CPT code 58290 represents a vaginal hysterectomy with removal of the uterus and cervix for an enlarged uterus (operative weight >250 g), often performed for symptomatic fibroids. This procedure is a common gynecologic operation with important implications for surgical resource utilization, site-of-service planning, and payer reimbursement across the U.S. health system.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and service delivery for CPT code 58290, national-level considerations for where the procedure is performed, and what metrics are typically examined in benchmarking and policy reviews for surgical gynecology. The publication highlights typical site-of-service patterns (hospital operating rooms and ambulatory surgery centers), major clinical drivers (eg, fibroids producing enlarged uterine size), and common billing characteristics associated with this code.

This summary prepares clinicians, billing professionals, and policy stakeholders to understand CPT code 58290 in a national context, including where to look for reimbursement guidance, operational impacts on surgical scheduling, and the clinical scenarios that most frequently generate use of this code. Data not available in the input: specific payer rate tables, associated ICD-10 diagnoses, and related codes.