58146 Myomectomy abdominal complex
Also known as: complex abdominal myomectomy, extensive fibroid removal
Myomectomy via abdominal approach with additional complexity involves removal of multiple, large, or deeply infiltrating uterine fibroids requiring extensive surgical dissection.
Clinical Context
Used for multiple fibroids, large fibroids with distorted anatomy, or fibroids with extensive vascularization. Increased operative time and blood loss risk compared to 58140.
RVU Breakdown
| Work RVU | 19.83 |
| Practice Expense RVU | 7.08 |
| Malpractice RVU | 3.47 |
| Total RVU | 30.38 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.