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CPT code 57160: Pessary fitting, intravaginal support device2026 Medicare rate & RVUs in Queens, NY

Report pessary fitting and insertion when a clinician places an intravaginal support device to manage pelvic organ prolapse or stress urinary incontinence.

CMS RVU26DEffective Oct 1, 2026One payment locality73.4K Medicare services in 2024

In Queens, NY, Medicare pays $81.18 for 57160 in the office and $45.64 when it’s performed in a hospital or facility.

$81.18Office (non-facility)
$45.64Hospital or facility
+15.2%vs the national office rate ($70.48)

Check a contract rate as a % of Medicare · 57160 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 57160 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 57160 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 57160 covers

A clinician, commonly a gynecologist or urogynecologist, selects and inserts an intravaginal support device such as a pessary. The visit may involve assessing fit and confirming that the device stays in position and can be tolerated. Pessaries are commonly used for pelvic organ prolapse and may be used for stress urinary incontinence. The service is typically performed in an office, though it can also occur in a facility.

Report the service for fitting and insertion of the support device, not for a contraceptive diaphragm fitting. Document the clinical indication, device selected, fitting and insertion, and relevant assessment of fit. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS lists no assistant-at-surgery payment; co-surgeons and team surgery are not permitted for this service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Queens, NY compares for 57160

Across 109 of 109 payment localities, the office rate for 57160 runs from $62.91 in Arkansas to $87.44 in San Benito County, CA. Queens, NY pays $81.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

57160 in Queens, NY vs other payment areas
  1. Queens, NY · this page$81.18
  2. Manhattan, NY · New York$81.17−$0.01
  3. NYC suburbs and Long Island, NY · New York$83.51+$2.33
  4. Poughkeepsie and northern NYC suburbs, NY · New York$76.29−$4.89
  5. Rest of New York · New York$67.17−$14.01
  6. Los Angeles, CA · California$76.65−$4.53
  7. Washington, DC area · District of Columbia$79.09−$2.09

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

57160 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$79.63$48.34
Chicago, ILIllinois$77.35$47.14
AlaskaAlaska$85.12$53.11
AlabamaAlabama$63.75$37.45
ArkansasArkansas$62.91$37.09
ArizonaArizona$68.63$39.50
Bakersfield, CACalifornia$72.56$39.62
Chico, CACalifornia$72.14$39.19

57160 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$62.91

$85.12

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
57160 office rate range by state
State / territoryOffice rate rangeLocalities
AK$85.121
AL$63.751
AR$62.911
AZ$68.631
CA$72.14–$87.4429
CO$72.061
CT$74.911
DC$79.091
DE$69.681
FL$71.39–$79.633
GA$67.51–$72.152
GU$73.351
HI$73.351
IA$64.361
ID$64.921
IL$70.13–$77.354
IN$65.241
KS$64.501
KY$66.011
LA$66.08–$69.012
MA$71.85–$78.182
MD$70.79–$79.093
ME$65.67–$68.302
MI$67.95–$72.642
MN$68.001
MO$65.32–$68.743
MS$64.111
MT$70.471
NC$66.231
ND$67.501
NE$64.561
NH$71.341
NJ$75.47–$78.472
NM$68.461
NV$69.681
NY$67.17–$83.515
OH$67.351
OK$65.461
OR$68.84–$73.702
PA$67.21–$73.462
PR$70.801
RI$71.691
SC$66.961
SD$67.151
TN$64.841
TX$66.84–$72.348
UT$67.781
VA$68.38–$79.092
VI$70.801
VT$67.641
WA$71.59–$79.282
WI$65.481
WV$67.871
WY$69.171

See 57160 in every payment locality

How the 57160 rate is calculated

Each of 57160’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 57160

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.87

0.87 RVUs× 1.000 GPCI

Practice expense1.09

1.09 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

2.1100

Conversion factor

$33.4009

Medicare rate

$70.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,448

Code
57160
Physician work
0.87
Practice expense
1.09
Malpractice
0.15

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 57160 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.87× 1.0640.9257
Practice expense1.09× 1.1821.2884
Malpractice0.15× 1.4420.2163
Total RVUs2.4304
Conversion factor× 33.4009

Office rate, Queens, NY$81.18

Office: (0.87 × 1.064 + 1.09 × 1.182 + 0.15 × 1.442) × $33.4009 = $81.18

Facility: (0.87 × 1.064 + 0.19 × 1.182 + 0.15 × 1.442) × $33.4009 = $45.64

Open 57160 in the RVU calculator

Payment rules and modifiers for 57160

The CMS indicators that decide how 57160 is paid alongside other services.

