Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 CPT code 57288

Sling operation for stress incontinence (e.g., fascia or synthetic).

Refer to the current CPT manual for complete coding guidelines. Cystoscopy is considered integral to the procedure and is not separately reported.

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.

IMPORTANT:For laparoscopic approach, use 51992. For urethral suspension (Marshall-Marchetti-Krantz type, abdominal approach), see 51840, 51841.For pelvic laparotomy, use 49000.

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.

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

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.