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BackTable / OBGYN / Article
2025 Hysteropexy CPT Code
Bryant Schmitz • Updated Jun 30, 2025 • 91 hits
Hysteropexy (CPT code 58400) is a surgical procedure used by gynecologists and urogynecologists to reposition and secure a prolapsed uterus. It can be performed via abdominal, vaginal or laparoscopic approach to restore pelvic support while preserving the uterus. This article provides detailed guidance on the proper use of CPT code 58400 for accurate coding and billing practices.
Table of Contents
(1) CPT Code for Hysteropexy
(2) Detailed Description of CPT Code 58400
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Hysteropexy
The CPT code for hysteropexy is 58400. This code describes the uterine-sparing prolapse surgery, with or without the use of graft materials.
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Detailed Description of CPT Code 58400
CPT Code: 58400
• Code Description: Suspension of uterus, vaginal; with or without graft
• Inclusions: Uterine suspension via vaginal approach, suture placement, use of graft material if necessary, pelvic support restoration
• Exclusions: Hysterectomy procedures, abdominal approach suspension, separate graft coding unless not integral, vaginal vault suspension (separate code)
Coding & Billing Considerations
• Append modifier 51 when performed with other procedures during the same surgical session.
• Use modifier 59 when necessary to denote distinct procedural services.
• Clearly document the uterine prolapse and the decision to preserve the uterus.
• Do not report 58400 in conjunction with hysterectomy codes.
• Include operative report details on graft use and suspension technique.
• Confirm payer-specific requirements for preauthorization or documentation.
Why Proper Coding Is Important
Accurate use of CPT code 58400 is essential for ensuring correct reimbursement and minimizing denials. It supports compliance with billing standards and provides a consistent record of patient care. Proper coding also promotes transparency in surgical procedures and helps align clinical documentation with insurance requirements.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Cite This Podcast
BackTable, LLC (Producer). (2023, September 13). Ep. 32 – Hysteropexy vs Hysterectomy for Pelvic Organ Prolapse [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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