CPT code 58267 represents a vaginal hysterectomy removing the uterus and cervix only, performed through a transvaginal approach with concomitant urethral suspension for stress urinary incontinence. This code applies when the uterus is normal in size (250 g or less) and an endoscope may be used during the operation. Nationally, this code is important for categorizing surgical gynecologic care, aligning clinical documentation with procedural intent, and informing coverage and payment policies for combined hysterectomy and incontinence procedures.

Key payers in the coverage landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise reference to the clinical scenario captured by the code, the typical sites where the service is delivered, and the common procedural context for billing this code. The publication includes benchmarks and policy context relevant to billing and coding consistency, payer coverage patterns, and documentation elements required to support medical necessity. It also highlights coding relationships and common modifier usage where applicable. Data not available in the input is noted where appropriate, and the material is presented for a national audience to support revenue cycle, compliance, and clinical documentation teams.