58290 Vag hyst complex
Also known as: complex VH, difficult vaginal hysterectomy
Complex vaginal hysterectomy addresses challenging cases requiring additional time and skill to safely remove uterus vaginally with significant pathology.
Clinical Context
Used for dense adhesions, severe endometriosis, large fibroids accessible vaginally, or anatomic anomalies making vaginal hysterectomy technically challenging.
RVU Breakdown
| Work RVU | 19.76 |
| Practice Expense RVU | 7.06 |
| Malpractice RVU | 3.47 |
| Total RVU | 30.29 |
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.