58140 Myomectomy abdominal method
Also known as: abdominal myomectomy, open myomectomy, abdominal fibroid removal
Myomectomy via abdominal approach is removal of uterine fibroids (leiomyomas) through an open incision in the abdominal wall.
In Plain Language
Fibroid removal through belly incision; Uterus fibroid removal surgery
Clinical Context
Used for symptomatic fibroids causing bleeding, pain, or infertility. Preferred for large fibroids (>5-6 cm), multiple fibroids, or when cervical fibroids present. Preserves uterus for fertility.
RVU Breakdown
| Work RVU | 15.40 |
| Total RVU | 15.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 15.40, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58140?
CPT 58140 (Myomectomy abdominal method) is a Surgery code. Myomectomy via abdominal approach is removal of uterine fibroids (leiomyomas) through an open incision in the abdominal wall.
What is the wRVU value for CPT 58140?
The work RVU for CPT 58140 is 15.40. This code is primarily used by Gynecology, Fertility. It has a 90-day global period.
When is CPT 58140 used?
Used for symptomatic fibroids causing bleeding, pain, or infertility. Preferred for large fibroids (>5-6 cm), multiple fibroids, or when cervical fibroids present. Preserves uterus for fertility.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.