58294 Vag hyst with enterocele complicated
Also known as: complex VH with BSO and enterocele repair, complicated vaginal hysterectomy with enterocele
Complex vaginal hysterectomy with removal of tubes and ovaries plus enterocele repair addresses uterine pathology with significant pelvic floor defects.
In Plain Language
Complex uterus and ovary removal with bowel hernia repair; Complex vaginal hysterectomy with enterocele fix
Clinical Context
Combines complex vaginal hysterectomy with salpingo-oophorectomy while addressing severe enterocele and pelvic relaxation.
RVU Breakdown
| Work RVU | 21.01 |
| Total RVU | 21.01 |
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 21.01, this code ranks in the 84th percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58294?
CPT 58294 (Vag hyst with enterocele complicated) is a Surgery code. Complex vaginal hysterectomy with removal of tubes and ovaries plus enterocele repair addresses uterine pathology with significant pelvic floor defects.
What is the wRVU value for CPT 58294?
The work RVU for CPT 58294 is 21.01. This code is primarily used by Gynecology, Urogynecology. It has a 90-day global period.
When is CPT 58294 used?
Combines complex vaginal hysterectomy with salpingo-oophorectomy while addressing severe enterocele and pelvic relaxation.
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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.