58553 Laparo-vag hyst complex
Also known as: complex LAVH, difficult laparoscopic-assisted hysterectomy
Complex laparoscopic-assisted vaginal hysterectomy involves challenging pathology requiring increased operative time and skill via hybrid approach.
Clinical Context
Used for complex pathology (dense adhesions, severe endometriosis, large fibroids) when hybrid approach chosen. Requires advanced laparoscopic and vaginal surgical skills.
RVU Breakdown
| Work RVU | 19.56 |
| Practice Expense RVU | 6.52 |
| Malpractice RVU | 3.43 |
| Total RVU | 29.51 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.