2025 CPT code 57550

Excision of cervical stump, vaginal approach.

Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), or reduced services (52).

Medical necessity for this procedure is established by the presence of symptoms or conditions related to the retained cervical stump, such as bleeding, pain, infection, or dysplasia.

The surgeon positions the patient, performs a vaginal incision, dissects the cervical stump, manages bleeding, and closes the incision.

In simple words: The doctor removes the remaining part of the cervix through the vagina after a partial hysterectomy where the uterus was removed but the cervix was left in place.

This procedure involves the removal of the remaining cervical tissue (cervical stump) after a subtotal hysterectomy. The procedure is performed through the vagina.

Example 1: A patient experiences post-menopausal bleeding due to the remaining cervical stump after a subtotal hysterectomy. The physician performs a vaginal excision of the cervical stump., A patient with a history of subtotal hysterectomy develops cervical dysplasia. To prevent further complications, the physician opts for a vaginal excision of the cervical stump., A patient who had a subtotal hysterectomy now presents with a prolapsed cervical stump causing discomfort and other symptoms. The physician performs a vaginal excision of the cervical stump to alleviate the prolapse.

Documentation should include operative report detailing the procedure, indication for the procedure, pre- and post-operative diagnoses, and any complications encountered.

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