57109 Vagnc bi total pel lymphadec
Also known as: Vaginectomy with bilateral pelvic lymph node dissection
Vaginectomy with bilateral total pelvic lymphadenectomy. Complete vaginal removal with comprehensive pelvic node dissection.
In Plain Language
Complete vagina removal with deep pelvic lymph nodes
Clinical Context
Used for advanced vaginal carcinoma with nodal involvement. Provides comprehensive staging and treatment.
RVU Breakdown
| Work RVU | 27.69 |
| Total RVU | 27.69 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.69, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 57109?
CPT 57109 (Vagnc bi total pel lymphadec) is a Surgery code. Vaginectomy with bilateral total pelvic lymphadenectomy. Complete vaginal removal with comprehensive pelvic node dissection.
What is the wRVU value for CPT 57109?
The work RVU for CPT 57109 is 27.69. This code is primarily used by Gynecologic Oncology. It has a 90-day global period.
When is CPT 57109 used?
Used for advanced vaginal carcinoma with nodal involvement. Provides comprehensive staging and treatment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.