CPT® Code 58210

Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s)

The CPT® Code 58210 refers to a radical abdominal hysterectomy, which is a surgical procedure that involves the removal of the uterus along with surrounding tissues and structures. This procedure is typically indicated for patients diagnosed with cervical cancer, as it allows for a more extensive removal of cancerous tissues compared to a total hysterectomy. In addition to the uterus, this procedure includes the excision of the cervix, the upper part of the vagina, and surrounding pelvic tissues. The surgery is performed through an abdominal incision, allowing the surgeon to access the pelvic cavity effectively. During the procedure, the surgeon also performs a bilateral total pelvic lymphadenectomy, which involves the removal of lymph nodes from both sides of the pelvis, and para-aortic lymph node sampling, where lymph nodes located near the aorta are biopsied. This is crucial for assessing the spread of cancer. The procedure may also involve the removal of the fallopian tubes and/or ovaries, depending on the individual case. The meticulous dissection and removal of lymph nodes are performed with care to preserve important structures such as the genitofemoral nerve and psoas muscle. Overall, this complex surgical intervention is aimed at treating malignancies while ensuring comprehensive evaluation and management of potential metastatic disease.