CPT® Code 58562

A surgical hysteroscopy is a minimally invasive procedure that involves the use of a hysteroscope, a thin, lighted tube, to visualize and access the interior of the uterus. This specific procedure, identified by CPT® Code 58562, is performed to remove an impacted foreign body, which may include items such as an intrauterine device (IUD) that has become lodged or displaced within the uterine cavity. Prior to the insertion of the hysteroscope, a bimanual pelvic examination is conducted to assess the uterus and surrounding structures. This examination helps in determining the appropriate approach for the procedure. To facilitate the hysteroscopy, a single-tooth tenaculum is applied to the anterior lip of the cervix, providing stability during the procedure. A sound, which is a slender instrument, is then passed through the cervix 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, which allows for the safe insertion of the hysteroscope into the endocervical canal. Once the hysteroscope is in place, it is advanced into the uterine cavity under direct visualization, while the cavity is simultaneously expanded using saline or carbon dioxide to improve visibility and access. The surgeon carefully examines the uterine cavity to locate the foreign body. Upon identification, the foreign body is grasped with a toothed grasper and gently pulled toward the hysteroscope sheath for removal. After the successful extraction of the foreign body, both the hysteroscope and the grasper are withdrawn from the uterus. Finally, the tenaculum is removed from the cervical lip, and any bleeding that may occur is managed through the application of pressure. This procedure is essential for addressing complications associated with retained foreign bodies in the uterus, ensuring patient safety and comfort.