CPT® Code 56740

The procedure described by CPT® Code 56740 involves the excision of a Bartholin's gland or cyst, which is a surgical intervention performed by a physician. Bartholin's glands are two small glands located bilaterally at the posterior introitus, which is the opening of the vagina. These glands play a role in lubrication by secreting fluid through ducts that open into the vestibule of the vagina. When a Bartholin's gland becomes obstructed, it can lead to the formation of a cyst, which may cause discomfort or pain. The excision procedure begins with an incision made in the skin over the gland's opening, allowing the physician to expose the wall of the gland or cyst. During the surgery, any adhesions that may have formed between the cyst or gland wall and the vaginal mucosa are carefully lysed to facilitate the excision. The physician then uses forceps to grasp and retract the wall of the cyst, which aids in identifying and controlling any blood vessels present. The entire gland or cyst, along with its duct and surrounding tissue, is excised to ensure complete removal. To manage bleeding during the procedure, techniques such as electrocoagulation and suture ligation of blood vessels are employed. Finally, the surgical site is closed, and a drain may be placed in the wound to prevent fluid accumulation and promote healing.