CMS payment indicators · 57160

Pessary fitting, intravaginal support device

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57160 without 51 · national office

$70.48

Pessary fitting, intravaginal support device

57160-51 · Second procedure: 50%

$35.24

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 57160

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 57160
CodeHow it relatesOffice range, Queens, NY
Same family
57170Diaphragm fitting, diaphragm or cervical capFitting of a diaphragm or cervical cap; differs from pessary fitting by contraceptive purpose and device.$83.95
Often billed with
57150Vaginal infection treatment, irrigation or medicationMay be reported for separately performed vaginal infection treatment during the same encounter.$61.45
99213Office visit, established patient, low complexityMay accompany a separately identifiable E/M service beyond the pessary fitting.$108.18

How 57160 has changed in Queens, NY

57160 · Office / nonfacility

$81.18

Effective 2026-10-01

The base rate is $2.57 lower than on 2025-10-01, moving from $83.75 to $81.18 (3.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $83.75changed to$81.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.89 changed to 0.87
    • Practice expense RVU 1.19 changed to 1.09
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $86.50changed to$83.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.21 changed to 1.19
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $85.09changed to$86.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $91.47changed to$85.09

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $95.00changed to$91.47

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $93.36changed to$95.00

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.11 changed to 1.21
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $86.26changed to$93.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.94 changed to 1.11
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $75.98changed to$86.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.80 changed to 0.94
    • Malpractice RVU 0.10 changed to 0.13
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.45changed to$75.98

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.16 changed to 0.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $92.14changed to$91.45

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.18 changed to 1.16
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $91.13changed to$92.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.16 changed to 1.18
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $92.67changed to$91.13

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.17 changed to 1.16
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $92.21changed to$92.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $91.99changed to$92.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.16 changed to 1.17
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $90.89changed to$91.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.27 changed to 1.16
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $90.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$81.18$45.64RVU26D
2026-07-01$81.18$45.64RVU26C
2026-04-01$81.18$45.64RVU26B
2026-01-01$81.18$45.64RVU26A
2025-10-01$83.75$50.90RVU25D
2025-07-01$83.75$50.90RVU25C
2025-04-01$83.75$50.90RVU25B
2025-01-01$83.75$50.90RVU25A
2024-10-01$86.50$51.89RVU24D
2024-07-01$86.50$51.89RVU24C
2024-04-01$86.50$51.89RVU24B
2024-03-09$86.50$51.89RVU24AR
2024-01-01$85.09$51.04RVU24A
2023-10-01$91.47$55.74RVU23D
2023-07-01$91.47$55.74RVU23C
2023-04-01$91.47$55.74RVU23B
2023-01-01$91.47$55.74RVU23A
2022-10-01$95.00$57.60RVU22D
2022-07-01$95.00$57.60RVU22C
2022-04-01$95.00$57.60RVU22B
2022-01-01$95.00$57.60RVU22A
2021-10-01$93.36$60.36RVU21D
2021-07-01$93.36$60.36RVU21C
2021-04-01$93.36$60.36RVU21B
2021-01-01$93.36$60.36RVU21A
2020-10-01$86.26$59.53RVU20D
2020-07-01$86.26$59.53RVU20C
2020-04-01$86.26$59.53RVU20B
2020-01-01$86.26$59.53RVU20A
2019-10-01$75.98$56.09RVU19D
2019-07-01$75.98$56.09RVU19C
2019-04-01$75.98$56.09RVU19B
2019-01-01$75.98$56.09RVU19A
2018-10-01$91.45$56.03RVU18D
2018-07-01$91.45$56.03RVU18C
2018-04-01$91.45$56.03RVU18B
2018-01-01$91.45$56.03RVU18AR1
2017-10-01$92.14$56.39RVU17D
2017-07-01$92.14$56.39RVU17C
2017-04-01$92.14$56.39RVU17B
2017-01-01$92.14$56.39RVU17A
2016-10-01$91.13$55.93RVU16D
2016-07-01$91.13$55.93RVU16C
2016-04-01$91.13$55.93RVU16B
2016-01-01$91.13$55.93RVU16A
2015-10-01$92.67$57.34RVU15D
2015-07-01$92.67$57.34RVU15C
2015-04-01$92.21$57.06RVU15B
2015-01-01$92.21$57.06RVU15A
2014-10-01$91.99$57.26RVU14D
2014-07-01$91.99$57.26RVU14C
2014-04-01$91.99$57.26RVU14B
2014-01-01$91.99$57.26RVU14A
2013-10-01$90.89$54.30RVU13D
2013-07-01$90.89$54.30RVU13C
2013-04-01$90.89$54.30RVU13B
2013-01-01$90.89$54.30RVU13AR

Price 57160 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

57160 billing questions

When should 57160 be used instead of 57170?

Use 57160 for fitting and inserting an intravaginal support device such as a pessary. Use 57170 for fitting a diaphragm or cervical cap for contraception.

Can a separate E/M service be reported on the same date?

A separately identifiable E/M service may be reported when the documentation supports work beyond the fitting and insertion and the included same-day care. The device fitting itself is not a separate E/M service.

Should modifier 50 be appended for a pessary fitted to support both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting 57160?

Document the indication, the type of support device selected, the fitting and insertion, and the assessment of its fit and tolerance.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the service. CMS assigns no postoperative global days beyond the day of the procedure.

How is 57160 affected when other procedures are performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 57160PPRRVU2026_Oct_nonQPP.csv, line 6,448 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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