2025 CPT code 57296
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgical Procedures on the Female Genital System - Repair Procedures on the Vagina Surgery Feed
Revision (including removal) of a prosthetic vaginal graft using an open abdominal approach.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT guidelines for appropriate modifier usage.
Medical necessity for this procedure is established by the presence of symptoms related to vaginal mesh erosion, thinning of overlying tissue, or exposure of the mesh. These symptoms can cause significant pain, discomfort, infection, and may impair sexual function, thus necessitating surgical intervention.
The clinical responsibility rests with the surgeon who performs the procedure. This includes pre-operative assessment, obtaining informed consent, performing the surgery, providing post-operative care and follow-up. Anesthesiologist may be involved in administering anesthesia.
In simple words: This procedure involves surgically removing or repairing a mesh that was previously placed in the vagina if it's causing problems. The surgeon makes an incision in the abdomen to access and remove the mesh, then repairs the area.
This CPT code describes the surgical revision or removal of a previously implanted prosthetic vaginal graft via an open abdominal approach.The procedure is indicated when the graft has eroded, the overlying tissue has thinned, or the mesh is exposed. The surgeon will make an abdominal incision, enter the pelvis, identify and dissect the graft, remove it along with any attached tissue, meticulously ensure no damage to surrounding organs (bowel, rectum, bladder), close the endopelvic fascia, and repair the vaginal tissue in layers.The graft's attachment points to ligaments may require additional dissection and suture closure.The abdominal incision is then closed, and vaginal packing may be used for hemostasis.
Example 1: A 60-year-old female patient presents with a vaginal mesh erosion following a prior pelvic organ prolapse repair.The surgeon performs an open abdominal approach to remove the eroded mesh and repair the vaginal defect., A 55-year-old female patient experiences recurrent vaginal pain and discharge due to a thinned vaginal tissue overlying a previously placed vaginal mesh. An open abdominal approach is used to revise the graft and repair the area., A 72-year-old female patient complains of chronic pelvic pain and dyspareunia.Examination reveals a partially exposed vaginal mesh requiring surgical removal via an open abdominal procedure.
* Operative report detailing the procedure and findings.* Preoperative and postoperative diagnostic imaging (if applicable).* Pathology reports (if applicable).* Patient history and physical examination notes documenting the need for the procedure.* Any relevant prior surgical records.
** This code is specifically for an open abdominal approach.For laparoscopic approaches, code 57426 should be used. Always ensure the documentation accurately reflects the procedure performed to support accurate coding.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.RVUs vary by payer and location. Consult your specific payer's fee schedule for accurate values.
- Global Days : The global period for this procedure is not specified in the provided sources.This will depend on payer-specific guidelines and the complexity of the case.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided source.
- Fee Schedule : Historical fee schedule information is not provided in the source.This data varies by payer and location. Consult your specific payer's fee schedule for historical data.
- Specialties:Gynecology, Urogynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center