58546 Laparo-myomectomy complex
Also known as: complex laparoscopic myomectomy, difficult lap myomectomy
Laparoscopic myomectomy with additional complexity involves removal of multiple fibroids, large fibroids, or fibroids in difficult locations via laparoscopic approach.
In Plain Language
Complex laparoscopic fibroid removal; Difficult minimally invasive fibroid removal
Clinical Context
Increased operative time and complexity due to multiple fibroids, large size, deeply intramural location, or vascular fibroids requiring advanced laparoscopic skills.
RVU Breakdown
| Work RVU | 19.44 |
| Total RVU | 19.44 |
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 19.44, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 58546?
CPT 58546 (Laparo-myomectomy complex) is a Surgery code. Laparoscopic myomectomy with additional complexity involves removal of multiple fibroids, large fibroids, or fibroids in difficult locations via laparoscopic approach.
What is the wRVU value for CPT 58546?
The work RVU for CPT 58546 is 19.44. This code is primarily used by Gynecology, Fertility. It has a 90-day global period.
When is CPT 58546 used?
Increased operative time and complexity due to multiple fibroids, large size, deeply intramural location, or vascular fibroids requiring advanced laparoscopic skills.
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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.