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CPT 57020: Transvaginal Peritoneal Fluid Aspiration (Colpocentesis)
CPT code 57020 denotes transvaginal aspiration of peritoneal fluid from the vaginal vault using a spinal needle, known clinically as colpocentesis or culdocentesis. The code captures a focused diagnostic procedure used to obtain peritoneal fluid for cytology, infection assessment, or evaluation of suspected intraperitoneal bleeding. Nationally, this code matters for gynecologic diagnostic pathways, acute pelvic assessments, and inpatient-to-outpatient procedural triage.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 57020, where the service is typically performed, and which payers commonly reimburse this procedure. The publication outlines typical billing considerations and commonly used modifiers provided in the source data, and it identifies gaps where input data is unavailable.
This summary prepares clinicians, coding professionals, and policy analysts to understand the clinical intent of CPT code 57020, expected sites of service, and the payer landscape. Readers will also gain insight into where to look for benchmarks, fee-schedule variations, and any applicable policy updates. Data not available in the input is noted where relevant.
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Billing Code Overview
CPT code 57020 describes aspiration of peritoneal fluid via the vaginal vault using a spinal needle, a procedure commonly called colpocentesis or culdocentesis. This is a diagnostic aspiration of pelvic peritoneal fluid performed transvaginally.
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Service type: Transvaginal peritoneal fluid aspiration (diagnostic aspiration)
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in a procedure room or clinic setting with appropriate sterile technique.
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