CPT® Code 58540

The CPT® Code 58540 refers to a surgical procedure known as hysteroplasty, specifically aimed at repairing a uterine anomaly classified as Strassman type. This procedure addresses various congenital malformations of the uterus, which are primarily categorized as Mullerian uterine anomalies. These anomalies arise from disruptions during fetal development when the Mullerian ducts, which are responsible for forming the fallopian tubes, uterus, cervix, and the upper part of the vagina, do not develop properly. The types of uterine anomalies that can be corrected through hysteroplasty include conditions such as unicornuate uterus, where only one horn of the uterus develops; didelphys, characterized by a complete or partial duplication of the uterus, cervix, and/or vagina; bicornuate uterus, which involves a partial division of the uterus; septate uterus, where a fibrous or muscular septum divides the uterine cavity; and arcuate uterus, which is a mild form of uterine anomaly. The surgical approach taken during hysteroplasty is tailored to the specific type of anomaly present. A commonly performed technique is the Strassman metroplasty, which is particularly effective for treating didelphic and bicornuate uterine anomalies. This involves making a transverse incision in the fundus of the uterus, followed by the incision of the myometrial partition to create a single uterine cavity. The procedure is concluded by suturing the incision in a manner that ensures proper healing and functionality of the uterus. Other variations of the procedure may include wedge resections for bicornuate or septate uteri, where specific incisions are made to remove tissue and repair the uterine structure, ultimately aiming to restore normal uterine anatomy and function.