May 2012 page 14a
Surgery: Female Genital
Question: Is it appropriate to append modifier 52 to code 58210, Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s), when vacuum assist closure (VAC) is performed instead of the suture closure?
Answer: It would not be necessary to append modifier 52, Reduced services, to code 58210, when the procedure is performed using VAC-assisted closure. Modifier 52 would be appended to code 58210, if a more significant part of a radical hysterectomy surgery was not...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article explains selected CPT coding considerations for female genital surgery, with emphasis on hysterectomy-related procedures and how reported guidance addresses surgical approach and modifier usage. It is intended for coders, billers, and compliance staff who work with gynecologic surgical claims and want to understand the scope of the May 2012 CPT Assistant discussion.
Why This Topic Matters
Female genital surgery coding can vary based on operative approach and the extent of services performed, so understanding this guidance helps support more consistent CPT-based reporting and review of hysterectomy claims.
Article Sections
May 2012 page 14a
A short Q&A section covering CPT coding guidance for hysterectomy-related surgery and related reporting considerations. The discussion focuses on how the article frames procedure approach and modifier use.
What You Will Learn
How the article frames coding questions for female genital surgery
What general topics are addressed in hysterectomy-related CPT reporting
How the guidance discusses modifier use in the context of surgical services
How robotic-assisted laparoscopic procedures are addressed at a high level
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