Wiki myomectomy 58140 vs 58146 when only 3 myomas but weighs 540 grams total. which code do we choose?

myomectomy 58140 vs 58146 when only 3 myomas but weighs 540 grams total. which code do we choose?
The weight only applies to intramural fibroids (ones that are imbedded in the uterine wall), not surface myomas or a combination thereof. So if all of myomas were intramural with a weight over 250 g you go with 58146. If they are all surface myomas you code 58140.
 
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