58550 Laparo-asst vag hysterectomy
Also known as: LAVH, laparoscopic-assisted vaginal hysterectomy
Laparoscopic-assisted vaginal hysterectomy involves laparoscopic mobilization of uterus with vaginal removal to combine benefits of minimally invasive and vaginal approaches.
In Plain Language
Laparoscopic-assisted uterus removal; Hybrid uterus removal surgery
Clinical Context
Bridges minimally invasive and vaginal approaches. Allows assessment of upper abdomen and pelvis while completing hysterectomy vaginally. Less commonly used with increased TLH utilization.
RVU Breakdown
| Work RVU | 14.72 |
| Total RVU | 14.72 |
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 14.72, this code ranks in the 72nd 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 58550?
CPT 58550 (Laparo-asst vag hysterectomy) is a Surgery code. Laparoscopic-assisted vaginal hysterectomy involves laparoscopic mobilization of uterus with vaginal removal to combine benefits of minimally invasive and vaginal approaches.
What is the wRVU value for CPT 58550?
The work RVU for CPT 58550 is 14.72. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58550 used?
Bridges minimally invasive and vaginal approaches. Allows assessment of upper abdomen and pelvis while completing hysterectomy vaginally. Less commonly used with increased TLH utilization.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.