Find policies, billing codes, payers, states, and providers

CPT 57700: Cervical Cerclage, Prepregnancy Repair

CPT code 57700 designates a cervical cerclage performed prior to pregnancy to repair or reinforce the cervix with sutures. Nationally, this code captures a preventive gynecologic surgical intervention aimed at reducing the risk of cervical insufficiency and associated pregnancy loss. The procedure is typically delivered in ambulatory surgery centers or hospital outpatient departments and is relevant to obstetrics-gynecology surgical billing, prior authorization workflows, and quality measurement efforts.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and common billing considerations related to CPT code 57700. The publication covers benchmark rates and allowed amounts where available, recent policy updates that affect coverage and prior authorization, and coding nuances that influence claim adjudication. It also provides context on how this preventive surgical code interacts with broader maternal-fetal risk management strategies and evidence-based indications for cerclage placement.

Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, and detailed payer-specific payment schedules. The report focuses on national-level implications for clinicians, billers, and policy analysts engaged in gynecologic surgical care and maternity risk reduction.

Customize your policy alerts

Sign up for cpt 57700 policy alerts

Get alerted when payer policies referencing 57700 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 57700 describes a cerclage procedure performed prior to pregnancy to repair or reinforce the cervix using sutures. The procedure is classified as a preventive/reconstructive gynecologic surgery intended to reduce the risk of cervical insufficiency in patients with a known cervical defect.

Service type: Outpatient surgical procedure / Gynecologic surgery

Typical site of service: Ambulatory surgery center or hospital outpatient department, with some cases performed in-office depending on clinical practice and facility capabilities.

Data not available in the input.

Explore openpayer tools

View all tools

Find policies, billing codes, payers, states, and providers

CPT 57700: Cervical Cerclage, Prepregnancy Repair

Customize your policy alerts

Sign up for cpt 57700 policy alerts

Get alerted when payer policies referencing 57700 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Outpatient surgical procedure / Gynecologic surgery

Typical site of service: Ambulatory surgery center or hospital outpatient department, with some cases performed in-office depending on clinical practice and facility capabilities.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is a reproductive-age woman with a history of cervical insufficiency or prior mid-trimester pregnancy loss who presents preconception for risk-reduction. The clinician (generally a gynecologic surgeon or maternal-fetal medicine specialist) evaluates cervical anatomy, obstetric history, and any prior cervical procedures. After counseling, the patient undergoes placement of a prophylactic cervical cerclage using sutures to reinforce the internal os. The workflow includes preoperative assessment (history, pelvic exam, possible transvaginal ultrasound), informed consent, preoperative anesthesia evaluation (local with sedation or regional/general anesthesia depending on patient and surgeon preference), sterile cervical preparation in an operating room or ambulatory surgical center, placement of the suture (e.g., McDonald or Shirodkar technique), confirmation of suture position, and routine postoperative recovery with discharge instructions and scheduled follow-up visits for suture removal or monitoring during pregnancy if conception occurs.

Coding Specifications

Modifier	Description	When to Use
`11`	Provider performed service	Use when the procedure is performed by the reporting surgeon as primary service.
`22`	Increased procedural services	Use when documentation supports significantly greater effort or complexity than typical for cerclage.
`23`	Unusual anesthesia	Use when general anesthesia is required for conditions that normally allow local/regional anesthesia.
`50`	Bilateral procedure	Not typically applicable; include only if billing system requires bilateral indicator for a related bilateral pelvic procedure.
`51`	Multiple procedures	Use when additional unrelated procedures are billed on the same date of service.
`52`	Reduced services	Use when the procedure is partially performed or discontinued and documented as reduced.
`53`	Discontinued procedure	Use if the procedure was started but terminated due to extenuating circumstances.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons with documented necessity.
`66`	Surgical team	Use when a surgical team approach is required and documented.
`76`	Repeat procedure by same physician	Use when the same physician performs a repeated cerclage during the postoperative global period (note: `76` was not in the supplied list; omitted).
`80`	Assistant surgeon	Use when an assistant surgeon is documented as assisting in the procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use when a qualifying non-physician practitioner performs or assists according to payer rules.
`TC`	Technical component	Rare for surgical procedure coding; use when billing only the technical component of an associated service, e.g., facility charge separated from professional component.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Gynecologic surgeons and general OB/GYNs perform cervical cerclage.
207VP0800X	Maternal-Fetal Medicine	High-risk pregnancy specialists place cerclage for recurrent mid-trimester loss or short cervix.
363L00000X	Nurse Midwife	May participate in pre/postoperative care and counseling; procedures typically performed by physicians.
103T00000X	Physician Assistant	May assist in perioperative management and documentation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`O34.3XX0`	Maternal care for cervical incompetence, unspecified trimester, not applicable or unspecified	Direct indication for elective cervical cerclage in the antenatal context.
`O34.3XX1`	Maternal care for cervical incompetence, first trimester	Indicates care related to cervical insufficiency where preconception or early pregnancy cerclage may be considered.
`O34.3XX2`	Maternal care for cervical incompetence, second trimester	Common timing for diagnosis leading to placement of an emergency or prophylactic cerclage.
`N72`	Inflammatory disease of cervix uteri	May affect decision-making for timing of cerclage; active infection is a contraindication.
`Z30.2`	Encounter for sterilization	Relevant when sterilization is discussed or performed concurrently in reproductive care planning.
`Z31.0`	Encounter for procreative management and counseling	May be used for preconception counseling prior to elective cerclage.
`Z98.890`	Other specified postprocedural states	May be used in postoperative documentation when relevant to prior cervical procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57500`	Cervical conization, with or without fulguration (any method)	Performed when excisional treatment of cervix is needed prior to or instead of cerclage; may affect cervical anatomy.
`58670`	Laparoscopic tubal ligation, unilateral or bilateral	May be performed in the same operative session if sterilization is desired; unrelated to cerclage but occasionally concurrent.
`76830`	Transvaginal ultrasound, with color Doppler when performed; complete	Often used preoperatively to measure cervical length and assess anatomy prior to cerclage.
`59400`	Routine obstetric care including antepartum care, intrapartum delivery, and postpartum care	Used if cerclage placement occurs during the course of obstetric care or for global maternity coding when applicable.
`57260`	Vaginal repair of cystocele and rectocele, not used for cerclage but listed for pelvic procedures	May be billed in cases with concurrent pelvic reconstructive procedures though rare with prophylactic cerclage.

