CPT code 57230 denotes surgical repair of a urethrocele, a pelvic reconstructive procedure addressing urethral prolapse into the vagina. This code is relevant nationally because urethroceles are part of the spectrum of pelvic organ prolapse conditions that drive gynecologic surgical volume, affect patient quality of life, and intersect with coverage policies for pelvic reconstructive services. Payors commonly involved in coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise overview of clinical intent and typical care settings for 57230, followed by benchmarks and payer policy context where available. The publication summarizes reimbursement benchmarks, coding and billing considerations, and clinical context for providers and revenue-cycle stakeholders. It also highlights common modifiers and coding relationships for downstream billing workflows. Where specific payer policies are not provided in the input, the publication notes that data is not available in the input.

This national-level summary is intended for health system revenue leaders, clinicians in urogynecology and gynecology, and payer policy analysts seeking a clear description of the service, expected sites of care, and which major payers are typically involved in coverage and claims processing for this type of pelvic reconstructive surgery.