CPT® Code 58292

The CPT® Code 58292 refers to a surgical procedure known as a vaginal hysterectomy, specifically for cases where the uterus weighs more than 250 grams. This procedure involves the removal of the uterus along with the associated removal of one or both fallopian tubes and/or ovaries, and it includes the repair of an enterocele, which is a type of hernia that occurs in the pelvic region. The procedure is typically indicated for patients with an enlarged uterus, which may necessitate the uterus being removed in multiple pieces, a process known as morcellation. Various techniques can be employed during morcellation, such as hemisection, intramyometrial coring, or wedge resection, to facilitate the removal of the enlarged uterus. The surgical approach involves careful dissection and manipulation of surrounding structures, including the bladder and ligaments, to ensure a safe and effective removal of the uterus and any additional reproductive organs. The enterocele repair component of the procedure addresses the herniation by dissecting the perirectal fascia and closing the sac with sutures, ensuring the integrity of the pelvic floor is restored. This comprehensive approach is crucial for managing the patient's condition and preventing future complications.