58571 Tlh with t/o 250 g or less
Also known as: TLH-BSO, laparoscopic hysterectomy with ovary removal
Total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and uterus 250 grams or less involves endoscopic removal of uterus, tubes, and ovaries.
Clinical Context
Combined hysterectomy and oophorectomy via laparoscopic approach. Indicated when ovarian pathology present or prophylactic oophorectomy desired.
RVU Breakdown
| Work RVU | 14.63 |
| Practice Expense RVU | 7.21 |
| Malpractice RVU | 2.97 |
| Total RVU | 24.81 |
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.