CPT® Code 58561

A surgical hysteroscopy is a minimally invasive procedure that involves the use of a hysteroscope, a thin, lighted tube, to visualize and treat conditions within the uterine cavity. This specific procedure, identified by CPT® Code 58561, is performed to remove leiomyomata, commonly known as uterine fibroids. Leiomyomata are benign tumors that develop from the smooth muscle tissue of the uterus, known as the myometrium. These fibroids can vary in location and type, including submucous, intramural, subserous, and pedunculated fibroids. Submucous fibroids are located within the endometrial lining and extend into the uterine cavity, making them particularly amenable to removal via hysteroscopy. Intramural fibroids are embedded within the uterine wall, while subserous fibroids are found on the outer surface of the uterus and may develop a stalk, becoming pedunculated as they grow. Before the procedure begins, a bimanual pelvic examination is conducted to assess the uterus's size and position. Following this, a single-tooth tenaculum is applied to the anterior cervical lip to stabilize the cervix. A uterine sound is then introduced to measure the depth and angle of the uterine cavity, ensuring accurate placement of the hysteroscope. The cervix is anesthetized and dilated using metal dilators to facilitate the insertion of the hysteroscope into the endocervical canal. The hysteroscope is advanced into the uterine cavity under direct visualization, while the cavity is expanded using saline or carbon dioxide to provide a clear view of the internal structures. During the procedure, the surgeon examines the uterus, noting the size, number, and location of the leiomyomata. The fibroids are then excised using specialized instruments such as a resectoscope, scissors, or laser. After the removal of the fibroids, surgical instruments are withdrawn, and any bleeding from the cervix is addressed to ensure patient safety and comfort.