CPT® Code 57109

Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)

The CPT® Code 57109 refers to a surgical procedure known as a partial vaginectomy, which involves the removal of a portion of the vaginal wall along with the surrounding paravaginal tissue. This procedure is classified as a radical vaginectomy and is performed in conjunction with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy). The primary goal of this procedure is to excise the affected vaginal tissue while also addressing potential lymphatic spread of malignancy by removing lymph nodes in the pelvic and para-aortic regions. The procedure is complex and may require a collaborative effort from two surgeons due to the extensive nature of the surgery. The surgical approach typically involves a midline abdominal incision to facilitate access to the pelvic area, allowing for thorough exploration and assessment for any metastatic disease. The excision of the vaginal wall is performed with careful attention to margins, ensuring that healthy tissue is preserved where possible. This procedure is indicated in cases where there is a need to remove cancerous or diseased tissue from the vaginal area, and it may be accompanied by additional reconstructive procedures if necessary.