58263 Vag hyst with t/o & vag repair
Also known as: vaginal hysterectomy with BSO and repair, VH with pelvic floor repair
Vaginal hysterectomy with removal of tubes and ovaries plus repair of vaginal wall defects addresses hysterectomy need while correcting concurrent pelvic floor pathology.
In Plain Language
Uterus, ovary removal and vagina repair; Vaginal hysterectomy with repair
Clinical Context
Addresses multiple pathologies in single procedure: malignancy/benign pathology (hysterectomy) plus pelvic floor defects (cystocele, rectocele, enterocele).
RVU Breakdown
| Work RVU | 16.80 |
| Total RVU | 16.80 |
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 16.80, 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 58263?
CPT 58263 (Vag hyst with t/o & vag repair) is a Surgery code. Vaginal hysterectomy with removal of tubes and ovaries plus repair of vaginal wall defects addresses hysterectomy need while correcting concurrent pelvic floor pathology.
What is the wRVU value for CPT 58263?
The work RVU for CPT 58263 is 16.80. This code is primarily used by Gynecology, Urogynecology. It has a 90-day global period.
When is CPT 58263 used?
Addresses multiple pathologies in single procedure: malignancy/benign pathology (hysterectomy) plus pelvic floor defects (cystocele, rectocele, enterocele).
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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.