2025 CPT code 57288
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Sling operation for stress incontinence (e.g., fascia or synthetic).
Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural services, 59 for distinct procedural services).Consult current modifier guidelines.
Medical necessity for code 57288 is established when a patient presents with symptoms of stress urinary incontinence that significantly impact their quality of life and have not responded adequately to conservative management options (e.g., pelvic floor exercises, lifestyle modifications).
The physician administers anesthesia, positions the patient (dorsal lithotomy or supine), makes incisions, places the sling, secures it, adjusts tension, performs cystoscopy, places and removes the catheter, and closes incisions.
In simple words: The doctor puts a small support (sling) under the urethra to help with urinary incontinence (leakage).The sling can be made of the patient's own tissue or a special material.It's placed through a small cut either in the belly or vagina. This helps the urethra stay in the right place, stopping leaks.
This CPT code encompasses various sling procedures to treat urinary stress incontinence.A sling, made of fascia or synthetic material, is placed under the urethra to provide support and restore its correct position. The approach can be abdominal or vaginal, utilizing techniques such as pubocervical or transvaginal slings (e.g., Monarc® subfascial hammock, transobturator tape (TOT), tension-free vaginal tape (TVT)).The procedure includes cystoscopy to ensure the sling doesn't compromise the bladder, catheter placement for 24 hours, and closure of incisions.Specific sling types are not separately coded; this code covers all variations.
Example 1: A 55-year-old female patient presents with stress urinary incontinence.The physician performs a transvaginal tension-free vaginal tape (TVT) procedure using code 57288., A 60-year-old female patient experiences urinary incontinence after childbirth.The physician performs an abdominal sling procedure using autologous fascia, coded as 57288., A 48-year-old female with stress incontinence undergoes a transobturator tape (TOT) procedure. The procedure is billed with CPT code 57288.
* Preoperative evaluation and assessment of urinary incontinence.* Detailed operative report specifying the type of sling used (fascia, synthetic, and brand if applicable), surgical approach (abdominal, vaginal), and placement technique.* Intraoperative findings (e.g., cystoscopy results).* Postoperative course and management (e.g., catheterization, pain management).* Follow-up assessment of urinary continence.
** This code encompasses a variety of surgical techniques for stress urinary incontinence.Always ensure accurate documentation of the specific type of sling used and approach taken to support correct coding.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.Consult the current CPT codebook and your local payer's fee schedule for RVU values and reimbursement rates.
- Global Days: This information is not available in the provided source. The global period will depend on payer guidelines and local practice norms.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier might be applicable depending on the specific scenario.Refer to payer specific guidance for further details.
- Fee Schedule: Historical fee schedule data is not available in the provided text. Consult fee schedules from relevant payers and years.
- Specialties:Urology, Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital