incision, dissection, hemostasis, and closure.Anesthesiologist may also be involved.
In simple words: This surgery removes the cervix, the lower part of the uterus that connects to the vagina.The rest of the uterus is left in place. The doctor makes an incision around the cervix, removes it, and then closes the area.
Trachelectomy, also known as cervicectomy or amputation of the cervix, involves the surgical removal of the uterine cervix.The procedure is typically performed with the uterus remaining in place. The patient is positioned in lithotomy position, a speculum is inserted into the vagina, and the cervix is injected with a local anesthetic and vasoconstrictor. A circular incision is made around the cervix, and the stump is dissected from the vaginal tissue.Cardinal and uterosacral ligaments are clamped and the cervical stump is detached.The incision at the isthmus of the uterus is closed, and bleeding is controlled via electrocautery and ligation of blood vessels. This code is for a separate procedure where only the cervix is removed, and not for removal of the cervical stump after a supracervical hysterectomy (for which 57550 is used).
Example 1: A patient presents with early-stage cervical cancer.A trachelectomy is performed to remove the cancerous cervix while preserving fertility., A patient has abnormal cervical tissue that requires removal.Trachelectomy is performed to excise the abnormal tissue., A patient has a benign cervical lesion that is causing significant symptoms. The lesion is surgically excised via a trachelectomy.
Operative report detailing the procedure, including incision type, technique, hemostasis methods, and pathology report confirming the nature and extent of tissue removed. Preoperative diagnosis and medical necessity for the procedure are also required.
** This code is specifically for the removal of the cervix as a separate procedure.It should not be used if the cervix is removed as part of a hysterectomy.Laparoscopic trachelectomies are generally coded using unlisted codes due to the lack of a specific CPT code for this approach.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided text.Consult current RVU data for accurate values.
- Global Days: Information not provided.The global period may vary depending on payer and other factors. Consult payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Information not available in provided text. Consult current CPT guidelines to determine if a Technical Component (TC) modifier applies.
- Fee Schedule: Information not available in provided text.Consult historical fee schedules for relevant years.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital