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CPT 57425: Laparoscopic Suspension of Vaginal Apex for Vault Prolapse
CPT code 57425 represents a laparoscopic suspension of the vaginal apex (vaginal vault) to a strong supporting structure using sutures or mesh to correct vaginal vault prolapse. The code captures a minimally invasive pelvic reconstructive procedure commonly performed after hysterectomy or when vault descent impairs pelvic floor function. Nationally, this code is significant because it reflects the use of laparoscopic techniques in pelvic organ prolapse management and factors into surgical quality, utilization, and reimbursement discussions across payers.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent, typical sites of service, and common billing considerations tied to this procedure. The publication provides benchmarks for utilization and allowed amounts where available, summarizes relevant policy and coverage themes affecting access to laparoscopic prolapse repair, and outlines coding and clinical context that influence payer adjudication. The material is intended for clinicians, billing professionals, and policy analysts seeking a clear, national-level understanding of how CPT code 57425 is used and reimbursed in contemporary practice.
Data not available in the input: associated taxonomies, ICD-10 diagnoses, related codes, and payer-specific rate details.
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Billing Code Overview
CPT code 57425 describes a laparoscopic suspension of the vaginal apex (vaginal vault) to a strong supporting structure using sutures or mesh to treat vaginal vault prolapse. The procedure is performed via a minimally invasive, laparoscopic approach to restore pelvic support after hysterectomy or when the vaginal apex has descended.
Service type: Surgical — Minimally invasive pelvic reconstructive surgery
Typical site of service: Hospital outpatient department or ambulatory surgery center