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.
In Plain Language
Complex hybrid uterus and ovary removal; Difficult hybrid hysterectomy with ovary removal
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 |
| Total RVU | 22.53 |
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 22.53, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58554?
CPT 58554 (Laparo-vag hyst with t/o complicated) is a Surgery code. Complex laparoscopic-assisted vaginal hysterectomy with salpingo-oophorectomy combines complex hybrid hysterectomy with removal of fallopian tubes and ovaries.
What is the wRVU value for CPT 58554?
The work RVU for CPT 58554 is 22.53. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58554 used?
Most complex hybrid procedure combining challenging pathology, oophorectomy requirement, and hybrid approach. Requires significant surgical expertise and operative time.
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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.