CPT code 57111 denotes complete removal of the vaginal wall with excision of paravaginal tissues, a major pelvic reconstructive or extirpative procedure. Nationally, this code represents high-complexity gynecologic surgery typically performed in hospital operating rooms or ambulatory surgical centers. It is relevant to surgical billing, anesthesia planning, post-operative care pathways, and payer coverage determinations.

Key payers in the national context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of where this service is typically provided, how it is categorized clinically, and what types of benchmarks and policy elements commonly apply to major pelvic surgeries. The publication summarizes expected clinical settings, the procedural scope implied by the code, common modifier usage (listed separately), and points of attention for coding and claims submission.

This resource is intended to inform coding professionals, revenue cycle staff, and clinical administrators about the clinical meaning of the code, typical sites of service, and the payer landscape to which this service most often relates. Data not available in the input is clearly noted in relevant sections.