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2025 CPT code 58541

Laparoscopic surgical supracervical hysterectomy for a uterus weighing 250g or less.

Adhere to the current CPT coding guidelines, particularly those related to surgical procedures and laparoscopic techniques.Ensure proper documentation to support the code selection.

Modifiers such as 59 (distinct procedural service), 22 (increased procedural service), and others may be applicable depending on the specific circumstances of the procedure. Consult the CPT manual and payer-specific guidelines.

Medical necessity for a supracervical hysterectomy is generally established by symptoms such as heavy menstrual bleeding (menorrhagia), abnormal uterine bleeding, uterine fibroids causing pain or pressure, endometriosis, or adenomyosis. The decision to proceed is based on clinical judgement and the patient's preferences after appropriate discussion of alternatives.

The clinical responsibility includes preoperative evaluation, informed consent,performing the laparoscopic supracervical hysterectomy, managing any complications, providing postoperative care and follow-up.

IMPORTANT:58542 (includes removal of tubes and/or ovaries), 58543 (uterus greater than 250g), 58544 (uterus greater than 250g with removal of tubes and/or ovaries)

In simple words: This code describes a minimally invasive surgery to remove the uterus (womb) through small incisions in the abdomen using a camera and special tools.The cervix (lower part of the uterus) and other reproductive organs are left in place. This procedure is used when the uterus is a normal size.

This CPT code encompasses a laparoscopic surgical procedure involving the removal of the uterus (hysterectomy) while preserving the cervix, fallopian tubes, and ovaries.The procedure is specifically for uteri weighing 250 grams or less. The technique involves the use of a laparoscope, small incisions, and specialized instruments to access and remove the uterus.The procedure may be performed using robotic assistance.

Example 1: A 45-year-old female patient presents with heavy menstrual bleeding and uterine fibroids.A laparoscopic supracervical hysterectomy (58541) is performed to alleviate her symptoms.The uterus weighs 200g., A 38-year-old patient with endometriosis experiences chronic pelvic pain. A laparoscopic supracervical hysterectomy (58541) is performed to reduce pain. The uterus is 220g., A 50-year-old patient undergoing a laparoscopic supracervical hysterectomy (58541) for abnormal uterine bleeding also has a concurrent laparoscopic removal of an ovarian cyst.Modifier 59 may be required in this scenario.

Complete history and physical examination, documentation of the indication for the hysterectomy, operative report detailing the procedure, pathology report confirming the removal of the uterus and its weight, postoperative orders, and patient follow-up notes. Preoperative imaging (ultrasound) to assess uterine size and characteristics.

** The weight of the uterus is a critical factor in selecting the appropriate code.Accurate weight documentation is essential for accurate billing.The use of robotic assistance is not separately coded.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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