CPT Code 58543 Laparoscopy, Surgical, Supracervical Hysterectomy, For Uterus Greater Than 250 g

Managing laparoscopic supracervical hysterectomy for uteri larger than 250 grams presents unique clinical and administrative challenges. The increased uterine size adds technical complexity, potential operative risk, and documentation requirements that directly affect coding and reimbursement. 

Leveraging OBGYN medical billing services ensures that all procedural details, including uterine weight, operative approach, and intraoperative findings, are accurately captured, claims are submitted correctly, and denials are minimized, allowing physicians to focus on delivering high-quality patient care.

CPT Code 58543 – Description

The official definition of CPT code 58543 is:

“Laparoscopic supracervical hysterectomy, uterus greater than 250 g.”

This code is used for a minimally invasive laparoscopic procedure in which the physician removes the uterine body while preserving the cervix in cases where the uterus exceeds 250 grams in weight. The procedure is commonly performed for benign gynecologic conditions associated with uterine enlargement, such as large fibroids, adenomyosis, or chronic abnormal uterine bleeding.

The scope of CPT 58543 includes placement of laparoscopic ports, abdominal entry, dissection and removal of the enlarged uterine body, preservation of the cervix, achievement of hemostasis, and closure of laparoscopic port sites. This code is distinct from CPT 58541 and CPT 58542, which apply only when the uterus weighs 250 grams or less.

Scenarios Where CPT Code 58543 Is Applicable

You would bill CPT code 58543 in the following situations:

Benign Conditions With Enlarged Uterus:

When a patient has benign gynecologic conditions such as large uterine fibroids, adenomyosis, or abnormal uterine bleeding associated with a uterus weighing more than 250 grams.

Example:

A patient with multiple large fibroids and an enlarged uterus undergoes a laparoscopic supracervical hysterectomy. The cervix is preserved, and the uterine weight exceeds 250 grams.

Minimally Invasive Surgical Approach:

When the procedure is completed entirely via laparoscopy without conversion to an open abdominal approach.

Uterine Weight Threshold:

When the uterus is documented as weighing more than 250 grams, either by intraoperative estimation or postoperative pathology.

Applicable Modifiers for CPT Code 58543

The following modifiers may be used with CPT code 58543 when appropriate:

Modifier 22 – Increased Procedural Services

Used when the procedure requires significantly increased time or effort due to factors such as extensive adhesions, distorted pelvic anatomy, or unusually large uterine size.

Modifier 51 – Multiple Procedures

Applicable when CPT 58543 is performed during the same operative session as another significant, separately reportable procedure.

Modifier 59 – Distinct Procedural Service

Used when a distinct, non-bundled procedure is performed during the same surgical encounter.

Modifier 62 – Two Surgeons

Reported when two surgeons share responsibility for the main portions of the procedure due to complexity.

Assistant Surgeon Modifiers (80, 81, 82)

Used when an assistant surgeon is medically necessary.

All modifier usage must be clearly supported by operative documentation.

CPT Code 58543 – Billing & Reimbursement

To ensure proper reimbursement for CPT code 58543, follow these key steps:

Justify Medical Necessity:

Document the patient’s symptoms and diagnoses, such as large fibroids, adenomyosis, or abnormal uterine bleeding, that support the need for supracervical hysterectomy.

Use Accurate ICD-10 Codes:

CPT 58543 must be paired with diagnosis codes that reflect benign gynecologic conditions and uterine enlargement.

Confirm Surgical Details:

The operative report should clearly document:

• Laparoscopic approach
• Preservation of the cervix
• Uterine weight greater than 250 grams

Detailed Documentation:

Ensure the operative note includes surgical steps, estimated or confirmed uterine weight, intraoperative findings, hemostasis, and closure of laparoscopic port sites.

Reimbursement Considerations:

Reimbursement varies based on payer policy, place of service, and geographic location. Clear documentation of uterine size is essential to distinguish CPT 58543 from codes used for smaller uteri and to prevent downcoding or denial.

BillingFreedom: Expert Support for Laparoscopic Supracervical Hysterectomy on Enlarged Uteri

Managing laparoscopic supracervical hysterectomy for uteri over 250 grams requires precise documentation, accurate coding, and proper modifier use. The increased uterine size adds technical complexity, making thorough operative notes and documentation critical for reimbursement and claim approval.

BillingFreedom provides specialized OBGYN medical billing services in Tennessee to handle these intricate procedures efficiently. Our team ensures every claim is accurately coded, fully documented, and compliant with payer guidelines. From preauthorization to operative reporting and modifier selection, we streamline the billing process, helping practices maximize reimbursement while allowing physicians to focus on patient care.

For more details about our exceptional OB/GYN billing services in Tennessee, please don't hesitate to contact us via email at info@billingfreedom.com or call us at +1 (855) 415-3472. 

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