2025 CPT code 58292

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele.

Use this code specifically when the uterus weighs more than 250 grams. For smaller uteri with enterocele repair, use 57250.

Modifiers may be applicable, for instance, modifier 22 for increased procedural services or modifier 51 for multiple procedures.

Medical necessity must be established based on the patient's symptoms, the size of the uterus, and the presence of the enterocele.Symptoms might include pelvic pressure, bleeding, and discomfort.

The physician positions the patient, administers anesthesia, and examines the genital tract. They make incisions, cut ligaments, and suture for support. The uterus may be morcellated (removed in pieces) if large.The enterocele is repaired by repositioning the small bowel and closing the sac. The vaginal cuff is then closed.

In simple words: The doctor removes the uterus, cervix, fallopian tubes, and ovaries through the vagina. They also fix a problem where the small intestine pushes into the vagina. This procedure is done when the uterus is larger than normal, usually because of fibroids.

This procedure involves the surgical removal of the uterus, cervix, fallopian tubes, and ovaries through the vagina.It also includes the repair of an enterocele, a condition where the small intestine protrudes into the vaginal canal. This code is specifically for uteri weighing more than 250 grams, often due to fibroids.

Example 1: A 55-year-old woman with symptomatic uterine fibroids causing a uterus larger than 250 grams and an enterocele undergoes a vaginal hysterectomy with bilateral salpingo-oophorectomy and enterocele repair., A 60-year-old woman with a prolapsed uterus greater than 250 grams and small bowel prolapse into the vagina undergoes this procedure to remove the uterus, ovaries, and fallopian tubes and repair the enterocele., A patient has a large uterus due to fibroids, along with an enterocele. The physician performs a vaginal hysterectomy, removes the fallopian tubes and ovaries, and repairs the enterocele.

Documentation should include the size and weight of the uterus, presence of fibroids, confirmation of the enterocele, details of the surgical approach, and any complications encountered.

  • Revenue Code: P1G - MAJOR PROCEDURE - OTHER
  • Payment Status: unknown
  • Specialties:Obstetrics and Gynecology
  • Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital
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