CPT® Code 58270

The CPT® Code 58270 refers to a surgical procedure known as a vaginal hysterectomy, specifically for the removal of a uterus weighing 250 grams or less, accompanied by the repair of an enterocele. A vaginal hysterectomy is a minimally invasive surgical technique where the uterus is removed through the vaginal canal rather than through an abdominal incision. This approach is often preferred due to its potential for reduced recovery time and lower risk of complications compared to abdominal hysterectomy. The procedure involves several critical steps, including the careful dissection and separation of surrounding structures such as the bladder and ligaments, to ensure a safe and effective removal of the uterus. The enterocele repair component addresses a condition where a portion of the intestine protrudes into the vaginal wall, necessitating additional surgical intervention to restore normal anatomy and function. The detailed steps of the procedure highlight the complexity and precision required in performing a vaginal hysterectomy with enterocele repair, ensuring that all anatomical structures are handled appropriately to minimize complications and promote healing.