58200 Extensive hysterectomy
Also known as: extensive abdominal hysterectomy, complex TAH-BSO
Extensive abdominal hysterectomy involves removal of uterus and cervix with removal of both ovaries and fallopian tubes plus additional dissection for complex pathology.
In Plain Language
Extensive uterus and ovary removal; Complex uterus removal with additional dissection
Clinical Context
Used for extensive endometriosis, malignancy with staging requirements, large fibroids, or multiple comorbidities. Requires significant operative time beyond standard hysterectomy.
RVU Breakdown
| Work RVU | 22.52 |
| Total RVU | 22.52 |
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 22.52, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58200?
CPT 58200 (Extensive hysterectomy) is a Surgery code. Extensive abdominal hysterectomy involves removal of uterus and cervix with removal of both ovaries and fallopian tubes plus additional dissection for complex pathology.
What is the wRVU value for CPT 58200?
The work RVU for CPT 58200 is 22.52. This code is primarily used by Gynecology, Gynecologic Oncology. It has a 90-day global period.
When is CPT 58200 used?
Used for extensive endometriosis, malignancy with staging requirements, large fibroids, or multiple comorbidities. Requires significant operative time beyond standard hysterectomy.
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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.