58572 Tlh uterus over 250 g
Also known as: TLH large uterus, laparoscopic hysterectomy enlarged uterus, lap total hysterectomy with tubes/ovaries
Total laparoscopic hysterectomy with uterus greater than 250 grams involves endoscopic removal of enlarged uterus with increased operative complexity.
In Plain Language
Laparoscopic removal of large uterus; Minimally invasive large uterus removal
Clinical Context
Large uterus increases difficulty of laparoscopic approach. Requires morcellation or vaginal extraction. Fibroids or adenomyosis commonly responsible.
RVU Breakdown
| Work RVU | 17.27 |
| Total RVU | 17.27 |
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 17.27, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58572?
CPT 58572 (Tlh uterus over 250 g) is a Surgery code. Total laparoscopic hysterectomy with uterus greater than 250 grams involves endoscopic removal of enlarged uterus with increased operative complexity.
What is the wRVU value for CPT 58572?
The work RVU for CPT 58572 is 17.27. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58572 used?
Large uterus increases difficulty of laparoscopic approach. Requires morcellation or vaginal extraction. Fibroids or adenomyosis commonly responsible.
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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.