CPT code 58270 represents a vaginal hysterectomy removing the uterus and cervix only, performed via a vaginal approach, with concurrent repair of small bowel prolapse into the vaginal canal. It applies when the uterus is normal in size (250 grams or less). This surgical code matters nationally as vaginal hysterectomy with prolapse repair is a common gynecologic procedure affecting surgical practice patterns, facility utilization, and payer reimbursement across inpatient and outpatient surgical settings.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for this procedure, typical sites of service, and the kinds of benchmarks and policy factors that influence coverage and payment. The publication outlines common billing considerations tied to surgical approach and organ size, explores payer coverage patterns, and summarizes related coding and service-line implications.

The content provides concise guidance on what this code denotes clinically and operationally, highlights areas where policy updates or coverage criteria commonly affect claim adjudication, and identifies data points that payers and providers typically examine for utilization management and quality measurement. Data not available in the input: associated taxonomies, specific ICD-10 diagnoses, related codes, and detailed payer-specific reimbursement rates.