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2025 CPT code 57240

Anterior colporrhaphy; repair of cystocele with or without urethrocele repair, including cystourethroscopy when performed.

Follow current CPT guidelines for coding surgical procedures. Accurate documentation is crucial for appropriate reimbursement.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service, etc.).

Medical necessity for anterior colporrhaphy is established by the presence of a symptomatic cystocele causing significant urinary symptoms (e.g., incontinence, urgency, frequency) or pelvic pressure.Imaging studies may be used to confirm the diagnosis.

The surgeon performs the procedure under regional or general anesthesia.This involves making an incision in the anterior vaginal wall, repairing the pubocervical fascia, and possibly repairing a urethrocele. Cystourethroscopy may be used to examine the bladder and urethra.

IMPORTANT:Do not report 57240 in conjunction with 52000. For urethral suspension (Marshall-Marchetti-Krantz type, abdominal approach), see 51840, 51841. For laparoscopic suspension, use 51990. For pelvic laparotomy, use 49000.

In simple words: This surgery fixes a condition where the bladder pushes into the vagina. The doctor tightens the vaginal muscles to hold the bladder in place.They might also repair a related problem with the urethra and check the bladder with a thin, lighted tube.

Anterior colporrhaphy is a surgical procedure to repair a cystocele, a condition where the bladder bulges into the vagina due to weakened supporting tissues.The procedure involves tightening the muscles along the anterior vaginal wall using sutures to support the bladder and restore its normal position.A urethrocele repair and cystourethroscopy may also be performed as part of the procedure.

Example 1: A 60-year-old female patient presents with symptoms of urinary incontinence and a feeling of pelvic pressure.Physical examination reveals a cystocele.Anterior colporrhaphy is performed to repair the cystocele, restoring bladder support and alleviating the patient's symptoms., A 55-year-old female patient undergoes a hysterectomy and during the procedure, a significant cystocele is discovered.An anterior colporrhaphy is performed concurrently to address the cystocele and prevent future complications., A 72-year-old female patient with a history of multiple vaginal deliveries presents with urinary urgency and frequency.Examination shows a cystocele and a concurrent urethrocele. Anterior colporrhaphy with urethrocele repair is performed, resolving both issues.

* Preoperative evaluation including patient history, physical examination findings, and imaging studies (if any).* Operative report detailing the surgical technique, findings, and complications (if any).* Postoperative notes documenting the patient's recovery and any complications.* Pathology report (if applicable).

** The inclusion of cystourethroscopy in the code depends on whether it was performed during the procedure.Proper documentation is key for accurate coding.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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