58270 Vag hyst with enterocele repair
Also known as: VH with enterocele repair, vaginal hysterectomy with pelvic support
Vaginal hysterectomy with enterocele repair removes uterus via vaginal approach while addressing enterocele (hernia of small bowel into pelvis).
In Plain Language
Uterus removal with bowel hernia repair; Vaginal hysterectomy with enterocele fix
Clinical Context
Corrects pelvic prolapse and hernia of bowel during hysterectomy. May involve repair of cul-de-sac and pelvic fascia.
RVU Breakdown
| Work RVU | 14.92 |
| Total RVU | 14.92 |
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 14.92, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58270?
CPT 58270 (Vag hyst with enterocele repair) is a Surgery code. Vaginal hysterectomy with enterocele repair removes uterus via vaginal approach while addressing enterocele (hernia of small bowel into pelvis).
What is the wRVU value for CPT 58270?
The work RVU for CPT 58270 is 14.92. This code is primarily used by Gynecology, Urogynecology. It has a 90-day global period.
When is CPT 58270 used?
Corrects pelvic prolapse and hernia of bowel during hysterectomy. May involve repair of cul-de-sac and pelvic fascia.
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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.