58292 Vag hyst t/o & repair complicated
Also known as: complex VH with BSO and repair, complicated vaginal hysterectomy with repair
Complex vaginal hysterectomy with removal of tubes and ovaries plus repair of pelvic defects addresses multiple pelvic pathologies in single procedure.
In Plain Language
Complex uterus, ovary removal and pelvic repair; Complex vaginal hysterectomy with pelvic repair
Clinical Context
Most complex vaginal procedure combining challenging hysterectomy, oophorectomy, and pelvic floor reconstruction. Requires advanced surgical skill.
RVU Breakdown
| Work RVU | 22.77 |
| Total RVU | 22.77 |
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 22.77, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58292?
CPT 58292 (Vag hyst t/o & repair complicated) is a Surgery code. Complex vaginal hysterectomy with removal of tubes and ovaries plus repair of pelvic defects addresses multiple pelvic pathologies in single procedure.
What is the wRVU value for CPT 58292?
The work RVU for CPT 58292 is 22.77. This code is primarily used by Gynecology, Urogynecology. It has a 90-day global period.
When is CPT 58292 used?
Most complex vaginal procedure combining challenging hysterectomy, oophorectomy, and pelvic floor reconstruction. Requires advanced surgical 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.