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.
In Plain Language
Complex uterus and ovary removal through vagina; Complex vaginal hysterectomy with ovary removal
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 |
| Total RVU | 21.51 |
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 21.51, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58291?
CPT 58291 (Vag hyst incl t/o complex) is a Surgery code. Complex vaginal hysterectomy with removal of tubes and ovaries adds salpingo-oophorectomy to complex vaginal hysterectomy addressing ovarian pathology.
What is the wRVU value for CPT 58291?
The work RVU for CPT 58291 is 21.51. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58291 used?
Complex vaginal case with concurrent ovarian pathology requiring removal. Increased operative time and difficulty due to both uterine and ovarian factors.
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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.