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The CPT® Code 58293 refers to a surgical procedure known as a vaginal hysterectomy, specifically performed on a uterus that weighs more than 250 grams. This procedure is accompanied by a colpo-urethrocystopexy, which is a surgical technique aimed at providing support to the bladder and urethra, often necessary in cases of pelvic organ prolapse. The colpo-urethrocystopexy can be performed using the Marshall-Marchetti-Krantz or Pereyra techniques, and it may be done with or without the assistance of endoscopic control. During the vaginal hysterectomy, the physician may need to employ morcellization techniques to remove the enlarged uterus, which can involve cutting the uterus into smaller pieces to facilitate its extraction. The procedure includes several critical steps, such as incising the vaginal mucosa, separating the bladder from the uterus, ligating uterine vessels, and carefully removing the uterus while managing surrounding structures. The colpo-urethrocystopexy is then performed to ensure proper support of the bladder and urethra, which is essential for maintaining urinary function post-surgery. This comprehensive approach addresses both the removal of the uterus and the support of pelvic structures, making it a significant procedure in gynecological surgery.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 58293 is indicated for patients presenting with conditions that necessitate the removal of an enlarged uterus, specifically when the uterus weighs more than 250 grams. Common indications for this procedure may include:
The procedure involves several detailed steps to ensure the successful removal of the uterus and the performance of the colpo-urethrocystopexy. The steps are as follows:
Post-procedure care following a vaginal hysterectomy with colpo-urethrocystopexy includes monitoring for any signs of complications such as bleeding, infection, or urinary retention. Patients are typically advised to rest and avoid strenuous activities for a specified period to promote healing. Follow-up appointments are essential to assess recovery and ensure that the surgical site is healing properly. Patients may also receive instructions regarding pelvic floor exercises to support recovery and improve urinary function. It is important for healthcare providers to provide clear guidance on signs of complications that patients should report, such as increased pain, fever, or unusual discharge.
Short Descr | VAG HYST W/URO REPAIR COMPL | Medium Descr | VAG HYST >250 GM COLPOURTCSTOPEXY W/WO NDSC CTR | Long Descr | Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 124 - Hysterectomy, abdominal and vaginal |
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2020-12-31 | Deleted | Code deleted. |
2013-01-01 | Changed | Medium Descriptor changed. |
2011-01-01 | Changed | Short description changed. |
2007-01-01 | Changed | Code description changed. |
2003-01-01 | Added | First appearance in code book in 2003. |