CPT® Code 57700

The CPT® Code 57700 refers to the procedure known as cerclage of the uterine cervix, specifically in a nonobstetrical context. This surgical intervention is primarily performed to provide support to the cervix, which may be necessary in cases where there is a risk of cervical incompetence or other related conditions. The procedure can be executed using different approaches, most commonly through the vagina or the abdomen. In the vaginal approach, a McDonald-type cerclage involves the physician weaving a purse-string suture around the cervix, which is then tightened to secure the cervix in a closed position. Alternatively, a Shirodkar-type procedure involves tunneling the suture subcutaneously around the cervix before cinching it. In some cases, an abdominal approach may be utilized, where an incision is made in the lower abdomen, and a stitch is placed through the lower part of the uterus to secure both the lower uterus and the upper cervix together. This procedure is crucial for maintaining cervical integrity and preventing complications that may arise from cervical insufficiency.