Summary & Overview

CPT 57200: Repair of Nonobstetric Vaginal Wall Laceration

Headline: CPT code 57200: Surgical Repair of Nonobstetric Vaginal Wall Laceration

CPT code 57200 represents surgical suturing of a vaginal wall laceration that is not associated with childbirth or pregnancy. Nationally, the code is used to document repair of traumatic or nonobstetric mucosal injuries to the vagina and is relevant for clinical documentation, correct facility placement, and payer adjudication. Claims for this procedure can affect quality reporting and resource utilization metrics where genitourinary surgical care is tracked.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical intent and typical service settings for the code, plus an outline of common billing considerations. The publication also summarizes what readers can expect to learn about benchmarks, coding context, and policy-relevant issues that influence reimbursement and documentation for nonobstetric vaginal wall repair.

This summary is designed for coding professionals, clinicians involved in gynecologic trauma care, and billing managers seeking a national perspective on CPT code 57200 and its role within surgical service lines.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare57200CPTvaginal repairgynecologic surgerysurgical repairambulatory surgeryhospital outpatientnonobstetric laceration

Billing Code Overview

CPT code 57200 describes surgical repair in which the provider sutures a laceration of the vaginal wall that is not related to childbirth or pregnancy. This procedure addresses traumatic or nonobstetric lacerations of the vaginal mucosa.

Service type: Surgical repair of vaginal wall laceration
Typical site of service: Ambulatory surgical center or hospital outpatient/inpatient setting depending on severity and clinical context

Data not available in the input for payers beyond the provided list, associated taxonomies, and ICD-10 diagnoses.

Clinical & Coding Specifications

Clinical Context

A 34-year-old woman presents to the emergency department after sustaining a penetrating vaginal laceration from a fall onto a sharp object while hiking. She is hemodynamically stable, with localized bleeding and a 3-cm full‑thickness laceration of the lateral vaginal wall not related to pregnancy or childbirth. The clinical workflow includes triage and focused history, focused pelvic exam with visualization of the wound, local anesthesia or regional block, wound irrigation and hemostasis, layered suturing of the vaginal mucosa and muscular layers, tetanus status review, and post‑procedure instructions for activity restrictions and signs of infection. Procedure documentation records indication, consent, anesthesia, estimated blood loss, suture material, layered closure technique, and disposition. Typical site of service is the outpatient clinic, emergency department, or ambulatory surgical center depending on acuity and need for anesthesia or sedation.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially greater than typical for `57200`, documented with supporting operative note.
`23`	Unusual anesthesia	Use when the procedure was performed under general anesthesia for medical reasons rather than local/regional only.
`26`	Professional component	Use when billing professional component separately from technical services (rare for this code).
`50`	Bilateral procedure	Use if identical vaginal wall repairs are performed on both sides and payer allows bilateral reporting.
`52`	Reduced services	Use when the procedure was partially reduced or not fully performed as described.
`59`	Distinct procedural service	Use when another unrelated procedure is performed in a separate anatomical site or at a separate session on the same day.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons throughout the procedure.
`66`	Surgical team	Use when an integrated surgical team performs portions of a complex repair.
`78`	Unplanned returned to OR	Use if the patient returns to the operating room during the global period for a related complication requiring repair.
`79`	Unrelated procedure or service by same physician during global period	Use when an unrelated procedure is performed during the global period.
`52`	Reduced services	Use when documentation supports a less complex or abbreviated repair than typical.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances.
`59`	Distinct procedural service	Use to indicate a separate and distinct repair when multiple procedures occur the same day.
`TC`	Technical component	Use if billing is split and the facility bills the technical component separately.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Gynecologists commonly perform vaginal wall laceration repairs.
208000000X	Family Medicine	Family physicians in emergency or clinic settings may perform bedside repairs.
206Q00000X	Emergency Medicine	Emergency physicians commonly manage and repair acute vaginal lacerations.
363A00000X	General Surgery	General surgeons may be involved for complex perineal or pelvic soft tissue repairs.
208D00000X	Gynecologic Oncology	Gynecologic oncologists may repair vaginal defects related to non-obstetric pathology.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S31.2`	Open wound of vagina and vulva	Directly describes traumatic vaginal/vulvar lacerations requiring repair.
`S31.209`	Unspecified open wound of vagina, unspecified site	Used when the specific vaginal site is not documented.
`N89.8`	Other specified noninflammatory disorders of the vagina	May be used for nontraumatic mucosal defects requiring repair.
`S37.89`	Other injury of pelvic organs	Used when pelvic organ injury accompanies vaginal laceration.
`O70.9`	Perineal laceration during delivery, unspecified	Not applicable for nonobstetric procedures; include only for distinction — not used to code `57200`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`12032`	Repair, intermediate, wounds of face, ears, eyelids, nose, lips; 2.6 cm to 7.5 cm	May be used for intermediate layered closure techniques; not specific to vaginal wall but demonstrates coding for intermediate repairs.
`57454`	Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s)	Performed when evaluation of adjacent cervical/vaginal mucosa is needed before or after repair.
`57220`	Vaginoplasty for repair of vaginal agenesis or reconstruction	Performed for more extensive reconstructive vaginal repairs beyond simple laceration closure.
`99070`	Supplies and materials (e.g., sterile dressing), non-covered by other codes	Used to report miscellaneous supplies used during the repair when payer allows.
`51701`	Insertion of temporary indwelling urethral catheter	Performed when bladder drainage is required perioperatively for exposure or urinary retention management.