58543 Lsh uterus above 250 g
Also known as: TLH large uterus, laparoscopic hysterectomy large
Laparoscopic hysterectomy with uterus greater than 250 grams involves removal of enlarged uterus endoscopically with increased operative complexity.
In Plain Language
Laparoscopic removal of large uterus; Minimally invasive large uterus removal
Clinical Context
Large fibroids or adenomyosis increase difficulty of laparoscopic approach. Requires morcellation for specimen removal or vaginal extraction component.
RVU Breakdown
| Work RVU | 14.03 |
| Total RVU | 14.03 |
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 14.03, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58543?
CPT 58543 (Lsh uterus above 250 g) is a Surgery code. Laparoscopic hysterectomy with uterus greater than 250 grams involves removal of enlarged uterus endoscopically with increased operative complexity.
What is the wRVU value for CPT 58543?
The work RVU for CPT 58543 is 14.03. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58543 used?
Large fibroids or adenomyosis increase difficulty of laparoscopic approach. Requires morcellation for specimen removal or vaginal extraction component.
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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.