CPT® Code 57110

The CPT® Code 57110 refers to a surgical procedure known as a complete vaginectomy, which involves the total removal of the vaginal wall. This procedure is performed without the excision of the surrounding paravaginal tissue, also known as the paracolpium. The surgical approach begins with an incision made across the top of the vaginal vault, which is the uppermost part of the vagina. Following this initial incision, two longitudinal full-thickness incisions are created: one along the ventral (anterior) aspect and another along the dorsal (posterior) aspect of the vaginal wall. These incisions extend from the top of the vaginal vault down to the introitus, which is the opening of the vagina. Additionally, an incision is made around the introitus itself. After these incisions are completed, the right and left halves of the vaginal wall are excised, resulting in the complete removal of the vaginal wall. It is important to note that this procedure is distinct from a radical vaginectomy, which involves the removal of both the vaginal wall and the surrounding paravaginal tissue, as described in CPT® Code 57111. In cases where vaginal reconstruction is necessary, such as the use of skin grafts, this may be reported separately and can occur during the same surgical session or at a later date.