CPT® Code 58140

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach

Myomectomy is a surgical procedure aimed at the excision of fibroid tumors from the uterus. These fibroids, also known as myomas, are benign growths that develop in the muscle tissue of the uterus, specifically within the myometrium. They can vary in type based on their location: submucous fibroids grow into the uterine cavity, intramural fibroids are embedded within the uterine wall, subserous fibroids are located on the outer surface of the uterus, and pedunculated fibroids are attached to the uterus by a thin stalk. The procedure described by CPT® Code 58140 specifically addresses the removal of one to four intramural myomas, each with a total weight of 250 grams or less, as well as the removal of surface myomas. The surgical approach for this procedure is abdominal, which involves making an incision in the abdomen to access the uterus. Once the uterus is exposed, the surgeon inspects and palpates it to locate the fibroids. Depending on their type, the fibroids are either removed from the exterior or excised from within the uterine wall. The procedure is performed with careful attention to controlling bleeding, often utilizing electrocautery, and concludes with the layered suturing of the uterine wall. This surgical intervention is crucial for alleviating symptoms associated with fibroids, such as pelvic pain, heavy menstrual bleeding, and pressure symptoms, thereby improving the patient's quality of life.