58543 Insurance Policy Changes

CPT 58543, in plain terms, covers Surgical removal of the uterus when it weighs more than 250 grams using a vaginal approach. CPT 58543 is referenced in 2 tracked payer policy changes from Sentara Health Plans and Highmark. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 58543 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 58543 on AAPC