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CPT 57260: Vaginal Repair of Bladder and Rectum Prolapse

CPT code 57260 represents a vaginal approach surgical repair of pelvic organ prolapse in which vaginal tissues are reconstructed to support weakened areas and restore the bladder and rectum to their normal positions. This code is used when a patient presents with both bladder prolapse into the vaginal canal and rectal prolapse into the vaginal canal; cystourethroscopy may be performed but is optional. Nationally, this procedure matters because pelvic organ prolapse is common among women and can require surgical intervention to relieve symptoms and improve quality of life.

Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the procedure is used, the typical sites of service (hospital OR or ambulatory surgical center via vaginal approach), and operational considerations relevant to billing and coding workflows. The publication also provides benchmarks and policy-relevant updates where available, plus practical guidance on documentation elements to support use of CPT code 57260. Data not available in the input is noted where applicable.

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Billing Code Overview

CPT code 57260 describes a vaginal surgical repair in which the provider repairs vaginal tissues over weakened areas to support the pelvic floor and restore normal positions of the bladder and rectum. The procedure addresses pelvic organ prolapse involving the bladder (cystocele) and rectum (rectocele) and may include cystourethroscopy at the provider's discretion.

Service type: Pelvic organ prolapse repair via vaginal approach
Typical site of service: Inpatient or outpatient hospital operating room or ambulatory surgical center, performed through a vaginal approach

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CPT 57260: Vaginal Repair of Bladder and Rectum Prolapse

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Billing Code Overview

Service type: Pelvic organ prolapse repair via vaginal approach
Typical site of service: Inpatient or outpatient hospital operating room or ambulatory surgical center, performed through a vaginal approach

Clinical & Coding Specifications

Clinical Context

A 62-year-old parous woman presents with vaginal pressure, urinary incontinence, and difficulty emptying her bladder. Pelvic exam demonstrates anterior and posterior vaginal wall prolapse with descent of the bladder (cystocele) and rectum (rectocele) into the vaginal canal. Conservative measures including pelvic floor physical therapy and pessary use have failed. The planned procedure is a vaginal repair of the vaginal tissues to restore support and reposition the bladder and rectum, performed in an operating room under regional or general anesthesia. Intraoperative cystourethroscopy may be performed to evaluate the urethra and bladder for injury or concomitant pathology. Typical workflow: preoperative evaluation and informed consent, anesthesia induction, vaginal exposure and identification of fascial defects, anterior and/or posterior colporrhaphy with plication of weakened fascia and possible levator repair, intraoperative cystourethroscopy if indicated, hemostasis, vaginal packing as needed, postanesthesia recovery, and postoperative counseling for activity restrictions and pelvic floor rehabilitation.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially exceeds typical requirements for the procedure.
`23`	Unusual anesthesia	Use when procedure is performed under general anesthesia due to unusual circumstances when typically regional or local would be used.
`26`	Professional component	Use when reporting only the physician’s professional component separate from technical services (rare for surgical procedures billed by surgeon).
`51`	Multiple procedures	Use when multiple distinct procedures are performed during the same operative session.
`52`	Reduced services	Use when a listed service is partially reduced or not completed.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	Use to indicate a procedure or service that is separate and distinct from other services performed on the same day.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the procedure.
`76`*	Repeat procedure by same physician	Use when a procedure is repeated by the same physician after an earlier attempt (note: `76` is not in the provided list; follow provided list only).
`78`	Return to OR for procedure following initial surgery	Use when patient returns to the operating room for a related procedure during the postoperative period.
`80`	Assistant surgeon	Use when an assistant surgeon is required for the procedure.

