BackTable / Urology / Article
2025 Midurethral Sling CPT Code
Bryant Schmitz • Updated Jun 30, 2025 • 161 hits
Midurethral sling placement (CPT code 57288) is performed by urologists and urogynecologists to treat female urinary stress incontinence by supporting the mid-urethra with synthetic mesh or biologic sling material. This minimally invasive procedure restores continence and improves pelvic support. This article clarifies the correct usage of CPT code 57288 for optimized coding and billing.

Table of Contents
(1) CPT Code for Midurethral Sling
(2) Detailed Description of CPT Code 57288
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Midurethral Sling
The CPT code for a midurethral sling is 57288. This code specifically captures the placement of a sling under the mid‑urethra using synthetic or biologic material to provide support.
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Detailed Description of CPT Code 57288
CPT Code: 57288
• Code Description: Sling operation for stress incontinence (e.g., fascia or synthetic) (e.g., Remeex system)
• Inclusions: Placement of synthetic or fascial sling, mid‑urethral support procedure, use of trocars or needles, outpatient or inpatient setting
• Exclusions: Concurrent hysterectomy, pelvic reconstructive procedures coded separately, removal or revision of sling, urethral bulking injections
Coding & Billing Considerations
• Append modifier 51 if performed with other procedures on the same day.
• Assign modifier 59 if sling placement is distinct from other billed services.
• Use modifier LT/RT to specify laterality if required by payer.
• Document sling material type (synthetic vs fascial) and approach (retropubic or transobturator).
• Do not report 57288 with urethral bulking agent injection codes.
• Maintain operative notes detailing technique, sling placement, and any intraoperative complications.
Why Proper Coding Is Important
Using CPT code 57288 correctly assures appropriate reimbursement and minimizes denials related to incontinence procedures. It facilitates accurate clinical documentation and supports billing compliance. Proper coding also enhances clarity in patient records and insurance communication, reinforcing standard of care practices.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Cite This Podcast
BackTable, LLC (Producer). (2023, December 6). Ep. 140 – Midurethral Slings vs Bulkamid: What Clinicians Need to Know [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.



