2025 CPT code 57287
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Female Genital System Feed
Removal or revision of sling for stress urinary incontinence (e.g., fascia or synthetic).
Modifiers may apply to this code for situations like increased procedural services (22), multiple procedures (51), or reduced services (52), see complete list of available modifiers.
Medical necessity for 57287 must be supported by documentation of complications or dysfunction related to the existing sling, such as erosion, infection, urinary retention, or pain. The documentation should clearly indicate that the sling is causing problems requiring its removal or revision.
The physician administers anesthesia, preps, and drapes the patient in a dorsal lithotomy position. They make incisions to access and remove/revise the sling. Cystoscopy may be performed to check for bladder and urethral integrity. The physician closes the incisions with sutures and packs the vagina.
In simple words: This procedure removes or adjusts a support sling placed under the urethra to treat stress urinary incontinence. The sling might be causing problems like erosion, infection, urinary retention, or protrusion. The surgeon accesses the sling through the vagina and sometimes a small abdominal incision. They may use a small camera to look inside the bladder and urethra to ensure everything is okay. The incisions are then stitched up.
This procedure involves the removal or revision of a sling previously placed to treat stress urinary incontinence. The sling, which may be made of fascia or synthetic material, is removed or adjusted through a vaginal or combined vaginal and abdominal approach. A cystoscopy may be performed to assess the bladder and urethra for any damage or presence of graft material. The incisions are then closed with sutures.
Example 1: A patient presents with a synthetic sling eroding through the vaginal wall. The physician performs 57287 to remove the eroded sling material., A patient with a fascia sling experiences urinary retention. The physician performs 57287 to revise the sling and relieve the obstruction., A patient's sling has migrated, causing discomfort. The physician performs 57287 to reposition and secure the sling.
Documentation should include the reason for sling removal/revision (e.g., erosion, infection, urinary retention), surgical approach (vaginal, combined), findings during the procedure, and any complications. If cystoscopy is performed, the findings should also be documented. Evidence of prior sling placement, including operative report is helpful
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- RVU: Work RVU: 11.15 (Facility), 11.15 (Non-Facility) Total RVU (Facility): Varies by year (e.g., 21.64 in 2021, 19.43 in 2018). No current Medicare valuations for the physician office setting.
- Specialties:Urogynecology, Urology, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center