CPT® Code 58545

Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

The procedure described by CPT® Code 58545 refers to a laparoscopic surgical technique known as myomectomy, specifically the excision of one to four intramural myomas, which are benign tumors located within the muscle tissue of the uterus (myometrium). This procedure may also involve the removal of surface myomas, which can be subserous or pedunculated. Uterine fibroids, or myomas, are non-cancerous growths that can vary in type and location; they may protrude into the uterine cavity (submucous), be embedded within the uterine wall (intramural), or be located on the outer surface of the uterus (subserous). The laparoscopic approach allows for minimally invasive surgery, which typically results in reduced recovery time and less postoperative pain compared to traditional open surgery. During the procedure, the surgeon makes a small incision below the umbilicus to insert a trocar and laparoscope, enabling visual inspection of the uterus to locate the fibroids. Additional incisions are made to introduce surgical instruments for the excision of the fibroids. The technique involves careful dissection and removal of the fibroids while controlling bleeding, often using electrocautery, and ultimately repairing the uterus in layers. This code is specifically applicable when the total weight of the excised myomas does not exceed 250 grams, and it is important to differentiate it from CPT® Code 58546, which is used for the removal of five or more myomas or those exceeding the specified weight limit.