Trigger Codes
These are the procedural and diagnosis codes that initiate the episode.
Trigger
Code
51925
56308
58150
CPT
CPT
CPT
58152
CPT
58180
CPT
58200
CPT
58210
CPT
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)
58240
CPT
Pelvic exenteration for gynecologic malignancy, with total
abdominal hysterectomy or cervicectomy, with or without
removal of tube(s), with or without removal of ovary(s),
with removal of bladder and ureteral transplantations,
and/or abdominoperineal rese
58260
58262
CPT
CPT
58263
CPT
58267
CPT
58270
CPT
58275
58280
CPT
CPT
Vaginal hysterectomy, for uterus 250 g or less;
Vaginal hysterectomy, for uterus 250 g or less; with
removal of tube(s), and/or ovary(s)
Vaginal hysterectomy, for uterus 250 g or less; with
removal of tube(s), and/or ovary(s), with repair of
enterocele
Vaginal hysterectomy, for uterus 250 g or less; with colpourethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra
type) with or without endoscopic control
Vaginal hysterectomy, for uterus 250 g or less; with repair
of enterocele
Vaginal hysterectomy, with total or partial vaginectomy;
Vaginal hysterectomy, with total or partial vaginectomy;
with repair of enterocele
Code Type
Trigger Code Description
Closure of vesicouterine fistula; with hysterectomy
Laparoscopy;, Hysterectomy
Total abdominal hysterectomy (corpus and cervix), with or
without removal of tube(s), with or without removal of
ovary(s);
Total abdominal hysterectomy (corpus and cervix), with or
without removal of tube(s), with or without removal of
ovary(s); with colpo-urethrocystopexy (eg, MarshallMarchetti-Krantz, Burch)
Supracervical abdominal hysterectomy (subtotal
hysterectomy), with or without removal of tube(s), with or
without removal of ovary(s)
Total abdominal hysterectomy, including partial
vaginectomy, with para-aortic and pelvic lymph node
sampling, with or without removal of tube(s), with or
without removal of ovary(s)
58285
58290
58291
CPT
CPT
CPT
58292
CPT
58293
CPT
58294
CPT
58541
CPT
58542
CPT
58543
CPT
58544
CPT
58548
CPT
58550
CPT
58552
CPT
58553
CPT
58554
CPT
58570
CPT
58571
CPT
58572
CPT
Vaginal hysterectomy, radical (Schauta type operation)
Vaginal hysterectomy, for uterus greater than 250 g;
Vaginal hysterectomy, for uterus greater than 250 g; with
removal of tube(s) and/or ovary(s)
Vaginal hysterectomy, for uterus greater than 250 g; with
removal of tube(s) and/or ovary(s), with repair of
enterocele
Vaginal hysterectomy, for uterus greater than 250 g; with
colpo-urethrocystopexy (Marshall-Marchetti-Krantz type,
Pereyra type) with or without endoscopic control
Vaginal hysterectomy, for uterus greater than 250 g; with
repair of enterocele
Laparoscopy, surgical, supracervical hysterectomy, for
uterus 250 g or less;
Laparoscopy, surgical, supracervical hysterectomy, for
uterus 250 g or less; with removal of tube(s) and/or
ovary(s)
Laparoscopy, surgical, supracervical hysterectomy, for
uterus greater than 250 g;
Laparoscopy, surgical, supracervical hysterectomy, for
uterus greater than 250 g; with removal of tube(s) and/or
ovary(s)
Laparoscopy, surgical, with radical hysterectomy, with
bilateral total pelvic lymphadenectomy and para-aortic
lymph node sampling (biopsy), with removal of tube(s) and
ovary(s), if performed
Laparoscopy, surgical, with vaginal hysterectomy, for
uterus 250 g or less;
Laparoscopy, surgical, with vaginal hysterectomy, for
uterus 250 g or less; with removal of tube(s) and/or
ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for
uterus greater than 250 g;
Laparoscopy, surgical, with vaginal hysterectomy, for
uterus greater than 250 g; with removal of tube(s) and/or
ovary(s)
Laparoscopy, surgical, with total hysterectomy, for uterus
250 g or less;
Laparoscopy, surgical, with total hysterectomy, for uterus
250 g or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with total hysterectomy, for uterus
greater than 250 g;
58573
CPT
Laparoscopy, surgical, with total hysterectomy, for uterus
greater than 250 g; with removal of tube(s) and/or
ovary(s)
Resection (initial) of ovarian, tubal or primary peritoneal
malignancy with bilateral salpingo-oophorectomy and
omentectomy; with total abdominal hysterectomy, pelvic
and limited para-aortic lymphadenectomy
58951
CPT
58953
CPT
58954
CPT
58956
CPT
Bilateral salpingo-oophorectomy with total omentectomy,
total abdominal hysterectomy for malignancy
0UT94ZZ;
0UT44ZZ;
0UT[02,7][4]ZZ;
0UT[57][4]ZZ
0UT90ZZ;
0UT40ZZ;
0UT[02][7,8]ZZ;
0UT[57][0]ZZ
0UT94ZZ;
0UT44ZZ;
0UT[02,7][4]ZZ;
0UT[57][4]ZZ
0UT90ZZ;
0UT40ZZ;
0UT[02][7,8]ZZ;
0UT[57][0]ZZ
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Percutaneous Endoscopic Approach | Resection of
Uterine Supporting Structure, Percutaneous Endoscopic
Approach | Resection / Ovary | Resection / Fallopian Tube
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Open Approach | Resection of Uterine Supporting
Structure, Open Approach | Resection / Ovary | Resection
/ Fallopian Tube
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Percutaneous Endoscopic Approach | Resection of
Uterine Supporting Structure, Percutaneous Endoscopic
Approach | Resection / Ovary | Resection / Fallopian Tube
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Open Approach | Resection of Uterine Supporting
Structure, Open Approach | Resection / Ovary | Resection
/ Fallopian Tube
Bilateral salpingo-oophorectomy with omentectomy, total
abdominal hysterectomy and radical dissection for
debulking;
Bilateral salpingo-oophorectomy with omentectomy, total
abdominal hysterectomy and radical dissection for
debulking; with pelvic lymphadenectomy and limited paraaortic lymphadenectomy
0UT9FZZ;
0UTC4ZZ;
0UT[02][4,F]ZZ;
0UT[57][F]ZZ
0UT97ZZ;
0UT47ZZ;
0UT[02][7,8]ZZ;
0UT[57][7,8]ZZ
0UT94ZZ;
0UT44ZZ;
0UT[02][7,8]ZZ;
0UT[57][0]ZZ
0UT90ZZ;
0UT40ZZ;
0UT[02][7,8]ZZ;
0UT[57][0]ZZ
S2078
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Via Natural or Artificial Opening With Percutaneous
Endoscopic Assistance | Resection of Cervix, Percutaneous
Endoscopic Approach | Resection / Ovary | Resection /
Fallopian Tube
ICD-10PCS Code
Resection of Uterus, Via Natural or Artificial Opening |
Resection of Uterine Supporting Structure, Via Natural or
Artificial Opening | | Resection / Ovary | Resection /
Fallopian Tube
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Percutaneous Endoscopic Approach | Resection of
Uterine Supporting Structure, Percutaneous Endoscopic
Approach | Resection / Ovary | Resection / Fallopian Tube
ICD-10PCS Code
Resection / Female Reproductive System; Resection of
Uterus, Open Approach | Resection of Uterine Supporting
Structure, Open Approach | Resection / Ovary |
Resection / Fallopian Tube
HCPCS
LAPAROSCOPIC SUPRACERVICAL HYSTERECTOMY
(SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT
REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF
OVARY(S)