CPT® Code 58400

Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)

The CPT® Code 58400 refers to a surgical procedure known as uterine suspension, which may involve the shortening of the round ligaments and/or sacrouterine ligaments. This procedure is classified as a separate procedure, indicating that it can be performed independently of other surgical interventions. Uterine suspension is primarily indicated for conditions that may require stabilization of the uterus, often in the context of pelvic support issues. The procedure is performed through an abdominal incision, allowing the surgeon to access the uterus and associated ligaments directly. During the operation, the surgeon may employ various techniques to shorten the ligaments, which can help in repositioning the uterus and alleviating associated symptoms. Although open uterine suspension was once a common approach, it has largely been supplanted by laparoscopic techniques, which offer benefits such as reduced recovery time and less postoperative pain. The procedure may also be performed in conjunction with a presacral sympathectomy, which is aimed at alleviating pelvic pain by interrupting nerve pathways. Overall, CPT® Code 58400 encapsulates a critical surgical intervention for managing specific gynecological conditions, emphasizing the importance of precise coding for accurate billing and reimbursement.