2025 CPT code 57289
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Pereyra procedure, including anterior colporrhaphy, a surgical technique to correct stress urinary incontinence and cystocele.
Modifiers may apply depending on the circumstances.Consult the CPT manual for a complete list of modifiers and their usage.
Medical necessity is established by the presence of symptomatic stress urinary incontinence and/or cystocele causing significant impairment in the patient's quality of life.The procedure is considered medically necessary to improve urinary continence and address the anatomical defect.
The provider administers anesthesia, makes incisions in the vaginal and abdominal tissue, inserts and secures sutures to lift the bladder and urethra, repairs the vaginal wall, inserts a Foley catheter, and closes the incisions.
In simple words: This surgery fixes problems with bladder control (stress incontinence) and a bulging bladder into the vagina (cystocele).The doctor uses stitches to lift and support the bladder and repair the vaginal wall. Small incisions are made in the vagina and lower abdomen.
The Pereyra procedure, also known as Pereyra colposuspension, is a surgical technique used to treat stress urinary incontinence and cystocele.It involves inserting sutures through the paraurethral tissue near the bladder neck and attaching them to the abdominal fascia to elevate the bladder and restore the urethrovesical angle.The procedure often includes an anterior colporrhaphy to repair the vaginal wall. The surgeon makes small incisions in the vagina and abdomen, inserts sutures, and then closes the incisions. A Foley catheter is typically placed post-operatively.
Example 1: A 45-year-old female patient presents with stress urinary incontinence and a cystocele following vaginal delivery.The Pereyra procedure is performed to correct both conditions., A 60-year-old female patient experiences recurrent urinary tract infections due to a cystocele. The Pereyra procedure is chosen to address the cystocele and improve bladder support., A 52-year-old female patient with postmenopausal stress incontinence and a mild cystocele is a candidate for the minimally invasive Pereyra procedure, given her preference for less extensive surgery.
Preoperative assessment including physical examination, urodynamic studies, and patient history. Intraoperative documentation of surgical steps, including suture placement and tissue repair. Postoperative notes, including catheter removal, follow-up appointments, and assessment of continence.
** The Pereyra procedure is a less invasive alternative to other surgical options for stress urinary incontinence and cystocele.The success rate varies depending on patient factors and surgical technique.Always refer to the most up-to-date coding guidelines and payer policies.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided source.Consult current fee schedules for RVU data.
- Global Days: Information not available in provided source.Consult CPT guidelines for global period information.
- Payment Status: Active
- Modifier TC rule: Information not available in provided source.TC modifiers may or may not apply depending on the context. Consult current coding guidelines.
- Fee Schedule: Information not available in provided source. Consult historical fee schedules for relevant data.
- Specialties:Urogynecology, Urology, Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)