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.
In Plain Language
Complex fibroid removal surgery; Complicated fibroid removal
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 |
| Total RVU | 19.83 |
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 19.83, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58146?
CPT 58146 (Myomectomy abdominal complex) is a Surgery code. Myomectomy via abdominal approach with additional complexity involves removal of multiple, large, or deeply infiltrating uterine fibroids requiring extensive surgical dissection.
What is the wRVU value for CPT 58146?
The work RVU for CPT 58146 is 19.83. This code is primarily used by Gynecology, Fertility. It has a 90-day global period.
When is CPT 58146 used?
Used for multiple fibroids, large fibroids with distorted anatomy, or fibroids with extensive vascularization. Increased operative time and blood loss risk compared to 58140.
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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.