58210 Extensive hysterectomy
Also known as: radical hysterectomy, oncologic hysterectomy, Wertheim hysterectomy
Extensive abdominal hysterectomy with pelvic lymphadenectomy removes uterus, cervix, ovaries, fallopian tubes, and pelvic lymph nodes for oncologic staging and treatment.
In Plain Language
Cancer hysterectomy with lymph node removal; Extensive cancer uterus removal
Clinical Context
Primary surgical treatment for early-stage gynecologic malignancy. Includes parametrial dissection and pelvic lymph node dissection. Significant operative time with higher morbidity risk.
RVU Breakdown
| Work RVU | 30.14 |
| Total RVU | 30.14 |
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 30.14, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58210?
CPT 58210 (Extensive hysterectomy) is a Surgery code. Extensive abdominal hysterectomy with pelvic lymphadenectomy removes uterus, cervix, ovaries, fallopian tubes, and pelvic lymph nodes for oncologic staging and treatment.
What is the wRVU value for CPT 58210?
The work RVU for CPT 58210 is 30.14. This code is primarily used by Gynecologic Oncology, Gynecology. It has a 90-day global period.
When is CPT 58210 used?
Primary surgical treatment for early-stage gynecologic malignancy. Includes parametrial dissection and pelvic lymph node dissection. Significant operative time with higher morbidity risk.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.