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CPT 57426: Laparoscopic Revision or Removal of Vaginal Graft

CPT code 57426 designates laparoscopic revision or removal of a previously placed vaginal graft, a gynecologic surgical procedure used when graft material becomes exposed, eroded, or inflamed. Nationally, this code captures interventions to address complications of prior pelvic reconstructive surgeries and is relevant for surgical quality measurement, utilization monitoring, and reimbursement classification.

Key payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of clinical context, common settings for service delivery, and the administrative elements payers typically consider when adjudicating claims for graft revision or removal.

Readers will find benchmarks for utilization and allowed services, concise clinical context on indications for graft removal or revision, and summaries of payer policy themes and prior authorization considerations where available. The content also highlights coding and billing nuances tied to laparoscopic approach versus open procedures and identifies gaps where data is not available for this input.

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Billing Code Overview

CPT code 57426 describes the revision or removal of a previously placed vaginal graft performed using a laparoscope. The service addresses situations in which a prior vaginal graft requires partial or complete removal due to complications such as erosion, exposure, or inflammation.

Service type: Surgical procedure for graft revision or removal
Typical site of service: Operative suite or ambulatory surgery center where laparoscopic gynecologic surgery is provided

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CPT 57426: Laparoscopic Revision or Removal of Vaginal Graft

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Billing Code Overview

Service type: Surgical procedure for graft revision or removal
Typical site of service: Operative suite or ambulatory surgery center where laparoscopic gynecologic surgery is provided

Clinical & Coding Specifications

Clinical Context

A 62-year-old female with a history of transvaginal mesh placement for pelvic organ prolapse presents with persistent vaginal pain, recurrent discharge, and partial exposure of the synthetic graft on exam. Conservative measures including local estrogen, topical antibiotics, and office-based trimming were attempted without durable improvement. Imaging and exam localize erosion and surrounding inflammation without deep organ involvement. The patient is scheduled for a laparoscopic removal or revision of the previously placed vaginal graft (CPT 57426) under general anesthesia. Preoperative workflow includes surgical consent, pre-op labs and anesthesia assessment, cystoscopy intraoperatively if bladder involvement is suspected, and postoperative follow-up for wound healing, pain control, and pelvic floor rehabilitation. The typical site of service is an ambulatory surgery center or hospital outpatient department where laparoscopic gynecologic procedures are performed.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when intraoperative complexity (extensive adhesiolysis or difficult graft removal) requires substantially greater resources than typical for `57426`.
`23`	Unusual anesthesia - medically necessary	Use if general anesthesia is required for medical reasons that add risk beyond standard anesthesia for this laparoscopic procedure.
`26`	Professional component	Use when reporting only the physician's professional component separate from facility or technical charges (rare for surgical CPTs).
`52`	Reduced services	Use if the procedure is partially completed or limited in scope compared to the full descriptor of `57426`.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances or safety concerns before completion.
`62`	Two surgeons	Use when two surgeons of distinct specialties work together as primary surgeons throughout the procedure.
`63`	Procedure performed on infants weighing less than 4 kg	Generally not applicable but included when patient size affects operative coding (rare for this CPT).
`66`	Surgical team (more than one surgeon)	Use when a surgical team with multiple surgeons is documented and appropriate for billing.
`78`	Unplanned return to the operating room by same physician following initial procedure for a related procedure during the postoperative period	Use when the patient requires an unplanned reoperation related to the initial graft revision/removal.
`79`	(Not in provided list)	Data not available in the input.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Gynecologic surgeons commonly perform laparoscopic graft revisions or removals.
207VR0400X	Female Pelvic Medicine & Reconstructive Surgery	Subspecialists managing complex pelvic organ prolapse and mesh complications.
207LH0000X	Minimally Invasive Gynecologic Surgery	Surgeons focused on laparoscopic management of pelvic reconstructive issues.
2080P0800X	Urogynecology (if separate taxonomy used)	Clinicians addressing mesh erosion with potential urinary tract involvement.
363L00000X	General Surgery	May be involved when combined abdominal procedures or complex adhesiolysis is required.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.	Data not available in the input.	Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57426`	Laparoscopy, surgical; revision or removal of previous transvaginal graft (e.g., for prolapse)	Primary procedure for laparoscopic revision or removal of an eroded, exposed, or inflamed vaginal graft.
`57425`	Laparoscopy, surgical; removal of vaginal graft without revision (if listed separately)	May be used when removal only is performed without concomitant revision steps — select per operative documentation.
`57288`	Colpopexy, abdominal approach (suspension of vaginal apex)	May be performed at the same setting if pelvic support reconstruction is required after graft removal.
`57420`	Laparoscopy, surgical; removal of vaginal contraceptive or other foreign body	Related when removal of foreign material is the primary issue; selection depends on specific tissue and approach.
`52000`	Cystoscopy, diagnostic (separate procedure)	Performed intraoperatively or pre/postoperatively to evaluate bladder integrity if erosion or fistula is suspected.
`57430`	Laparoscopy, surgical; repair of vaginal cuff (if applicable)	Performed when graft removal necessitates repair of vaginal wall defects or cuff revision.

