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CPT 57267: Vaginal Prosthetic Graft for Anterior/Posterior Vaginal Wall
CPT code 57267 denotes the vaginal insertion of a prosthetic graft over the anterior and/or posterior vaginal wall when native tissue lacks reasonable strength. As an add-on procedure, it must be billed alongside a primary pelvic reconstructive surgery code. This code is relevant nationally because it captures use of prosthetic material in pelvic organ prolapse and vaginal wall reinforcement procedures, affecting coding accuracy, surgical reporting, and payment for reconstructive pelvic surgery.
Payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find coverage and billing considerations across major payers, typical sites of service, and the clinical context for reporting an add-on vaginal prosthetic graft procedure. The publication provides benchmarks for utilization and coding practice, summarizes policy and coverage trends relevant to prosthetic grafts in vaginal reconstructive surgery, and outlines the clinical scenarios in which 57267 is reported. Data not available in the input are noted where applicable. The content is intended for coders, billing managers, and policy analysts seeking a concise national perspective on coding, coverage, and clinical context for CPT code 57267.
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Billing Code Overview
CPT code 57267 describes the insertion of a prosthetic graft over the anterior and/or posterior vaginal wall due to inadequate native tissue strength. The procedure is performed via a vaginal approach and is an add-on procedure, intended to be reported in conjunction with a primary pelvic reconstructive procedure.
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Service type: Pelvic reconstructive surgical add-on
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Typical site of service: Inpatient or outpatient surgical setting with a vaginal approach