CPT® Code 58293

Deleted

Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

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.