58573 Tlh with t/o uterus over 250 g
Also known as: TLH-BSO large uterus, laparoscopic hysterectomy with ovaries enlarged uterus, lap total hysterectomy complex
Total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and uterus greater than 250 grams involves endoscopic removal of enlarged uterus with ovaries.
In Plain Language
Laparoscopic removal of large uterus and ovaries; Minimally invasive complex removal
Clinical Context
Most complex TLH procedure combining large uterus removal with salpingo-oophorectomy. Requires advanced laparoscopic skills and careful morcellation/extraction.
RVU Breakdown
| Work RVU | 20.27 |
| Total RVU | 20.27 |
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 20.27, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58573?
CPT 58573 (Tlh with t/o uterus over 250 g) is a Surgery code. Total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and uterus greater than 250 grams involves endoscopic removal of enlarged uterus with ovaries.
What is the wRVU value for CPT 58573?
The work RVU for CPT 58573 is 20.27. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58573 used?
Most complex TLH procedure combining large uterus removal with salpingo-oophorectomy. Requires advanced laparoscopic skills and careful morcellation/extraction.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.