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.
In Plain Language
Complicated uterus removal through vagina; Complex vaginal hysterectomy
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 |
| Total RVU | 19.76 |
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 19.76, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58290?
CPT 58290 (Vag hyst complex) is a Surgery code. Complex vaginal hysterectomy addresses challenging cases requiring additional time and skill to safely remove uterus vaginally with significant pathology.
What is the wRVU value for CPT 58290?
The work RVU for CPT 58290 is 19.76. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58290 used?
Used for dense adhesions, severe endometriosis, large fibroids accessible vaginally, or anatomic anomalies making vaginal hysterectomy technically challenging.
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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.