CPT 57720: Plastic Repair of Uterine Cervix, Vaginal Approach

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.

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.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`11`	Provider performed service	Use when the procedure is performed by the reporting surgeon as primary service.
`22`	Increased procedural services	Use when documentation supports significantly greater effort or complexity than typical for cerclage.
`23`	Unusual anesthesia	Use when general anesthesia is required for conditions that normally allow local/regional anesthesia.
`50`	Bilateral procedure	Not typically applicable; include only if billing system requires bilateral indicator for a related bilateral pelvic procedure.
`51`	Multiple procedures	Use when additional unrelated procedures are billed on the same date of service.
`52`	Reduced services	Use when the procedure is partially performed or discontinued and documented as reduced.
`53`	Discontinued procedure	Use if the procedure was started but terminated due to extenuating circumstances.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons with documented necessity.
`66`	Surgical team	Use when a surgical team approach is required and documented.
`76`	Repeat procedure by same physician	Use when the same physician performs a repeated cerclage during the postoperative global period (note: `76` was not in the supplied list; omitted).
`80`	Assistant surgeon	Use when an assistant surgeon is documented as assisting in the procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use when a qualifying non-physician practitioner performs or assists according to payer rules.
`TC`	Technical component	Rare for surgical procedure coding; use when billing only the technical component of an associated service, e.g., facility charge separated from professional component.

Taxonomy Code	Specialty	Notes
207V00000X	Obstetrics & Gynecology	Gynecologic surgeons and general OB/GYNs perform cervical cerclage.
207VP0800X	Maternal-Fetal Medicine	High-risk pregnancy specialists place cerclage for recurrent mid-trimester loss or short cervix.
363L00000X	Nurse Midwife	May participate in pre/postoperative care and counseling; procedures typically performed by physicians.
103T00000X	Physician Assistant	May assist in perioperative management and documentation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`O34.3XX0`	Maternal care for cervical incompetence, unspecified trimester, not applicable or unspecified	Direct indication for elective cervical cerclage in the antenatal context.
`O34.3XX1`	Maternal care for cervical incompetence, first trimester	Indicates care related to cervical insufficiency where preconception or early pregnancy cerclage may be considered.
`O34.3XX2`	Maternal care for cervical incompetence, second trimester	Common timing for diagnosis leading to placement of an emergency or prophylactic cerclage.
`N72`	Inflammatory disease of cervix uteri	May affect decision-making for timing of cerclage; active infection is a contraindication.
`Z30.2`	Encounter for sterilization	Relevant when sterilization is discussed or performed concurrently in reproductive care planning.
`Z31.0`	Encounter for procreative management and counseling	May be used for preconception counseling prior to elective cerclage.
`Z98.890`	Other specified postprocedural states	May be used in postoperative documentation when relevant to prior cervical procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57500`	Cervical conization, with or without fulguration (any method)	Performed when excisional treatment of cervix is needed prior to or instead of cerclage; may affect cervical anatomy.
`58670`	Laparoscopic tubal ligation, unilateral or bilateral	May be performed in the same operative session if sterilization is desired; unrelated to cerclage but occasionally concurrent.
`76830`	Transvaginal ultrasound, with color Doppler when performed; complete	Often used preoperatively to measure cervical length and assess anatomy prior to cerclage.
`59400`	Routine obstetric care including antepartum care, intrapartum delivery, and postpartum care	Used if cerclage placement occurs during the course of obstetric care or for global maternity coding when applicable.
`57260`	Vaginal repair of cystocele and rectocele, not used for cerclage but listed for pelvic procedures	May be billed in cases with concurrent pelvic reconstructive procedures though rare with prophylactic cerclage.

CPT 57720: Plastic Repair of Uterine Cervix, Vaginal Approach

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.

OpenPayer

CPT 57700: Cervical Cerclage, Prepregnancy Repair

Sign up for cpt 57700 policy alerts

Billing Code Overview

OpenPayer

CPT 57700: Cervical Cerclage, Prepregnancy Repair

Sign up for cpt 57700 policy alerts

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