58145 Myomectomy vag method
Also known as: vaginal myomectomy, vaginal fibroid removal
Myomectomy via vaginal approach involves removal of accessible uterine fibroids through the vaginal canal and cervix without abdominal incision.
In Plain Language
Fibroid removal through vagina; Vaginal fibroid surgery
Clinical Context
Used for fibroids prolapsing through cervix into vagina or submucosal fibroids accessible vaginally. Avoids abdominal incision but limited to accessible fibroids.
RVU Breakdown
| Work RVU | 8.69 |
| Total RVU | 8.69 |
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 8.69, this code ranks in the 53rd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58145?
CPT 58145 (Myomectomy vag method) is a Surgery code. Myomectomy via vaginal approach involves removal of accessible uterine fibroids through the vaginal canal and cervix without abdominal incision.
What is the wRVU value for CPT 58145?
The work RVU for CPT 58145 is 8.69. This code is primarily used by Gynecology. It has a 90-day global period.
When is CPT 58145 used?
Used for fibroids prolapsing through cervix into vagina or submucosal fibroids accessible vaginally. Avoids abdominal incision but limited to accessible fibroids.
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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.