2025 CPT code 58578

Unlisted laparoscopy procedure, uterus.

Use this code only when no other code accurately describes the performed laparoscopic procedure. Always submit supporting documentation to justify the use of this unlisted code, providing a detailed description of the procedure and explaining why existing codes are not applicable.

Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., 50 for bilateral procedures, 51 for multiple procedures, etc.).

Medical necessity must be established by demonstrating that the unlisted laparoscopic procedure was required due to the unique circumstances of the patient's condition and the absence of a suitable alternative covered by an existing CPT code. Documentation should clearly explain the medical rationale for the chosen procedure.

The provider performs a laparoscopic procedure on the uterus not covered by existing CPT codes. Documentation should clearly detail the procedure performed.

In simple words: This code is for a laparoscopic (keyhole) surgery on the uterus when there's no specific code for what was done.It's only used when no other code fits the procedure.

This code is used for laparoscopic procedures of the uterus that do not have a specific code. This could involve new technologies or uncommon procedures. It should not be used if another code describes the laparoscopic service.

Example 1: A surgeon performs a laparoscopic removal of a uterine fibroid using a new, innovative laser technique not yet described by a specific CPT code., A laparoscopic procedure is performed to repair a uterine defect using a novel biomaterial for uterine reconstruction. The specific technique and material are not described by existing codes., A patient with a unique uterine anomaly requires a complex laparoscopic resection. Due to the unusual nature of the anomaly and the specific surgical steps involved, no specific CPT code accurately represents the procedure.

Operative report detailing the specific surgical procedure performed, including instruments and techniques used. Justification for using an unlisted code, referencing similar existing codes and highlighting the unique aspects of this procedure. Supporting clinical documentation to justify medical necessity.

** When billing with this code, it is essential to submit a cover letter explaining the reason for choosing the unlisted code, comparing the service to similar codes, and providing the operative notes and any relevant documentation. Payers will consider these claims on a case-by-case basis, and payment is determined based on the provided documentation.

  • Revenue Code: P5E - AMBULATORY PROCEDURES - OTHER
  • Specialties:Gynecology, Obstetrics
  • Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Inpatient Hospital
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