58554 Laparo-vag hyst with t/o complicated
Also known as: complex LAVH with BSO, difficult laparoscopic-assisted hysterectomy with ovary removal
Complex laparoscopic-assisted vaginal hysterectomy with salpingo-oophorectomy combines complex hybrid hysterectomy with removal of fallopian tubes and ovaries.
Clinical Context
Most complex hybrid procedure combining challenging pathology, oophorectomy requirement, and hybrid approach. Requires significant surgical expertise and operative time.
RVU Breakdown
| Work RVU | 22.53 |
| Practice Expense RVU | 8.13 |
| Malpractice RVU | 4.12 |
| Total RVU | 34.78 |
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.