58542 Lsh with t/o ut 250 g or less
Also known as: TLH with BSO, total laparoscopic hysterectomy with ovary removal
Laparoscopic hysterectomy with salpingo-oophorectomy and uterus 250 grams or less involves removal of uterus, fallopian tubes, and ovaries endoscopically.
In Plain Language
Laparoscopic uterus and ovary removal; Minimally invasive ovary and uterus removal
Clinical Context
Combines hysterectomy with oophorectomy via laparoscopic approach. Indicated for ovarian pathology or prophylactic ovarian removal.
RVU Breakdown
| Work RVU | 13.81 |
| Total RVU | 13.81 |
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 13.81, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58542?
CPT 58542 (Lsh with t/o ut 250 g or less) is a Surgery code. Laparoscopic hysterectomy with salpingo-oophorectomy and uterus 250 grams or less involves removal of uterus, fallopian tubes, and ovaries endoscopically.
What is the wRVU value for CPT 58542?
The work RVU for CPT 58542 is 13.81. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58542 used?
Combines hysterectomy with oophorectomy via laparoscopic approach. Indicated for ovarian pathology or prophylactic ovarian removal.
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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.