CPT® Code 58180

Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)

The CPT® Code 58180 refers to a surgical procedure known as a supracervical abdominal hysterectomy, also commonly referred to as a subtotal hysterectomy. This procedure involves the removal of the uterus while leaving the cervix intact. The surgery can be performed with or without the removal of the fallopian tubes and/or ovaries, depending on the specific clinical situation and the physician's assessment. During the procedure, the surgeon makes an incision in the abdomen to access the uterus. The anterior surface of the uterus is exposed, and the peritoneum, which is the lining of the abdominal cavity, is incised to allow for further access. Blunt dissection techniques are employed to carefully expose the broad ligament, round ligament, and fallopian tubes. If the decision is made to remove the fallopian tubes and/or ovaries, the surgeon will make an incision in the broad ligament to visualize and ligate the ovarian vessels. The procedure involves meticulous dissection to free the fallopian tubes and ovaries from surrounding tissues, ensuring that blood vessels are clamped and ligated appropriately. The cervix is palpated to ascertain its position relative to the bladder, and the posterior aspect of the uterus is inspected to confirm that there are no adhesions to the rectum. The uterine vessels are then clamped, divided, and ligated, allowing for the separation and removal of the uterus while preserving the cervix. Finally, sutures are placed to suspend the cervix, which is then covered with peritoneum, and the surgical site is thoroughly inspected before closing the abdominal incision. This procedure is typically indicated for various gynecological conditions and is performed with the goal of alleviating symptoms while preserving the cervix for potential future health considerations.