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Official Description

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 57150 involves the irrigation of the vagina and/or the application of a medicament specifically aimed at treating various types of infections, including bacterial, parasitic, or fungoid diseases. In this context, "irrigation" refers to the process of cleansing or flushing the vaginal area using a sterile solution, which is typically delivered through a tube or catheter. This method allows for direct application of therapeutic agents to the affected area, enhancing the effectiveness of the treatment. The medicament may be in the form of an irrigation solution, which is introduced into the vagina via a syringe, or it may be delivered as a vaginal film, gel, or pessary. These forms of medication are designed to target local infections within the vaginal vault, providing relief from symptoms and addressing the underlying causes of the infection. The procedure is performed by a physician and is essential for managing specific vaginal health issues effectively.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The irrigation of the vagina and/or application of medicament as described by CPT® Code 57150 is indicated for the treatment of various conditions affecting vaginal health. These indications include:

  • Bacterial Infections - The procedure is performed to address infections caused by bacteria, which can lead to symptoms such as discharge, odor, and irritation.
  • Parasitic Infections - This includes treatment for infections caused by parasites, which may result in discomfort and other vaginal symptoms.
  • Fungoid Infections - The procedure is also indicated for the treatment of fungal infections, such as yeast infections, which can cause itching, burning, and abnormal discharge.

2. Procedure

The procedure for CPT® Code 57150 involves several key steps to ensure effective treatment of the vaginal condition. These steps include:

  • Step 1: Preparation - The physician prepares the necessary equipment, which includes a sterile syringe, a catheter or tube, and the appropriate irrigation solution or medicament. The patient is positioned comfortably to facilitate the procedure.
  • Step 2: Insertion of Catheter - A tube or catheter is gently inserted into the vagina. This step is crucial as it allows for the direct delivery of the irrigation solution or medicament to the affected area.
  • Step 3: Irrigation or Application - The physician attaches the syringe filled with the anti-bacterial, anti-parasitic, or anti-fungoid solution to the catheter. The solution is then instilled into the vagina, ensuring thorough coverage of the affected area. Alternatively, if a vaginal film, gel, or pessary is used, it is carefully inserted into the vaginal vault to deliver the medication directly to the site of infection.
  • Step 4: Completion - After the irrigation or application of the medicament, the physician removes the catheter and provides any necessary post-procedure instructions to the patient.

3. Post-Procedure

Following the procedure, patients may be advised to monitor for any signs of adverse reactions or complications. It is important for the physician to provide guidance on expected recovery, which may include recommendations for follow-up appointments or additional treatments if necessary. Patients should also be informed about potential symptoms to watch for, such as increased discomfort or unusual discharge, and when to seek further medical attention. Overall, the post-procedure care is aimed at ensuring the effectiveness of the treatment and the patient's comfort during recovery.

Short Descr TREAT VAGINA INFECTION
Medium Descr IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE
Long Descr Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 1
CCS Clinical Classification 131 - Other non-OR therapeutic procedures, female organs
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
GA Waiver of liability statement issued as required by payer policy, individual case
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
95 Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system.
AG Primary physician
GC This service has been performed in part by a resident under the direction of a teaching physician
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
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