CPT code 58260 represents a vaginal hysterectomy involving surgical removal of the uterus and cervix only when the uterus is normal in size (≤250 g). This gynecologic operative code is commonly used for benign indications where a vaginal approach is feasible and may be performed in inpatient settings or ambulatory surgical centers. Nationally, vaginal hysterectomy remains an important surgical option due to shorter recovery times and avoidance of abdominal incisions for appropriately selected patients. Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context and typical settings for use, discussion of common billing considerations, and benchmarking content where available. The publication outlines how CPT code 58260 is categorized, typical service lines, and which clinical scenarios align with a vaginal-only hysterectomy for a normal-sized uterus. Data not available in the input is noted where applicable.