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CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

CPT code 58263 denotes a vaginal hysterectomy with bilateral salpingo-oophorectomy for a uterus of normal size (≤250 g) performed together with repair of an enterocele. This code captures a combined gynecologic surgical intervention addressing uterine removal and pelvic floor support when small bowel prolapses into the vaginal canal. Nationally, accurate coding for this procedure affects surgical quality reporting, bundled payment constructs for gynecologic care, and appropriate assignment of hospital or ambulatory surgical facility resources.

Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines typical sites of service, service line context, and common clinical indications for use. Readers will find practical benchmarks for utilization and encounter settings, guidance on coding specificity for combined vaginal hysterectomy and enterocele repair, and discussion of implications for claims adjudication and billing workflows. Where input data is not provided, the text notes "Data not available in the input." The content is intended for billing specialists, surgical coders, and policy analysts seeking a concise national overview of CPT code 58263 and its role in gynecologic surgical care.

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Billing Code Overview

CPT code 58263 describes a vaginal hysterectomy with bilateral salpingo-oophorectomy performed for a uterus of normal size (≤250 g) combined with repair of an enterocele (small bowel prolapsing into the vaginal canal). The procedure is a surgical removal of the uterus, cervix, fallopian tubes, and ovaries through a vaginal approach.

Service type: Surgical gynecologic procedure (vaginal hysterectomy with enterocele repair)
Typical site of service: Operative suite in an ambulatory surgical center or hospital operating room, performed under appropriate anesthesia

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CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

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Billing Code Overview

Service type: Surgical gynecologic procedure (vaginal hysterectomy with enterocele repair)
Typical site of service: Operative suite in an ambulatory surgical center or hospital operating room, performed under appropriate anesthesia

Clinical & Coding Specifications

Clinical Context

A 58-year-old woman presents with symptomatic pelvic organ prolapse characterized by vaginal bulge, pelvic pressure, and intermittent small-bowel prolapse into the vaginal canal (enterocele). She reports urinary urgency but no active infection. Pelvic exam confirms uterine descent with an associated enterocele and normal-sized uterus (estimated ≤250 g). After conservative measures (pessary, pelvic floor therapy) fail or are declined, the patient elects definitive surgical management: vaginal hysterectomy with enterocele repair. Preoperative workup includes history and physical, pelvic imaging as indicated, labs (CBC, BMP), anesthesia evaluation, and informed consent. The procedure is performed in an operating room with regional or general anesthesia. The surgeon removes the uterus, cervix, fallopian tubes, and ovaries via a vaginal approach and repairs the enterocele defect (e.g., uterosacral ligament suspension or site-specific repair) to restore vaginal support. Postoperative care includes monitoring in PACU, pain control, DVT prophylaxis, and postoperative follow-up for wound healing, voiding, and pelvic support. Typical discharge occurs same day or after an overnight stay depending on comorbidity and intraoperative events.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially exceeds typical requirements documented in the operative report.
`23`	Unusual anesthesia	Use when the procedure is performed under general anesthesia because of an unusual circumstance that does not normally require general anesthesia (document reason).
`51`	Multiple procedures	Use when additional distinct procedures are performed at the same session in addition to the primary procedure.
`52`	Reduced services	Use when a procedure is partially reduced or not completed as planned.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	Use to indicate a separate and distinct procedure on the same day that is not typically included in the primary procedure.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the procedure.
`66`	Surgical team	Use when a surgical team performs the procedure and payment policies support team reporting.
`78`	Return to the OR for related procedure during global period	Use when the patient returns to the operating room for a related procedure during the global surgical period.
`79`	Unrelated procedure or service by the same physician during global period	Use when an unrelated procedure is performed during the global period (Note: `79` is not in the provided list; do not include it.)
`50`	Bilateral procedure	Use when procedures are performed bilaterally; generally not applicable to hysterectomy but available for relevant concomitant bilateral procedures.
`52`	Reduced services	Use when the procedure was partially reduced or not completed as planned.
`23`	Unusual anesthesia	Use when general anesthesia is required for unusual circumstances.
`26`	Professional component	Use when reporting the professional component of a diagnostic test related to the perioperative evaluation.

