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.
In Plain Language
Complex hybrid uterus removal; Difficult hybrid hysterectomy
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 |
| Total RVU | 19.56 |
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 19.56, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58553?
CPT 58553 (Laparo-vag hyst complex) is a Surgery code. Complex laparoscopic-assisted vaginal hysterectomy involves challenging pathology requiring increased operative time and skill via hybrid approach.
What is the wRVU value for CPT 58553?
The work RVU for CPT 58553 is 19.56. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58553 used?
Used for complex pathology (dense adhesions, severe endometriosis, large fibroids) when hybrid approach chosen. Requires advanced laparoscopic and vaginal surgical skills.
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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.