CPT® Code 58560

The procedure described by CPT® Code 58560 refers to a surgical hysteroscopy that involves the division or resection of an intrauterine septum using any method. An intrauterine septum is a congenital anomaly where a fibrous or muscular band divides the uterine cavity, which can lead to complications such as recurrent pregnancy loss or infertility. The surgical approach begins with a thorough bimanual pelvic examination to assess the uterus and surrounding structures. Following this, a single-tooth tenaculum is applied to the anterior lip of the cervix to stabilize it during the procedure. A sound is then introduced into the uterus to measure its depth and angle, ensuring proper placement of the hysteroscope. To facilitate the insertion of the hysteroscope, the cervix is anesthetized and dilated using metal dilators. The hysteroscope is then carefully inserted into the endocervical canal and advanced into the uterine cavity while simultaneously distending the uterus with saline or carbon dioxide. This distension allows for clear visualization of the uterine cavity, where the surgeon can identify any adhesions or the presence of an intrauterine septum. If intrauterine adhesions are present, they may be addressed in a separate procedure coded as CPT® 58559, which involves lysing the adhesions using various techniques. In the case of CPT® 58560, the focus is on the intrauterine septum, which is divided or resected using specialized instruments such as a resectoscope, scissors, or a vaporizing electrode. After the procedure, all instruments, including the hysteroscope, are removed, and the tenaculum is taken off the cervical lip. Any bleeding from the cervix is managed through the application of pressure, ensuring patient safety and comfort post-procedure.