CPT® Code 57130

The procedure described by CPT® Code 57130 involves the excision of a vaginal septum, which is a condition characterized by the presence of a fibrous or muscular partition within the vagina. This septum can arise due to incomplete regression of the vaginal plate during fetal development, leading to a transverse vaginal septum. Such a septum may either completely obstruct the vaginal canal or feature small perforations that permit the passage of menstrual blood and other secretions. The surgical intervention aims to remove this septum to restore normal vaginal anatomy and function. During the procedure, the physician carefully retracts the vaginal walls to expose the septum, ensuring clear visibility and access. A vertical incision is then made through the center of the septum, effectively dividing it into two halves. The surgeon applies traction to the septum using tissue forceps, allowing for precise separation from the vaginal mucosa. This is accomplished through sharp excision, first on one side and then on the other, ensuring complete removal of the septum. Finally, the vaginal mucosa at the site where the septum was attached is meticulously repaired with sutures, promoting proper healing and restoration of the vaginal structure.