58240 Removal of pelvis contents
Also known as: pelvic exenteration, en bloc pelvic resection
Removal of pelvic contents is an extensive procedure involving removal of uterus, fallopian tubes, ovaries, and adjacent pelvic organs (bladder, bowel, etc.) for advanced malignancy.
In Plain Language
Removal of pelvic organs; Extensive pelvic cancer surgery
Clinical Context
Extensive cancer surgery for advanced or recurrent gynecologic malignancy with invasion into bladder, bowel, or other pelvic structures. High morbidity but potentially curative.
RVU Breakdown
| Work RVU | 48.10 |
| Total RVU | 48.10 |
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 48.10, this code ranks in the 99th percentile among Surgery codes — 6.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58240?
CPT 58240 (Removal of pelvis contents) is a Surgery code. Removal of pelvic contents is an extensive procedure involving removal of uterus, fallopian tubes, ovaries, and adjacent pelvic organs (bladder, bowel, etc.) for advanced malignancy.
What is the wRVU value for CPT 58240?
The work RVU for CPT 58240 is 48.10. This code is primarily used by Gynecologic Oncology, General Surgery. It has a 90-day global period.
When is CPT 58240 used?
Extensive cancer surgery for advanced or recurrent gynecologic malignancy with invasion into bladder, bowel, or other pelvic structures. High morbidity but potentially curative.
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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.