CPT® Code 58145

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; vaginal approach

Myomectomy is a surgical procedure aimed at the excision of fibroid tumors from the uterus. These fibroids, also known as leiomyomas, are benign tumors that develop from the muscle tissue of the uterus, specifically the myometrium. They can vary in location, being classified as submucous, intramural, subserous, or pedunculated. Submucous fibroids extend into the uterine cavity and are typically addressed through hysteroscopy. Intramural fibroids are embedded within the uterine muscle, while subserous fibroids are located on the outer surface of the uterus and may be attached by a thin stalk, known as pedunculation. The procedure described by CPT® Code 58145 specifically refers to a vaginal myomectomy, which involves the removal of one to four intramural myomas that weigh a total of 250 grams or less, as well as the removal of surface myomas. The surgical approach can be anterior or posterior, and it involves incising the vaginal mucosa, exposing the peritoneum, and carefully dissecting the fibroids from the uterine wall. This procedure is essential for alleviating symptoms associated with fibroids, such as pelvic pain, heavy menstrual bleeding, and pressure symptoms, while preserving the uterus for future reproductive potential.