CPT® Code 57120

The procedure described by CPT® Code 57120 refers to a surgical intervention known as colpocleisis, specifically the Le Fort type. This procedure is primarily indicated for patients who are considered medically fragile and have an intact uterus and cervix, experiencing symptomatic pelvic organ prolapse (POP). Colpocleisis is a surgical technique that involves the removal of segments from both the anterior and posterior walls of the vaginal canal. These segments can be shaped either rectangularly or triangularly, depending on the specific surgical approach and the anatomy of the patient. Following the excision of these vaginal wall segments, the uterus and cervix are repositioned back into the pelvic cavity. The next step involves suturing the raw edges of the vagina together, which creates a channel that allows for the drainage of uterine and cervical secretions. To enhance the structural integrity of the vaginal walls and provide additional support to the pelvic organs, imbricating sutures are employed. This technique effectively creates a corset-like support structure, which is crucial in preventing the recurrence of pelvic organ prolapse, thereby addressing the symptoms associated with this condition.