CPT code 58546 denotes a laparoscopic myomectomy for removal of five or more uterine fibroids or any number of fibroids weighing more than 250 g. The code captures a specific surgical complexity level within minimally invasive gynecologic procedures and is used to document and bill for higher-volume or higher-mass excisions of fibroids. Nationally, accurate coding for procedures like 58546 affects surgical quality measurement, resource allocation, and facility reimbursement for gynecologic services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for laparoscopic myomectomy, common sites of service, and the administrative implications of using 58546 versus other myomectomy codes. The publication summarizes typical billing practice considerations, common modifiers used in practice (input provided), and where data was available versus where input data is missing.

This report is intended for a national audience of clinicians, coding professionals, and health plan administrators seeking concise guidance on the clinical scope of CPT code 58546, how it aligns with surgical practice patterns, and what benchmark and policy topics to consider when evaluating claims or coverage for laparoscopic myomectomy.