How To Use CPT Code 57280

CPT 57280 describes a surgical procedure known as colpopexy, which is performed through an abdominal incision. This article will provide an overview of CPT code 57280, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 57280?

CPT 57280 is a code used to describe a surgical procedure called colpopexy. This procedure involves the provider pulling up the vaginal vault that is prolapsing and attaching it to a strong structure using sutures. The procedure is performed through an abdominal incision.

2. Official Description

The official description of CPT code 57280 is: ‘Colpopexy, abdominal approach.’

3. Procedure

1. The provider administers anesthesia and appropriately preps and drapes the patient.
2. An abdominal incision is made through the skin, subcutaneous tissue, muscle, and fascia.
3. The provider explores the abdominal cavity and identifies the vagina.
4. The bladder is dissected off the anterior vaginal wall, and the posterior wall is freed.
5. The peritoneum overlying the sacrum is incised and cleared.
6. The vagina is secured to the periosteum of the sacral promontory using sutures to create a sling.
7. In some cases, mesh material may be inserted to act as a sling.
8. The abdomen is closed in layers.

4. Qualifying circumstances

CPT 57280 is performed on patients with a prolapsed vagina that requires surgical intervention. The procedure is done through an abdominal approach, and the patient must meet the criteria for this specific surgical treatment.

5. When to use CPT code 57280

CPT code 57280 should be used when a provider performs a colpopexy procedure through an abdominal incision. It is important to ensure that the procedure meets the specific criteria outlined in the official description of the code.

6. Documentation requirements

To support a claim for CPT code 57280, the provider must document the following information:

• Patient’s diagnosis and the need for colpopexy
• Details of the procedure, including the approach (abdominal) and any additional techniques used
• Date of the procedure
• Any complications or unexpected findings
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 57280, it is important to ensure that the procedure meets the specific criteria outlined in the official description. Additionally, if mesh material is used during the procedure, it should not be reported separately. It is also important to follow any specific billing guidelines provided by the payer or coding guidelines.

8. Historical information

CPT code 57280 was added to the Current Procedural Terminology system on January 1, 1990. In 2017, it was added under the Inpatient Only (IPO) list for Medicare.

9. Examples

1. A provider performs an abdominal colpopexy on a patient with a prolapsed vagina.
2. A patient undergoes a colpopexy procedure through an abdominal incision to correct vaginal prolapse.
3. A provider performs a colpopexy using an abdominal approach to address a patient’s vaginal vault prolapse.
4. An abdominal colpopexy is performed on a patient with a prolapsed vagina to provide support and stabilization.
5. A provider performs a colpopexy through an abdominal incision to correct a patient’s vaginal prolapse and restore normal anatomy.
6. A patient undergoes an abdominal colpopexy procedure to address the prolapse of the vaginal vault.
7. A provider performs a colpopexy using an abdominal approach to provide support and stabilization for a patient with vaginal prolapse.
8. An abdominal colpopexy is performed on a patient to correct the prolapse of the vaginal vault and improve symptoms.
9. A patient undergoes a colpopexy procedure through an abdominal incision to address the prolapse of the vaginal vault.
10. A provider performs a colpopexy using an abdominal approach to restore normal anatomy and provide support for a patient with vaginal prolapse.