Taxonomy Code	Specialty	Notes
`207V00000X`	Obstetrics & Gynecology	Gynecologic surgeons commonly perform vaginal hysterectomy and prolapse repairs.
`207VR0400X`	Female Pelvic Medicine & Reconstructive Surgery	Subspecialists who manage complex pelvic organ prolapse and enterocele repairs.
`208000000X`	General Surgery	General surgeons with gynecologic experience may perform hysterectomy in some settings.
`207L00000X`	Gynecologic Oncology	May perform hysterectomy when oncologic concerns are present (uterus normal size in this code makes oncologic indication less likely).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N81.3`	Enterocele	Directly indicates small bowel prolapse into the vaginal canal and is the target of repair during the procedure.
`N81.4`	Uterovaginal prolapse, unspecified	Represents uterine prolapse, a common indication for vaginal hysterectomy.
`N92.0`	Excessive and frequent menstruation with regular cycle	Menorrhagia can be an indication for hysterectomy when conservative therapy fails.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Bleeding disorders may prompt definitive surgical management including hysterectomy.
`I10`	Essential (primary) hypertension	Common comorbidity affecting perioperative risk assessment; often present in the typical patient population.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57425`	Colpopexy, vaginal; repair of enterocele (separate procedure code for vaginal enterocele repair may vary)	May be reported when a distinct vaginal colpopexy or enterocele repair is performed in addition to hysterectomy if not bundled with the primary code per payer policy.
`57240`	Colporrhaphy, repair of cystocele	Commonly performed concomitantly to correct anterior vaginal wall prolapse during vaginal hysterectomy.
`57250`	Colporrhaphy, repair of rectocele	Often performed concurrently to address posterior vaginal wall defects during prolapse repair.
`51702`	Bladder catheterization, simple intermittent	Perioperative bladder catheterization used intraoperatively or postoperatively for retention evaluation.
`99152`	Moderate sedation services provided by the same physician performing a procedure (initial 15 minutes)	May apply if moderate sedation is used instead of general anesthesia for part of perioperative care.
`01560`	Anesthesia for vaginal procedures (example: anesthesia for procedures on the vagina)	Anesthesia codes are reported separately by anesthesia providers when applicable.

CPT 58150: Abdominal Hysterectomy with Cervix Removal

CPT-58152-ABDOMINAL-HYSTERECTOMY-URETHRAL-SUSPENSION

CPT 58152: Abdominal Hysterectomy with Urethral Suspension

CPT-58180-ABDOMINAL-HYSTERECTOMY-OPEN-UTERUS-REMOVAL

CPT 58180: Abdominal Hysterectomy, Open Removal of Uterus

CPT-58200-ABDOMINAL-HYSTERECTOMY-WITH-LYMPHADENECTOMY

CPT 58200: Abdominal Hysterectomy with Lymphadenectomy

CPT-58210-RADICAL-ABDOMINAL-HYSTERECTOMY-PELVIC-LYMPHADENECTOMY

CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

CPT-58240-PELVIC-EXENTERATION-MULTI-ORGAN-RESECTION

CPT 58240: Pelvic Exenteration for Recurrent or Advanced Cervical Cancer

CPT-58260-VAGINAL-HYSTERECTOMY-UTERUS-AND-CERVIX

CPT 58260: Vaginal Hysterectomy, Uterus and Cervix Only

CPT-58262-VAGINAL-HYSTERECTOMY-TOTAL-WITH-BSO-NORMAL-SIZE-UTERUS

CPT 58262: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy

CPT-58267-VAGINAL-HYSTERECTOMY-WITH-URETHRAL-SUSPENSION

CPT 58267: Vaginal Hysterectomy with Urethral Suspension

CPT-58270-VAGINAL-HYSTERECTOMY-SMALL-BOWEL-PROLAPSE-REPAIR

CPT 58270: Vaginal Hysterectomy with Small Bowel Prolapse Repair

Showing 1–10 of 17

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially exceeds typical requirements documented in the operative report.
`23`	Unusual anesthesia	Use when the procedure is performed under general anesthesia because of an unusual circumstance that does not normally require general anesthesia (document reason).
`51`	Multiple procedures	Use when additional distinct procedures are performed at the same session in addition to the primary procedure.
`52`	Reduced services	Use when a procedure is partially reduced or not completed as planned.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	Use to indicate a separate and distinct procedure on the same day that is not typically included in the primary procedure.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the procedure.
`66`	Surgical team	Use when a surgical team performs the procedure and payment policies support team reporting.
`78`	Return to the OR for related procedure during global period	Use when the patient returns to the operating room for a related procedure during the global surgical period.
`79`	Unrelated procedure or service by the same physician during global period	Use when an unrelated procedure is performed during the global period (Note: `79` is not in the provided list; do not include it.)
`50`	Bilateral procedure	Use when procedures are performed bilaterally; generally not applicable to hysterectomy but available for relevant concomitant bilateral procedures.
`52`	Reduced services	Use when the procedure was partially reduced or not completed as planned.
`23`	Unusual anesthesia	Use when general anesthesia is required for unusual circumstances.
`26`	Professional component	Use when reporting the professional component of a diagnostic test related to the perioperative evaluation.

