58285 Extensive hysterectomy
Also known as: extensive VH with BSO, complex vaginal hysterectomy
Extensive vaginal hysterectomy with removal of tubes and ovaries involves complex removal of uterus, cervix, fallopian tubes, and ovaries via vaginal approach.
Clinical Context
Addresses complex gynecologic pathology (large fibroids, severe endometriosis, cancer) with vaginal approach when feasible. Requires significant operative skill.
RVU Breakdown
| Work RVU | 22.80 |
| Practice Expense RVU | 11.71 |
| Malpractice RVU | 5.27 |
| Total RVU | 39.78 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.