CPT 57420: Diagnostic Colposcopy of Vagina and Cervix

CPT-57421-VAGINAL-CERVICAL-BIOPSY-DIAGNOSTIC-EXAMINATION

CPT 57421: Diagnostic Vaginal and Cervical Examination with Biopsy

CPT-57423-LAPAROSCOPIC-PARAVAGINAL-DEFECT-REPAIR-CYSTOCELE

CPT 57423: Laparoscopic Paravaginal Defect Repair, ± Cystocele

CPT-57425-LAPAROSCOPIC-VAGINAL-APEX-SUSPENSION-VAULT-PROLAPSE

CPT 57425: Laparoscopic Suspension of Vaginal Apex for Vault Prolapse

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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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when intraoperative complexity (extensive adhesiolysis or difficult graft removal) requires substantially greater resources than typical for `57426`.
`23`	Unusual anesthesia - medically necessary	Use if general anesthesia is required for medical reasons that add risk beyond standard anesthesia for this laparoscopic procedure.
`26`	Professional component	Use when reporting only the physician's professional component separate from facility or technical charges (rare for surgical CPTs).
`52`	Reduced services	Use if the procedure is partially completed or limited in scope compared to the full descriptor of `57426`.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances or safety concerns before completion.
`62`	Two surgeons	Use when two surgeons of distinct specialties work together as primary surgeons throughout the procedure.
`63`	Procedure performed on infants weighing less than 4 kg	Generally not applicable but included when patient size affects operative coding (rare for this CPT).
`66`	Surgical team (more than one surgeon)	Use when a surgical team with multiple surgeons is documented and appropriate for billing.
`78`	Unplanned return to the operating room by same physician following initial procedure for a related procedure during the postoperative period	Use when the patient requires an unplanned reoperation related to the initial graft revision/removal.
`79`	(Not in provided list)	Data not available in the input.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Gynecologic surgeons commonly perform laparoscopic graft revisions or removals.
207VR0400X	Female Pelvic Medicine & Reconstructive Surgery	Subspecialists managing complex pelvic organ prolapse and mesh complications.
207LH0000X	Minimally Invasive Gynecologic Surgery	Surgeons focused on laparoscopic management of pelvic reconstructive issues.
2080P0800X	Urogynecology (if separate taxonomy used)	Clinicians addressing mesh erosion with potential urinary tract involvement.
363L00000X	General Surgery	May be involved when combined abdominal procedures or complex adhesiolysis is required.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.	Data not available in the input.	Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57426`	Laparoscopy, surgical; revision or removal of previous transvaginal graft (e.g., for prolapse)	Primary procedure for laparoscopic revision or removal of an eroded, exposed, or inflamed vaginal graft.
`57425`	Laparoscopy, surgical; removal of vaginal graft without revision (if listed separately)	May be used when removal only is performed without concomitant revision steps — select per operative documentation.
`57288`	Colpopexy, abdominal approach (suspension of vaginal apex)	May be performed at the same setting if pelvic support reconstruction is required after graft removal.
`57420`	Laparoscopy, surgical; removal of vaginal contraceptive or other foreign body	Related when removal of foreign material is the primary issue; selection depends on specific tissue and approach.
`52000`	Cystoscopy, diagnostic (separate procedure)	Performed intraoperatively or pre/postoperatively to evaluate bladder integrity if erosion or fistula is suspected.
`57430`	Laparoscopy, surgical; repair of vaginal cuff (if applicable)	Performed when graft removal necessitates repair of vaginal wall defects or cuff revision.

CPT 57420: Diagnostic Colposcopy of Vagina and Cervix

CPT-57421-VAGINAL-CERVICAL-BIOPSY-DIAGNOSTIC-EXAMINATION

CPT 57421: Diagnostic Vaginal and Cervical Examination with Biopsy

CPT-57423-LAPAROSCOPIC-PARAVAGINAL-DEFECT-REPAIR-CYSTOCELE

CPT 57423: Laparoscopic Paravaginal Defect Repair, ± Cystocele

CPT-57425-LAPAROSCOPIC-VAGINAL-APEX-SUSPENSION-VAULT-PROLAPSE

CPT 57425: Laparoscopic Suspension of Vaginal Apex for Vault Prolapse

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 57426: Laparoscopic Revision or Removal of Vaginal Graft

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Billing Code Overview

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CPT 57426: Laparoscopic Revision or Removal of Vaginal Graft

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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