58150 Total hysterectomy
Also known as: total abdominal hysterectomy, TAH, abdominal hysterectomy
Total hysterectomy via abdominal approach involves removal of the uterus and cervix through an open abdominal incision without removing ovaries.
In Plain Language
Uterus and cervix removal through belly incision; Complete uterus removal
Clinical Context
Standard approach for hysterectomy when vaginal approach not feasible. Indicated for fibroids, cancer, prolapse, or dysfunctional uterine bleeding. Ovaries typically retained in premenopausal women.
RVU Breakdown
| Work RVU | 16.88 |
| Total RVU | 16.88 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 16.88, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58150?
CPT 58150 (Total hysterectomy) is a Surgery code. Total hysterectomy via abdominal approach involves removal of the uterus and cervix through an open abdominal incision without removing ovaries.
What is the wRVU value for CPT 58150?
The work RVU for CPT 58150 is 16.88. This code is primarily used by Gynecology, General Surgery. It has a 90-day global period.
When is CPT 58150 used?
Standard approach for hysterectomy when vaginal approach not feasible. Indicated for fibroids, cancer, prolapse, or dysfunctional uterine bleeding. Ovaries typically retained in premenopausal women.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.