CPT
50590 — Lithotripsy, extracorporeal shock wave
Verify the code matches the actual service and dose.
Surgery & procedures
58571 — Laparoscopic total hysterectomy, uterus 250g or less, with/without tubes/ovaries
This code covers laparoscopic total hysterectomy for a uterus weighing 250 grams or less — the removal of the uterus and cervix using a minimally invasive camera technique through small abdominal incisions.
- Typical setting: Hospital OR, urology clinic
- National avg charge (illustrative): $1,300-$2,700 Medicare allowed for surgeon professional fee (total facility charges: $15,000-$30,000+)
- Most-disputed reason: Weight documentation missing: billing 58571 (for uterus 250g or less) without documenting uterine weight in the pathology or operative note — if the uterus exceeded 250g, code 58573 applies
What it means
What 58571 actually means
This code covers laparoscopic total hysterectomy for a uterus weighing 250 grams or less — the removal of the uterus and cervix using a minimally invasive camera technique through small abdominal incisions. Laparoscopic hysterectomy typically results in a faster recovery than open surgery. It carries a 90-day global period.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Weight documentation missing: billing 58571 (for uterus 250g or less) without documenting uterine weight in the pathology or operative note — if the uterus exceeded 250g, code 58573 applies
- Open vs. laparoscopic confusion: billing the laparoscopic code when a laparotomy (open) was performed, or vice versa
- Bilateral oophorectomy double billing: tube and ovary removal is included in 58571 — separately billing for these structures constitutes unbundling
If you see 58571 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 58571 often also see these adjacent codes on the same bill.
CPT
55250 — Vasectomy, unilateral or bilateral, including postoperative semen examination
Verify the code matches the actual service and dose.
CPT
57452 — Colposcopy of cervix including upper/adjacent vagina
Verify the code matches the actual service and dose.
CPT
58150 — Total abdominal hysterectomy , with/without tubes/ovaries
Verify the code matches the actual service and dose.
CPT
59400 — Routine obstetric care including antepartum care, vaginal delivery and postpartum care
Verify the code matches the actual service and dose.
Related BillBusted guides
Plain-English reads if you see 58571 on a bill.
58571 FAQ
Plain-English answers.
What does 58571 usually cost?
$1,300-$2,700 Medicare allowed for surgeon professional fee (total facility charges: $15,000-$30,000+). Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 58571?
Weight documentation missing: billing 58571 (for uterus 250g or less) without documenting uterine weight in the pathology or operative note — if the uterus exceeded 250g, code 58573 applies
What should I do if I see 58571 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 58571 before paying.
Don't pay 58571 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.