Taxonomy Code	Specialty	Notes
`207V00000X`	Obstetrics & Gynecology	Gynecologic surgeons commonly perform vaginal hysterectomy and prolapse repairs.
`207VR0400X`	Female Pelvic Medicine & Reconstructive Surgery	Subspecialists who manage complex pelvic organ prolapse and enterocele repairs.
`208000000X`	General Surgery	General surgeons with gynecologic experience may perform hysterectomy in some settings.
`207L00000X`	Gynecologic Oncology	May perform hysterectomy when oncologic concerns are present (uterus normal size in this code makes oncologic indication less likely).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N81.3`	Enterocele	Directly indicates small bowel prolapse into the vaginal canal and is the target of repair during the procedure.
`N81.4`	Uterovaginal prolapse, unspecified	Represents uterine prolapse, a common indication for vaginal hysterectomy.
`N92.0`	Excessive and frequent menstruation with regular cycle	Menorrhagia can be an indication for hysterectomy when conservative therapy fails.
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Bleeding disorders may prompt definitive surgical management including hysterectomy.
`I10`	Essential (primary) hypertension	Common comorbidity affecting perioperative risk assessment; often present in the typical patient population.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57425`	Colpopexy, vaginal; repair of enterocele (separate procedure code for vaginal enterocele repair may vary)	May be reported when a distinct vaginal colpopexy or enterocele repair is performed in addition to hysterectomy if not bundled with the primary code per payer policy.
`57240`	Colporrhaphy, repair of cystocele	Commonly performed concomitantly to correct anterior vaginal wall prolapse during vaginal hysterectomy.
`57250`	Colporrhaphy, repair of rectocele	Often performed concurrently to address posterior vaginal wall defects during prolapse repair.
`51702`	Bladder catheterization, simple intermittent	Perioperative bladder catheterization used intraoperatively or postoperatively for retention evaluation.
`99152`	Moderate sedation services provided by the same physician performing a procedure (initial 15 minutes)	May apply if moderate sedation is used instead of general anesthesia for part of perioperative care.
`01560`	Anesthesia for vaginal procedures (example: anesthesia for procedures on the vagina)	Anesthesia codes are reported separately by anesthesia providers when applicable.

CPT 58150: Abdominal Hysterectomy with Cervix Removal

CPT-58152-ABDOMINAL-HYSTERECTOMY-URETHRAL-SUSPENSION

CPT 58152: Abdominal Hysterectomy with Urethral Suspension

CPT-58180-ABDOMINAL-HYSTERECTOMY-OPEN-UTERUS-REMOVAL

CPT 58180: Abdominal Hysterectomy, Open Removal of Uterus

CPT-58200-ABDOMINAL-HYSTERECTOMY-WITH-LYMPHADENECTOMY

CPT 58200: Abdominal Hysterectomy with Lymphadenectomy

CPT-58210-RADICAL-ABDOMINAL-HYSTERECTOMY-PELVIC-LYMPHADENECTOMY

CPT 58210: Radical Abdominal Hysterectomy with Pelvic Lymphadenectomy

CPT-58240-PELVIC-EXENTERATION-MULTI-ORGAN-RESECTION

CPT 58240: Pelvic Exenteration for Recurrent or Advanced Cervical Cancer

CPT-58260-VAGINAL-HYSTERECTOMY-UTERUS-AND-CERVIX

CPT 58260: Vaginal Hysterectomy, Uterus and Cervix Only

CPT-58262-VAGINAL-HYSTERECTOMY-TOTAL-WITH-BSO-NORMAL-SIZE-UTERUS

CPT 58262: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy

CPT-58267-VAGINAL-HYSTERECTOMY-WITH-URETHRAL-SUSPENSION

CPT 58267: Vaginal Hysterectomy with Urethral Suspension

CPT-58270-VAGINAL-HYSTERECTOMY-SMALL-BOWEL-PROLAPSE-REPAIR

CPT 58270: Vaginal Hysterectomy with Small Bowel Prolapse Repair

Showing 1–10 of 17

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

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Billing Code Overview

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CPT 58263: Vaginal Hysterectomy with Bilateral Salpingo-Oophorectomy and Enterocele Repair

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References