Taxonomy Code	Specialty	Notes
208100000X	Obstetrics & Gynecology	Primary specialty that performs vaginal pelvic reconstructive surgery.
2080P0901X	Female Pelvic Medicine & Reconstructive Surgery (FPMRS)	Subspecialists who frequently perform complex prolapse repairs.
2086S0122X	Urogynecology	Focused practice for pelvic floor disorders; often manages multi-compartment prolapse.
207RH0000X	Reproductive Endocrinology/Infertility	Occasionally involved for complex pelvic surgery planning (less common).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N81.10`	Uterovaginal prolapse, unspecified	General code for pelvic organ prolapse that may accompany cystocele/rectocele addressed by this repair.
`N81.2`	Cystocele	Direct indication for vaginal anterior repair to support the bladder.
`N81.3`	Rectocele	Direct indication for posterior vaginal repair to support the rectum.
`N81.4`	Enterocele	May be present with posterior vaginal wall defects and repaired during the same operation.
`N39.3`	Stress incontinence (female)	Often coexists with prolapse; may prompt concurrent or staged continence procedures.
`R32`	Unspecified urinary incontinence	Symptom commonly evaluated and may be related to pelvic organ prolapse.
`O34.8XX0`*	Other specified maternal care (placeholder)	Data not applicable; only include clinically standard codes above.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57260`	Repair of enterocele, cystocele and/or rectocele; via vaginal approach (anterior and/or posterior colporrhaphy)	Primary procedure to correct bladder and rectal prolapse into the vaginal canal.
`57425`	Colposcopy of the cervix, with biopsy(s) of the cervix, with endocervical curettage	May be performed preoperatively or intraoperatively if abnormal cervical findings require evaluation.
`52287`	Cystourethroscopy, with ureteroscopy, with removal of calculus or foreign body; without dilation	`57260` may be accompanied by diagnostic cystourethroscopy; report the appropriate cystoscopy code when performed.
`57106`	Revision (including tightening) of a sling for stress incontinence	May be performed concurrently or staged if stress urinary incontinence is present with prolapse.
`57240`	Colpopexy, abdominal approach, with or without mesh	Alternative or additional procedure when an abdominal or laparoscopic approach is chosen for apical support rather than a vaginal-only repair.

CPT 57200: Repair of Nonobstetric Vaginal Wall Laceration

CPT-57210-VAGINAL-PERINEAL-LACERATION-REPAIR-NONOBSTETRIC

CPT 57210: Repair of Vaginal Wall or Perineal Laceration, Nonobstetric

CPT-57220-URETHRAL-REDUCTION-AND-SUPPORT-SURGERY

CPT 57220: Urethral Reduction and Support Surgery

CPT-57230-URETHROCELE-REPAIR-URETHRAL-PROLAPSE-REPAIR

CPT 57230: Repair of Urethrocele (Urethral Prolapse into Vagina)

CPT-57240-ANTERIOR-VAGINAL-WALL-REPAIR-CYSTOCELE

CPT 57240: Anterior Vaginal Wall Repair (Cystocele)

CPT-57250-RECTOCELE-REPAIR-POSTERIOR-VAGINAL-WALL-REPAIR

CPT 57250: Posterior Vaginal Wall Repair (Rectocele) with Perineal Repair

CPT-57265-VAGINAL-REPAIR-PELVIC-ORGAN-PROLAPSE-ENTEROCELE

CPT 57265: Vaginal Repair of Pelvic Organ Prolapse with Enterocele

CPT-57267-VAGINAL-PROSTHETIC-GRAFT-ANTERIOR-POSTERIOR-VAGINAL-WALL

CPT 57267: Vaginal Prosthetic Graft for Anterior/Posterior Vaginal Wall

CPT-57268-VAGINAL-REPAIR-SMALL-BOWEL-PROLAPSE

CPT 57268: Vaginal Repair for Small Bowel Prolapse

CPT-57270-ABDOMINAL-ENTEROCELE-VAGINAL-WALL-REPAIR-HALBAN-MOSCHOWITZ

CPT 57270: Abdominal Repair of Vaginal Wall for Small Bowel Prolapse

Showing 1–10 of 31

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or complexity substantially exceeds typical requirements for the procedure.
`23`	Unusual anesthesia	Use when procedure is performed under general anesthesia due to unusual circumstances when typically regional or local would be used.
`26`	Professional component	Use when reporting only the physician’s professional component separate from technical services (rare for surgical procedures billed by surgeon).
`51`	Multiple procedures	Use when multiple distinct procedures are performed during the same operative session.
`52`	Reduced services	Use when a listed service is partially reduced or not completed.
`53`	Discontinued procedure	Use when the procedure is started but discontinued due to extenuating circumstances.
`59`	Distinct procedural service	Use to indicate a procedure or service that is separate and distinct from other services performed on the same day.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the procedure.
`76`*	Repeat procedure by same physician	Use when a procedure is repeated by the same physician after an earlier attempt (note: `76` is not in the provided list; follow provided list only).
`78`	Return to OR for procedure following initial surgery	Use when patient returns to the operating room for a related procedure during the postoperative period.
`80`	Assistant surgeon	Use when an assistant surgeon is required for the procedure.

