CPT
50590 — Lithotripsy, extracorporeal shock wave
Verify the code matches the actual service and dose.
Surgery & procedures
58150 — Total abdominal hysterectomy , with/without tubes/ovaries
This code covers total abdominal hysterectomy (TAH) — the open surgical removal of the uterus and cervix through an abdominal incision, with or without removal of the fallopian tubes and ovaries.
- Typical setting: Hospital OR, urology clinic
- National avg charge (illustrative): $1,200-$2,500 Medicare allowed for surgeon professional fee (total hospital charges: $15,000-$35,000+)
- Most-disputed reason: Wrong approach code: billing 58150 (open) when a laparoscopic hysterectomy (58571) was performed — the operative report must match the code
What it means
What 58150 actually means
This code covers total abdominal hysterectomy (TAH) — the open surgical removal of the uterus and cervix through an abdominal incision, with or without removal of the fallopian tubes and ovaries. This is a major gynecological surgery carrying a 90-day global period that includes routine post-operative care.
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).
- Wrong approach code: billing 58150 (open) when a laparoscopic hysterectomy (58571) was performed — the operative report must match the code
- Bilateral salpingo-oophorectomy unbundling: when tube and ovary removal is included in the 58150 global, separately billing salpingo-oophorectomy codes constitutes unbundling
- Global period violations: billing E/M office visits within the 90-day post-operative period as if they were separate new problems without modifier -24 and documentation of unrelated conditions
If you see 58150 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 58150 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
58571 — Laparoscopic total hysterectomy, uterus 250g or less, 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 58150 on a bill.
58150 FAQ
Plain-English answers.
What does 58150 usually cost?
$1,200-$2,500 Medicare allowed for surgeon professional fee (total hospital charges: $15,000-$35,000+). 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 58150?
Wrong approach code: billing 58150 (open) when a laparoscopic hysterectomy (58571) was performed — the operative report must match the code
What should I do if I see 58150 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 58150 before paying.
Don't pay 58150 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.