CPT® Code 57555

The procedure described by CPT® Code 57555 involves the excision of the cervical stump through a vaginal approach, accompanied by anterior and/or posterior repair. This surgical intervention is typically indicated for patients who have previously undergone a sub-total hysterectomy and later develop cervical malignancy. The excision process begins with the placement of a tenaculum on the cervix, which aids in stabilizing the cervix during the procedure. An incision is made in the upper aspect of the vaginal mucosa surrounding the cervical stump, allowing for the careful dissection and separation of the bladder from the cervix, as well as the lysis of any adhesions present. The cervical stump, along with surrounding parametrial tissue and a portion of the vagina, is excised and sent for frozen section analysis to assess for malignancy. Following the excision, the procedure continues with the anterior and/or posterior repair, which involves meticulous dissection and suturing techniques to ensure proper anatomical restoration and function. This comprehensive approach not only addresses the malignancy but also aims to restore the structural integrity of the vaginal and pelvic support systems.