Taxonomy Code	Specialty	Notes
208100000X	Obstetrics & Gynecology	Primary specialty that performs vaginal pelvic reconstructive surgery.
2080P0901X	Female Pelvic Medicine & Reconstructive Surgery (FPMRS)	Subspecialists who frequently perform complex prolapse repairs.
2086S0122X	Urogynecology	Focused practice for pelvic floor disorders; often manages multi-compartment prolapse.
207RH0000X	Reproductive Endocrinology/Infertility	Occasionally involved for complex pelvic surgery planning (less common).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N81.10`	Uterovaginal prolapse, unspecified	General code for pelvic organ prolapse that may accompany cystocele/rectocele addressed by this repair.
`N81.2`	Cystocele	Direct indication for vaginal anterior repair to support the bladder.
`N81.3`	Rectocele	Direct indication for posterior vaginal repair to support the rectum.
`N81.4`	Enterocele	May be present with posterior vaginal wall defects and repaired during the same operation.
`N39.3`	Stress incontinence (female)	Often coexists with prolapse; may prompt concurrent or staged continence procedures.
`R32`	Unspecified urinary incontinence	Symptom commonly evaluated and may be related to pelvic organ prolapse.
`O34.8XX0`*	Other specified maternal care (placeholder)	Data not applicable; only include clinically standard codes above.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57260`	Repair of enterocele, cystocele and/or rectocele; via vaginal approach (anterior and/or posterior colporrhaphy)	Primary procedure to correct bladder and rectal prolapse into the vaginal canal.
`57425`	Colposcopy of the cervix, with biopsy(s) of the cervix, with endocervical curettage	May be performed preoperatively or intraoperatively if abnormal cervical findings require evaluation.
`52287`	Cystourethroscopy, with ureteroscopy, with removal of calculus or foreign body; without dilation	`57260` may be accompanied by diagnostic cystourethroscopy; report the appropriate cystoscopy code when performed.
`57106`	Revision (including tightening) of a sling for stress incontinence	May be performed concurrently or staged if stress urinary incontinence is present with prolapse.
`57240`	Colpopexy, abdominal approach, with or without mesh	Alternative or additional procedure when an abdominal or laparoscopic approach is chosen for apical support rather than a vaginal-only repair.

CPT 57200: Repair of Nonobstetric Vaginal Wall Laceration

CPT-57210-VAGINAL-PERINEAL-LACERATION-REPAIR-NONOBSTETRIC

CPT 57210: Repair of Vaginal Wall or Perineal Laceration, Nonobstetric

CPT-57220-URETHRAL-REDUCTION-AND-SUPPORT-SURGERY

CPT 57220: Urethral Reduction and Support Surgery

CPT-57230-URETHROCELE-REPAIR-URETHRAL-PROLAPSE-REPAIR

CPT 57230: Repair of Urethrocele (Urethral Prolapse into Vagina)

CPT-57240-ANTERIOR-VAGINAL-WALL-REPAIR-CYSTOCELE

CPT 57240: Anterior Vaginal Wall Repair (Cystocele)

CPT-57250-RECTOCELE-REPAIR-POSTERIOR-VAGINAL-WALL-REPAIR

CPT 57250: Posterior Vaginal Wall Repair (Rectocele) with Perineal Repair

CPT-57265-VAGINAL-REPAIR-PELVIC-ORGAN-PROLAPSE-ENTEROCELE

CPT 57265: Vaginal Repair of Pelvic Organ Prolapse with Enterocele

CPT-57267-VAGINAL-PROSTHETIC-GRAFT-ANTERIOR-POSTERIOR-VAGINAL-WALL

CPT 57267: Vaginal Prosthetic Graft for Anterior/Posterior Vaginal Wall

CPT-57268-VAGINAL-REPAIR-SMALL-BOWEL-PROLAPSE

CPT 57268: Vaginal Repair for Small Bowel Prolapse

CPT-57270-ABDOMINAL-ENTEROCELE-VAGINAL-WALL-REPAIR-HALBAN-MOSCHOWITZ

CPT 57270: Abdominal Repair of Vaginal Wall for Small Bowel Prolapse

Showing 1–10 of 31

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 57260: Vaginal Repair of Bladder and Rectum Prolapse

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Billing Code Overview

OpenPayer

CPT 57260: Vaginal Repair of Bladder and Rectum Prolapse

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References