58280 Hysterectomy/revise vagina
Also known as: extensive VH with vaginoplasty, vaginal hysterectomy with extensive revision
Vaginal hysterectomy with extensive vaginal revision involves removal of uterus plus major reconstruction of vaginal anatomy for severe defects.
In Plain Language
Uterus removal with major vagina repair; Extensive vaginal reconstruction with hysterectomy
Clinical Context
Used for severe vaginal atrophy, shortened or compromised vaginal canal, or extensive scarring requiring significant reconstructive effort.
RVU Breakdown
| Work RVU | 17.87 |
| Total RVU | 17.87 |
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 17.87, this code ranks in the 79th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58280?
CPT 58280 (Hysterectomy/revise vagina) is a Surgery code. Vaginal hysterectomy with extensive vaginal revision involves removal of uterus plus major reconstruction of vaginal anatomy for severe defects.
What is the wRVU value for CPT 58280?
The work RVU for CPT 58280 is 17.87. This code is primarily used by Gynecology, Reconstructive Surgery. It has a 90-day global period.
When is CPT 58280 used?
Used for severe vaginal atrophy, shortened or compromised vaginal canal, or extensive scarring requiring significant reconstructive effort.
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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.