2025 CPT code 57426
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Revision (including removal) of a prosthetic vaginal graft using a laparoscopic approach.
Modifiers may be applicable to this code to specify the type of service provided (e.g., assistant surgeon, multiple procedures), or to indicate that the procedure was performed in an unusual location or under unusual circumstances.
Medical necessity for this procedure is established when a prosthetic vaginal graft causes complications such as erosion, exposure, infection, or significant patient discomfort that impacts quality of life and cannot be resolved through conservative measures. The procedure is considered medically necessary to alleviate symptoms, prevent further complications, and restore normal vaginal anatomy and function.
The clinical responsibility encompasses the entire surgical procedure, including patient positioning, prepping and draping, anesthesia administration, laparoscopic insertion and insufflation of the abdomen with CO2, trocar placement, dissection and removal of the vaginal graft, closure of the surgical site, and post-operative care.
In simple words: The doctor removes or fixes a previously implanted vaginal support using a small incision and a camera (laparoscopy). This might be needed if the support is damaged or causing problems.
This CPT code, 57426, describes the revision or removal of a previously placed prosthetic vaginal graft via a laparoscopic approach.The procedure involves the use of a laparoscope and associated instruments to access and remove the graft, which may be necessary due to complications such as erosion, exposure, or inflammation.The procedure includes surgical dissection, removal of the graft and any attached tissue, closure of the surgical site, and management of any complications encountered during the procedure. The laparoscopic approach minimizes invasiveness compared to open surgical techniques.
Example 1: A 55-year-old female patient presents with a vaginal mesh erosion following a previous pelvic floor repair. The surgeon performs a laparoscopic revision/removal of the mesh graft to address the erosion., A 60-year-old female patient experiences recurrent vaginal vault prolapse after a prior vaginal graft placement. Laparoscopic revision is necessary to remove the non-functional graft and to perform a subsequent corrective surgical repair., A 48-year-old female patient reports inflammation and discomfort related to a previously placed vaginal graft.Laparoscopic removal of the graft is performed to alleviate the patient's symptoms and prevent further complications.
* Preoperative assessment including patient history, physical examination, imaging studies (if any).* Operative report detailing the procedure, including the type of graft removed, location of the graft, findings during surgery, complications encountered (if any), specimens sent for pathology.* Postoperative progress notes documenting the patient's recovery and any complications.* Any relevant imaging studies before and after surgery.
** The use of robotic assistance during the procedure is considered an adjunct to laparoscopy and does not warrant separate billing.Code S2900 might be reported for informational purposes only.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Gynecology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office