CPT® Code 57400

Dilation of the vagina under anesthesia (other than local) is a medical procedure aimed at addressing various vaginal conditions and anomalies. This procedure is particularly relevant for patients with congenital issues such as incomplete transverse vaginal septa or vaginal agenesis, which refers to the absence or underdevelopment of the vaginal vault. Additionally, it serves therapeutic purposes, including the maintenance of established patency or depth of the vaginal canal to prevent stenosis, which is the narrowing of the vaginal passage. This procedure may also be indicated for patients who have experienced scarring or stenosis resulting from trauma or radiation therapy. During the procedure, the patient is placed under a form of anesthesia that is not local, ensuring that they are comfortable and pain-free. The clinician utilizes vaginal obturators or dilators that progressively increase in size, applying firm yet gentle pressure for several minutes. This technique effectively stretches and lengthens the vaginal walls, thereby enlarging the vaginal canal to facilitate further treatment or home dilation by the patient.