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CPT®
57700

CPT® Code 57700

Official Description

Cerclage of uterine cervix, nonobstetrical

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The cerclage of the uterine cervix, coded as CPT® 57700, is indicated for specific medical conditions that may compromise the integrity of the cervix. These indications include:

  • Cervical Incompetence - A condition where the cervix begins to dilate and efface prematurely, potentially leading to miscarriage or preterm birth.
  • History of Preterm Birth - Patients with a previous history of preterm delivery may require cerclage to prevent recurrence.
  • Structural Abnormalities of the Cervix - Any anatomical issues that may affect cervical strength and stability can warrant this procedure.

2. Procedure

The procedure for cerclage of the uterine cervix can be performed using different techniques, each with specific steps involved. The following outlines the procedural steps:

  • Vaginal Approach (McDonald-type) - The physician begins by positioning the patient appropriately for a vaginal examination. A speculum is inserted to visualize the cervix. A purse-string suture is then woven in and out around the cervix, creating a loop that encircles it. Once the suture is in place, it is tightened to cinch the cervix together, providing support and preventing premature dilation.
  • Vaginal Approach (Shirodkar-type) - Similar to the McDonald technique, the physician uses a speculum to access the cervix. However, in this method, the suture is tunneled subcutaneously around the cervix rather than being placed directly on the surface. After the suture is positioned, it is cinched to secure the cervix, offering enhanced support.
  • Abdominal Approach - In cases where a vaginal approach is not suitable, an abdominal incision is made in the lower abdomen. The surgeon then accesses the uterus and places a stitch through the lower part of the uterus, cinching it together with the upper cervix. This method may be preferred for patients with specific anatomical considerations or previous surgical history.

3. Post-Procedure

After the cerclage procedure, patients are typically monitored for any signs of complications, such as infection or premature labor. Post-procedure care may include instructions on activity restrictions, such as avoiding heavy lifting or strenuous exercise. Patients may also be advised to attend follow-up appointments to assess the integrity of the cerclage and monitor the pregnancy's progress. It is essential for patients to report any unusual symptoms, such as bleeding or severe cramping, to their healthcare provider promptly.
Short Descr REVISION OF CERVIX
Medium Descr CERCLAGE UTERINE CERVIX NONOBSTETRICAL
Long Descr Cerclage of uterine cervix, nonobstetrical
Status Code Active Code
Global Days 090 - Major Surgery
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) 0 - 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 Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1G - Major procedure - Other
MUE 1
CCS Clinical Classification 132 - Other 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.
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