Hysterectomy procedures / codes that involve an incision into the abdomen, including trocar insertion are categorized as NHSN HYST – abdominal hysterectomy procedures; therefore, a few of the CPT codes that include “laparoscopy, surgical, with vaginal hysterectomy” in the procedure description are included in the HYST procedure category.  The use of a laparoscopic approach indicates that an incision was made into the abdomen. ICD-10-PCS code for fifth character indicates the approach Procedure Category Procedure Code Procedure Code Description HYST 58550 Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less HYST  58552 Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tubes(s) and /or ovary(s) HYST  58553 Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g HYST  58554 Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)