58291 Vag hyst incl t/o complex
Also known as: complex VH with BSO, complicated vaginal hysterectomy with ovary removal
Complex vaginal hysterectomy with removal of tubes and ovaries adds salpingo-oophorectomy to complex vaginal hysterectomy addressing ovarian pathology.
Clinical Context
Complex vaginal case with concurrent ovarian pathology requiring removal. Increased operative time and difficulty due to both uterine and ovarian factors.
RVU Breakdown
| Work RVU | 21.51 |
| Practice Expense RVU | 7.43 |
| Malpractice RVU | 3.77 |
| Total RVU | 32.71 |
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.