CPT code 58545 designates a laparoscopic myomectomy for excision of one to four uterine fibroids with a combined weight of 250 grams or less. This code captures a common minimally invasive gynecologic procedure that preserves the uterus while addressing symptomatic fibroids; it is relevant nationally due to the prevalence of fibroid-related morbidity among reproductive-age people and implications for surgical access and site-of-service selection. Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, expected sites of service, and typical service descriptors. The publication summarizes payer coverage patterns, common billing modifiers, and related policy or reimbursement considerations where available. It also outlines benchmarks and utilization context relevant for surgical departments, coding professionals, and payers managing benefits for gynecologic surgery. Data not available in the input is noted where specific payer policies, ICD-10 diagnosis pairings, or associated taxonomies are absent.