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CPT code 57200: Vaginal repair, nonobstetric injury2026 Medicare rate & RVUs

Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina.

CMS RVU26DEffective Oct 1, 2026109 payment localities445 Medicare services in 2024

Medicare pays $304.62 for 57200 nationally in a facility.

Medicare rate · 57200

Vaginal repair, nonobstetric injury

Office or facility?

Work RVUs
4.31
Total RVUs
9.12
Global days
090

National rate · 2026

$304.62

Facility setting, before claim adjustments.

See every locality for 57200 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 57200 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 57200 covers

A gynecologist, urogynecologist, or other surgeon uses this code for operative repair of a nonobstetric injury to the vaginal wall, such as a traumatic vaginal laceration. The repair may be performed in a hospital operating room or another surgical setting. The operative report should identify the injury’s vaginal location and extent and describe the repair performed; it should also clarify whether adjacent structures or the perineum required separate repair.

Report the code when the documented work is repair of the vagina rather than correction of prolapse, a paravaginal defect, or a combined rectal and vaginal problem. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 57200 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

57200 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$276.28
AlaskaUnavailable$373.30
ArizonaUnavailable$296.62
ArkansasUnavailable$272.77
Atlanta, GAUnavailable$312.56
Austin, TXUnavailable$309.63
Bakersfield, CAUnavailable$309.76
Baltimore area, MDUnavailable$323.03
Beaumont, TXUnavailable$290.66
Brazoria, TXUnavailable$298.68

57200 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
57200 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 57200 rate is calculated

Each of 57200’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 · 57200

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.31

4.31 RVUs× 1.000 GPCI

Practice expense4.01

4.01 RVUs× 1.000 GPCI

Malpractice0.80

0.80 RVUs× 1.000 GPCI

Adjusted RVUs

9.1200

Conversion factor

$33.4009

Medicare rate

$304.62

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

Payment rules and modifiers for 57200

57200 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57200

Vaginal repair, nonobstetric injury

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57200

Vaginal repair, nonobstetric injury

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57200 without 51 · national facility

$304.62

Vaginal repair, nonobstetric injury

57200-51 · Second procedure: 50%

$152.31

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

57200 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 57200

    Vaginal repair, nonobstetric injury4.31 wRVU

    Not priced

  • 57210

    Vaginal repair, vagina and perineum5.57 wRVU

    Not priced

  • 57250

    Posterior repair, rectocele repair9.83 wRVU

    Not priced

  • 57240

    Anterior repair, anterior compartment only9.83 wRVU

    Not priced

  • 57285

    Paravaginal repair, vaginal approach11.31 wRVU

    Not priced

How to choose

57210Vaginal repairVagina and perineum
57200 is for nonobstetric vaginal injury repair. 57210 is the closer choice when the repair also involves the perineum.
57250Posterior repairRectocele repair
57250 addresses a combined rectal and vaginal repair; 57200 is for repair of the vagina without that combined operative problem.
57240Anterior repairAnterior compartment only
57240 is used for anterior vaginal wall prolapse repair. Choose 57200 for repair of a nonobstetric vaginal injury instead.
57285Paravaginal repairVaginal approach
57285 repairs a paravaginal defect through a vaginal approach; 57200 repairs an injury to the vagina.

Codes related to 57200

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

Codes related to 57200
CodeHow it relatesNational office range
Same family
57210Vaginal repair, vagina and perineumRelated vaginal and perineal repair; the operative site and extent distinguish it from 57200.No office rate
Used instead
57250Posterior repair, rectocele repairConsider when the operative repair addresses a combined rectal and vaginal problem.No office rate
57240Anterior repair, anterior compartment onlyAnterior vaginal wall prolapse repair, rather than repair of a vaginal injury.No office rate
57285Paravaginal repair, vaginal approachVaginal repair of a paravaginal defect, a different operative indication from injury repair.No office rate

57200 billing questions

How is 57200 distinguished from 57210?

Use 57200 for repair of a nonobstetric vaginal injury. Code 57210 is the relevant comparison when the operative repair also involves the perineum.

Is 57200 for a laceration repaired during delivery?

No. This code describes nonobstetric vaginal repair; delivery-related laceration repair is coded under the applicable obstetric service.

What documentation supports reporting 57200?

Document the nonobstetric injury’s vaginal site and extent, the operative repair performed, and whether the perineum or another structure was also involved.

Does 57200 have a postoperative global period?

Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.

How is 57200 handled with other procedures in the same session?

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.

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 57200PPRRVU2026_Oct_nonQPP.csv, line 6,451 (RVU26D)

Open CMS sourceHow we calculate rates

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