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CPT 57107: Partial Vaginectomy with Paravaginal Tissue Resection
CPT code 57107 denotes a partial vaginectomy in which the surgeon removes either the upper one third or the lower two thirds of the vagina together with paravaginal tissue. This gynecologic surgical code captures a significant operative intervention used in the management of conditions affecting vaginal and paravaginal structures and has implications for hospital, ambulatory surgery center, and payer billing and coverage policies nationwide. Nationally, accurate coding for procedures like 57107 matters for clinical reporting, resource allocation, and claims adjudication.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical service represented by the code, typical sites of service, and the payer landscape covered. The publication outlines expected benchmarks for claims processing, common modifier usage (where provided in input), and the clinical context in which this procedure is billed. Where specific input fields are unavailable, the report notes those gaps as "Data not available in the input." The material is intended to inform coding professionals, billing staff, and policy analysts about the clinical definition, billing context, and payer coverage considerations associated with CPT code 57107.
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Billing Code Overview
CPT code 57107 describes a surgical procedure in which the provider removes either the upper one third or the lower two thirds of the vagina along with paravaginal tissue. This operation is a form of partial vaginectomy performed for clinical indications involving the vagina and adjacent paravaginal structures.
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Service type: Major gynecologic surgical procedure (partial vaginectomy with paravaginal tissue resection)
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Typical site of service: Hospital inpatient or hospital outpatient surgical setting, and ambulatory surgery centers when clinically appropriate
Data not available in the input for payers, associated taxonomies, ICD-10 diagnoses, and related codes.