CPT® Code 57283

The procedure described by CPT® Code 57283 refers to a colpopexy performed via an intra-peritoneal approach, specifically utilizing the uterosacral ligaments or the levator muscle for suspension of the vaginal apex. Colpopexy is a surgical technique aimed at correcting pelvic organ prolapse by anchoring the vaginal apex to surrounding structures, thereby restoring normal anatomical position and function. In this particular approach, the surgeon makes an incision in the vaginal mucosa at the apex, which is the uppermost part of the vagina. This incision allows for the dissection of the endopelvic fascia, exposing the peritoneum, which is the lining of the abdominal cavity. The bowel is then retracted to provide a clear view of the surgical field. The surgeon identifies the ureters and the uterosacral ligaments on both sides, which are critical structures for the suspension process. By grasping these ligaments with clamps and applying traction, the surgeon can place sutures through them, effectively anchoring the vaginal apex. Alternatively, the levator ani muscle may be used for suspension. Once the sutures are secured, the vaginal apex is lifted to its intended position, and the vaginal incision is subsequently closed. This procedure is essential for patients experiencing pelvic organ prolapse, as it helps alleviate symptoms and improve quality of life.