CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 58285
Related Codes Table
| Code | Description |
|---|---|
| 58260 | Vaginal hysterectomy, for uterus 250 g or less |
| 58262 | Vaginal hysterectomy, with removal of tube(s) and/or ovary(s) |
| 58263 | Vaginal hysterectomy, for uterus greater than 250 g |
| 58267 | Vaginal hysterectomy, with repair of enterocele with or without colpocleisis |
| 58270 | Vaginal hysterectomy, with repair of enterocele and/or cystocele/rectocele |
Commonly Billed With
CPT code 58285 is commonly billed with CPT codes 57425 (Colpopexy, vaginal; extra-peritoneal approach) and 57288 (Colpopexy, abdominal approach).
Clinical Scenarios
Situation 1: Severe Endometriosis Present
In cases where severe endometriosis is present along with the need for a radical vaginal hysterectomy, CPT code 58285 would be appropriate.
Situation 2: Malignancy Suspected or Confirmed
If malignancy is suspected or confirmed in the patient requiring a radical vaginal hysterectomy, CPT code 58285 should be used.
Situation 3: Extensive Adhesions Encountered
When extensive adhesions are encountered during the procedure necessitating a more complex radical approach, CPT code 58285 is applicable.
FAQs
Q: Can CPT code 58285 be used for a simple vaginal hysterectomy?
No, CPT code 58285 specifically refers to a radical (Schauta type) operation and should not be used for simple procedures.
Q: Is laparoscopic assistance included in CPT code 58285?
No, laparoscopic assistance is not included in the description of CPT code 58285. Additional codes may be necessary if laparoscopic assistance is utilized.
Q: What is the typical recovery time for patients undergoing a radical vaginal hysterectomy?
The recovery time can vary depending on individual patient factors, but most patients can expect a recovery period of several weeks following this procedure.
Q: Are there any specific documentation requirements for reporting CPT code 58285?
Documentation should clearly support the need for a radical approach in the surgical notes to justify the use of CPT code 58285.
Q: Can additional procedures such as lymphadenectomy be reported separately with CPT code 58285?
Yes, additional procedures like lymphadenectomy can be reported separately if performed in conjunction with the radical vaginal hysterectomy using CPT code 58285.
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