Primary CPT Code
The most common CPT code for the revision or repair of a vaginal cuff, without complications, is typically:
57200
Colporrhaphy, suture of injury of vagina (nonobstetrical)
However, the correct code depends on several factors, including the surgical approach and complexity. Use the interactive tools below to determine the most accurate code for your specific scenario.
Interactive Code Finder
Answer the following questions to identify the appropriate CPT code for the procedure. This tool helps illustrate the decision-making process based on key procedural details.
Your Recommended Code:
Select options and click "Determine Code" to see the result.
Coding Decision Flowchart
Detailed CPT Code Breakdown
CPT 57200 - Simple Vaginal Repair
▾Official Description: Colporrhaphy, suture of injury of vagina (nonobstetrical).
Use Case: This is the most frequently used code for a simple, uncomplicated repair of a vaginal cuff separation (dehiscence) performed via a vaginal approach. It involves suturing the vaginal tissue back together.
Key Factor: Vaginal approach, non-complex suture repair.
CPT 57210 - Complex Vaginal Repair
▾Official Description: Colporrhaphy, repair of enterocele, vaginal approach (separate procedure).
Use Case: While the description specifies enterocele repair, this code may be considered for a more complex vaginal cuff repair that involves more than simple suturing, such as the placement of a graft. Payer policies may vary, so documentation is key.
Key Factor: Vaginal approach, repair is complex or requires a graft.
CPT 58999 - Unlisted Procedure (Abdominal/Laparoscopic)
▾Official Description: Unlisted procedure, female genital system (nonobstetrical).
Use Case: There is no specific CPT code for a vaginal cuff repair performed via an abdominal or laparoscopic approach. Therefore, an unlisted code must be used. It's crucial to submit a detailed operative report and a letter explaining the procedure, comparing its complexity to a similar existing CPT code (e.g., CPT 57200) to justify the reimbursement requested.
Key Factor: Abdominal or laparoscopic approach.
CPT +11008 - Add-on for Debridement
▾Official Description: Removal of prosthetic material or mesh, abdominal wall for infection... (list continues).
Use Case: This is an add-on code. While its description specifies abdominal wall, coders may be directed to use it for the debridement of infected or necrotic mesh/tissue at the vaginal cuff during a repair, when performed via an abdominal/laparoscopic approach. It should be billed in addition to the primary procedure code (e.g., 58999).
Key Factor: Presence and removal of infected/necrotic tissue or mesh.
Clinical Scenarios
Patient with Post-Hysterectomy Vaginal Cuff Separation
A patient presents 6 weeks post-hysterectomy with a 2 cm separation of the vaginal cuff, discovered during a pelvic exam. The patient is taken to the operating room, where the surgeon repairs the cuff via a vaginal approach using simple interrupted sutures.
Correct Code: 57200
Rationale: The procedure is a non-complex suture repair of a vaginal injury performed through a vaginal approach.