CPT® Code 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

The CPT® Code 58200 refers to a surgical procedure known as a total abdominal hysterectomy, which involves the complete removal of the uterus through an abdominal incision. This procedure also includes a partial vaginectomy, which is the surgical excision of a portion of the vagina. Additionally, the procedure encompasses para-aortic and pelvic lymph node sampling, which involves the collection of lymph nodes from the pelvic and para-aortic regions for diagnostic purposes, particularly to check for the presence of cancerous cells. The procedure may also involve the removal of the fallopian tubes and/or ovaries, although this is not mandatory. The surgical approach begins with an incision in the abdomen, followed by careful exploration of the abdominal and pelvic cavities to assess for any signs of metastatic disease. The lymph nodes are sampled before the peritoneum is opened, and various ligaments and blood vessels are meticulously dissected and ligated to facilitate the removal of the uterus and any associated structures. The procedure concludes with a partial vaginectomy, where a section of the vaginal wall is excised, ensuring that healthy tissue is preserved. This comprehensive surgical intervention is typically indicated for conditions such as uterine fibroids, endometriosis, or malignancies affecting the reproductive organs.