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.
In Plain Language
Complex uterus and ovary removal through vagina; Extensive vaginal hysterectomy
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 |
| Total RVU | 22.80 |
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 22.80, this code ranks in the 86th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58285?
CPT 58285 (Extensive hysterectomy) is a Surgery code. Extensive vaginal hysterectomy with removal of tubes and ovaries involves complex removal of uterus, cervix, fallopian tubes, and ovaries via vaginal approach.
What is the wRVU value for CPT 58285?
The work RVU for CPT 58285 is 22.80. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58285 used?
Addresses complex gynecologic pathology (large fibroids, severe endometriosis, cancer) with vaginal approach when feasible. Requires significant operative skill.
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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.