CPT code 57265 represents a vaginal approach surgical repair of weakened vaginal walls that support the bladder, rectum and small bowel, and includes repair of an enterocele when present. This pelvic reconstructive procedure is a key code for urogynecology and gynecologic surgery, affecting hospital and ambulatory surgery reimbursement and tracking of pelvic organ prolapse care across the US. It matters nationally because it captures a common, resource-intensive corrective surgery performed for symptomatic pelvic organ prolapse and enterocele.

Key payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, common billing modifiers (listed separately), and guidance on what clinical documentation commonly supports use of the code. The publication outlines typical utilization patterns, coding considerations tied to the vaginal approach and concurrent cystourethroscopy, and provides benchmarks and policy updates relevant to national payers. The content is intended to inform coding managers, billing staff, and clinical leaders about appropriate capture of the service and the contexts in which CPT code 57265 is applied.