CPT® Code 57280

The procedure described by CPT® Code 57280 refers to a surgical intervention known as colpopexy, specifically performed through an abdominal approach. This procedure is aimed at suspending the vaginal apex, which is the uppermost part of the vagina, to provide support and alleviate conditions such as pelvic organ prolapse. During the operation, a physician utilizes an obturator to elevate the vaginal apex, facilitating access to the surgical site. An incision is made in the lower abdomen to expose the bowel, allowing for the retraction of the sigmoid colon to the left pelvic sidewall. The peritoneum, which is the membrane lining the abdominal cavity, is then incised to access the necessary anatomical structures. The anterior longitudinal ligament is exposed, and sutures are placed at the S2-S3 level to secure the mesh that will support the vaginal apex. A Y-shaped piece of mesh is prepared and sutured to both the anterior and posterior vaginal apex, effectively suspending it and restoring anatomical support. Finally, the peritoneum is closed over the mesh, and the abdominal incision is sutured closed, completing the procedure. This detailed approach ensures that the vaginal apex is adequately supported, addressing issues related to pelvic organ prolapse.