The ICD-10-CM code for a total hysterectomy is Z90.710, used for reimbursement documentation.
What is a total hysterectomy?
A total hysterectomy removes both the uterus and the cervix, and it’s the most frequently performed type.
Doctors typically recommend it for conditions like fibroids, endometriosis, or cancer. Sometimes the surgeon removes the fallopian tubes and ovaries during the same operation if needed. (Honestly, this is the most straightforward solution when other treatments don’t work.) According to the American College of Obstetricians and Gynecologists, removing these organs can lower future cancer risks.
How do you code a hysterectomy?
Hysterectomy coding changes based on the surgical method and what’s removed, following CPT guidelines.
For instance, CPT code 58570 covers laparoscopic total hysterectomy for uteruses under 250g, while 58571 includes tube and/or ovary removal. The American Medical Association keeps these codes updated, so always check the latest version for billing accuracy.
What is the medical term for a total hysterectomy?
It’s called a "total abdominal hysterectomy" or "total vaginal hysterectomy," depending on the approach.
If the tubes and ovaries are removed too, it becomes a total hysterectomy with bilateral salpingo-oophorectomy (BSO). The Mayo Clinic points out that precise terminology helps doctors understand exactly what happened during surgery.
What is the ICD 10 code for hysterectomy?
The ICD-10-CM code for any hysterectomy is Z90.710, covering both total and subtotal procedures.
For variations like vaginal hysterectomy, the code stays Z90.710 unless extra steps like oophorectomy are added. The CDC publishes the official coding rules all providers follow.
What is the diagnosis for hysterectomy?
Common reasons include fibroids, endometriosis, and abnormal bleeding.
The World Health Organization reports these issues can really disrupt daily life, often requiring surgery when other treatments fail. Other triggers might be pelvic organ prolapse or gynecologic cancer.
What is the CPT code for total abdominal hysterectomy?
The CPT code is 58150, covering uterus and cervix removal, with or without tubes and ovaries.
Use this code for open abdominal surgeries—not laparoscopic or vaginal ones. The American Medical Association updates these codes yearly, so double-check before billing.
Do you code cystoscopy with hysterectomy?
Cystoscopy isn’t routinely added, but it happens sometimes.
A 2018 study in the Journal of Minimally Invasive Gynecology found cystoscopy included in just 34.18% of hysterectomies with pelvic reconstructive surgery. Whether it’s done depends on the surgeon’s judgment about urinary tract involvement.
Can a man feel when a woman has had a hysterectomy?
No physical sensation changes occur for either partner.
The Mayo Clinic confirms the surgery doesn’t alter vaginal anatomy enough to affect sensation. Emotional and psychological factors, not physical ones, often shape intimacy afterward.
Where does sperm go when a woman has a hysterectomy?
Sperm can’t attach anywhere because the uterus and cervix are gone
Instead, sperm exits the body naturally with vaginal secretions. The Planned Parenthood notes this doesn’t impact long-term fertility if ovaries remain, but pregnancy becomes impossible.
Why do doctors refuse total hysterectomy?
They often suggest less invasive options first.
The American College of Obstetricians and Gynecologists recommends trying meds, IUDs, or myomectomy for fibroids before surgery. Risks like hormonal shifts or surgical problems also weigh on the decision.
What are the three types of hysterectomy?
The main types are total, subtotal (partial), and radical, each differing by how much tissue gets removed.
| Type | Uterus Removed? | Cervix Removed? |
|---|
| Total | Yes | Yes |
| Subtotal (Partial) | Yes | No |
| Radical | Yes | Yes |
The CDC says the choice hinges on the patient’s diagnosis and medical background.
What do they remove when you have a total hysterectomy?
The uterus and cervix always come out, which is the core of the procedure.
Surgeons may also take the fallopian tubes and ovaries if cancer prevention is a concern. The Mayo Clinic advises asking your doctor exactly what’s planned so you know what to expect.
How long is recovery from a total hysterectomy?
Expect 6 to 8 weeks for full recovery, though it varies by surgery type.
Abdominal hysterectomies usually need the longest downtime, while vaginal or laparoscopic ones often heal faster. The ACOG stresses sticking to your surgeon’s post-op care plan.
Do and don’ts after hysterectomy?
Skip heavy lifting, intense exercise, and sex for at least six weeks.
Follow your doctor’s timeline for returning to driving or work. The Johns Hopkins Medicine suggests hydration, good nutrition, and light movement to speed healing.
How painful is a hysterectomy?
Pain is usually mild to moderate and fades within weeks.
Vaginal and laparoscopic hysterectomies hurt less than abdominal ones. The Mayo Clinic says pain relief options like meds or ice packs can make recovery smoother.
What is the best hysterectomy procedure?
For non-cancerous cases, the ACOG favors vaginal hysterectomy.
It’s linked to fewer complications, faster recovery, and lower costs than abdominal or laparoscopic methods. Still, the ACOG insists the best choice depends on each patient’s anatomy and health history.
Edited and fact-checked by the FixAnswer editorial team.
