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CPT 53230: Urethral Diverticulectomy, Vaginal Approach
CPT code 53230 denotes a surgical urethral diverticulectomy in female patients performed via an incision in the vaginal wall to improve urination and relieve pain. This code captures a focused genitourinary surgical service used by urologists and gynecologic surgeons for symptomatic urethral diverticula. Nationally, accurate coding of 53230 matters for clinical documentation, appropriate site-of-service designation, and aggregation of surgical volume for quality assessment.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for the procedure, typical sites of service, and the types of metrics and benchmarks commonly associated with surgical genitourinary procedures. The summary also highlights operational and billing considerations relevant to hospital and ambulatory surgery center billing workflows.
This publication provides benchmarks where available, notes on recent policy and coding guidance relevant to surgical genitourinary services, and clinical context to aid coding accuracy and revenue cycle alignment. Data not available in the input will be identified as such in the detailed sections.
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Billing Code Overview
CPT code 53230 describes surgical removal of a female urethral diverticulum through an incision in the vaginal wall. The procedure is performed to improve urinary function and relieve pelvic or urethral pain associated with a diverticulum.
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Service type: Surgical procedure (urethral diverticulectomy)
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Typical site of service: Hospital operating room or ambulatory surgery center with vaginal approach