CPT Code 58575 Complete Coding & Billing Guide for Laparoscopic Oncologic Hysterectomy with Omentectomy

CPT 58575 represents a highly specialized laparoscopic gynecologic oncology procedure performed for the treatment of malignancy. Surgeons utilize this approach when minimally invasive access is appropriate for tumor debulking and removal of reproductive organs and the omentum. Because the code is cancer-specific and includes multiple bundled elements, correct coding, documentation, and modifier use are essential for appropriate reimbursement and audit-ready compliance.

CPT Code 58575 – Description

The official definition of CPT code 58575 is:

“Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed.”

This code describes a therapeutic laparoscopic procedure in which the uterus and cervix are removed as part of oncologic management. The procedure may also include tumor debulking, partial or complete omentectomy, and unilateral or bilateral salpingo-oophorectomy if clinically indicated. CPT 58575 is distinct from standard laparoscopic total hysterectomy codes (58570–58573) because it specifically addresses malignancy and includes oncologic components.

The scope of CPT 58575 includes total hysterectomy, tumor debulking, omentectomy, adnexal removal if indicated, and laparoscopic closure with hemostasis.

Scenarios Where CPT Code 58575 Is Applicable

You would bill CPT code 58575 in the following situations:

Oncologic Indications:

When a patient requires surgical management for gynecologic malignancy, including tumor debulking and omentectomy, with or without unilateral or bilateral removal of fallopian tubes and ovaries.

Example:

A patient diagnosed with ovarian or endometrial carcinoma undergoes a laparoscopic total hysterectomy with tumor debulking, partial omentectomy, and bilateral salpingo-oophorectomy. Operative notes document the malignant tumor, the laparoscopic approach, and all additional oncologic procedures performed.

Complex Surgical Oncology Cases:

If extensive adhesions, prior surgeries, or difficult anatomy are present, documentation should clearly note these factors to support procedural complexity.

Applicable Modifiers for CPT Code 58575

The following modifier may be used with CPT code 58575 when appropriate:

Modifier 22 – Increased Procedural Services

Applicable if the surgery requires additional effort due to complex tumor debulking, adhesions, or extended operative time. Documentation must justify the increased service.

No other modifiers are routinely required unless payer-specific rules apply.

CPT Code 58575 – Billing & Reimbursement

To ensure proper reimbursement for CPT code 58575, follow these key steps:

Justify Medical Necessity:

Document the oncologic indication, including diagnosis, tumor location, and clinical rationale for hysterectomy, omentectomy, and any adnexal removal.

Use Accurate ICD-10 Codes:

Pair CPT 58575 with appropriate malignancy diagnosis codes (e.g., C54.x for malignant neoplasm of the uterus, C56.x for ovarian cancer).

Confirm Procedural Details:

The operative report should clearly document:

• Laparoscopic entry and abdominal access
• Total hysterectomy (uterus + cervix)
• Tumor debulking and extent of omentectomy
• Unilateral or bilateral salpingo-oophorectomy if performed
• Operative challenges, adhesions, or technical complexity

Detailed Documentation:

Ensure all oncologic procedures, tumor findings, and laparoscopic steps are clearly noted to support coding, reimbursement, and compliance.

Reimbursement Considerations:

CPT 58575 reimbursement depends on documentation showing malignancy, tumor debulking, and laparoscopic oncologic procedures. Proper coding differentiates this high-complexity procedure from standard total hysterectomy codes and supports accurate payer recognition and payment.

BillingFreedom - Oncology Surgery Coding & Revenue Optimization Experts

At BillingFreedom, our certified OBGYN medical billing specialists in Arkansas manage complex procedural coding such as CPT 58575 every day. Our team closely tracks AMA, CMS, and commercial payer updates to ensure accurate and compliant billing workflows.

We deploy advanced claim-scrubbing logic, pre-submission audits, and payer-specific edit mapping, resulting in:

• Accuracy rate consistently exceeding 98.5%
• Claim acceptance rate averaging 97–99% on first submission
• Denial rate as low as 2–3% across oncology surgical claims
• Revenue lift of 8–15% for many gynecologic oncology practices through correct coding capture and underbilling prevention

Our oncology-focused RCM methodology includes:

• CPT & ICD-10-CM alignment validation
• NCCI edit & modifier compliance checks
• Prior-authorization tracking workflows
• Real-time denial analytics with root-cause correction
• Benchmarking by payer, provider, and procedure
• Ongoing regulatory update monitoring

This level of precision not only enhances compliance but also drives predictable cash flow and measurable revenue optimization for healthcare organizations.

If you need a billing partner with deep technical command of advanced CPT coding, such as 58575, BillingFreedom is built for you.

For more details about our exceptional OB/GYN medical billing services in Arkansas, 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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