CPT code 57200: Vaginal repair, nonobstetric injury2026 Medicare rate & RVUs in North Dakota
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina.
In North Dakota, Medicare pays $288.74 for 57200 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 57200 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How North Dakota compares for 57200
Across 109 of 109 payment localities, the facility rate for 57200 runs from $272.77 in Arkansas to $373.30 in Alaska. North Dakota pays $288.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$288.74
- Los Angeles, CA · California$326.05+$37.31
- Washington, DC area · District of Columbia$339.25+$50.51
- Miami, FL · Florida$350.96+$62.22
- Chicago, IL · Illinois$340.90+$52.16
- Manhattan, NY · New York$351.19+$62.45
- Alaska · Alaska$373.30+$84.56
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $276.28 |
| ArkansasArkansas | — | $272.77 |
| ArizonaArizona | — | $296.62 |
| Bakersfield, CACalifornia | — | $309.76 |
| Chico, CACalifornia | — | $307.52 |
| El Centro, CACalifornia | — | $307.66 |
| Fresno, CACalifornia | — | $307.52 |
| Hanford, CACalifornia | — | $307.52 |
| Madera, CACalifornia | — | $307.52 |
| Merced, CACalifornia | — | $307.52 |
| Modesto, CACalifornia | — | $307.52 |
| Napa, CACalifornia | — | $343.13 |
| Oxnard, CACalifornia | — | $322.95 |
| Redding, CACalifornia | — | $307.52 |
| Rest of CaliforniaCalifornia | — | $307.52 |
| Riverside, CACalifornia | — | $316.14 |
| Sacramento, CACalifornia | — | $319.23 |
| Salinas, CACalifornia | — | $317.98 |
| San Diego, CACalifornia | — | $322.95 |
| Marin County, CACalifornia | — | $358.75 |
| San Francisco, CACalifornia | — | $357.84 |
| San Benito County, CACalifornia | — | $367.25 |
| Santa Clara County, CACalifornia | — | $363.54 |
| San Luis Obispo, CACalifornia | — | $313.28 |
| Santa Cruz, CACalifornia | — | $324.04 |
| Santa Maria, CACalifornia | — | $318.48 |
| Santa Rosa, CACalifornia | — | $327.07 |
| Stockton, CACalifornia | — | $307.52 |
| Vallejo, CACalifornia | — | $341.82 |
| Visalia, CACalifornia | — | $307.52 |
| Yuba City, CACalifornia | — | $307.52 |
| ColoradoColorado | — | $309.06 |
| ConnecticutConnecticut | — | $323.42 |
| DelawareDelaware | — | $301.03 |
| Fort Lauderdale, FLFlorida | — | $327.95 |
| Rest of FloridaFlorida | — | $312.16 |
| Atlanta, GAGeorgia | — | $312.56 |
| Rest of GeorgiaGeorgia | — | $295.28 |
| Hawaii, Guam, HIHawaii | — | $311.72 |
| IowaIowa | — | $277.12 |
| IdahoIdaho | — | $279.82 |
| East St. Louis, ILIllinois | — | $321.00 |
| Rest of IllinoisIllinois | — | $308.01 |
| Suburban Chicago, ILIllinois | — | $329.87 |
| IndianaIndiana | — | $281.10 |
| KansasKansas | — | $278.50 |
| KentuckyKentucky | — | $287.48 |
| New Orleans, LALouisiana | — | $300.35 |
| Rest of LouisianaLouisiana | — | $288.09 |
| Metropolitan Boston, MAMassachusetts | — | $333.56 |
| Rest of MassachusettsMassachusetts | — | $308.59 |
| Baltimore area, MDMaryland | — | $323.03 |
| Rest of MarylandMaryland | — | $305.47 |
| Rest of MaineMaine | — | $283.80 |
| Southern Maine, MEMaine | — | $293.55 |
| Detroit, MIMichigan | — | $318.26 |
| Rest of MichiganMichigan | — | $296.41 |
| MinnesotaMinnesota | — | $289.69 |
| Metropolitan Kansas City, MOMissouri | — | $295.83 |
| Metropolitan St. Louis, MOMissouri | — | $298.24 |
| Rest of MissouriMissouri | — | $285.44 |
| MississippiMississippi | — | $279.02 |
| MontanaMontana | — | $304.56 |
| North CarolinaNorth Carolina | — | $286.00 |
| NebraskaNebraska | — | $277.68 |
| New HampshireNew Hampshire | — | $306.77 |
| Northern New JerseyNew Jersey | — | $336.93 |
| Rest of New JerseyNew Jersey | — | $325.29 |
| New MexicoNew Mexico | — | $298.87 |
| NevadaNevada | — | $300.29 |
| NYC suburbs and Long Island, NYNew York | — | $362.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $329.43 |
| Queens, NYNew York | — | $350.02 |
| Rest of New YorkNew York | — | $289.98 |
| OhioOhio | — | $293.18 |
| OklahomaOklahoma | — | $284.33 |
| Portland, OROregon | — | $314.95 |
| Rest of OregonOregon | — | $296.14 |
| Metropolitan Philadelphia, PAPennsylvania | — | $317.86 |
| Rest of PennsylvaniaPennsylvania | — | $292.16 |
| Puerto RicoPuerto Rico | — | $305.69 |
| Rhode IslandRhode Island | — | $308.89 |
| South CarolinaSouth Carolina | — | $290.43 |
| South DakotaSouth Dakota | — | $286.87 |
| TennesseeTennessee | — | $280.06 |
| Austin, TXTexas | — | $309.63 |
| Beaumont, TXTexas | — | $290.66 |
| Brazoria, TXTexas | — | $298.68 |
| Dallas, TXTexas | — | $301.58 |
| Fort Worth, TXTexas | — | $300.59 |
| Galveston, TXTexas | — | $300.23 |
| Houston, TXTexas | — | $314.88 |
| Rest of TexasTexas | — | $295.19 |
| UtahUtah | — | $293.85 |
| VirginiaVirginia | — | $294.48 |
| Virgin Islands, VIUnited States Virgin Islands | — | $305.69 |
| VermontVermont | — | $290.08 |
| Rest of WashingtonWashington | — | $307.20 |
| King County, WAWashington | — | $337.33 |
| WisconsinWisconsin | — | $280.50 |
| West VirginiaWest Virginia | — | $298.59 |
| WyomingWyoming | — | $297.67 |
57200 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,451
- Code
- 57200
- Physician work
- 4.31
- Practice expense
- 4.01
- Malpractice
- 0.80
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.31 | × 1.000 | 4.3100 |
| Practice expense | 4.01 | × 1.000 | 4.0100 |
| Malpractice | 0.80 | × 0.406 | 0.3248 |
| Total RVUs | 8.6448 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$288.74
Facility: (4.31 × 1 + 4.01 × 1 + 0.8 × 0.406) × $33.4009 = $288.74
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share 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.
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%).
How 57200 has changed in North Dakota
57200 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $288.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $288.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $288.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $288.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $313.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $313.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $313.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $313.35 | RVU25A |
| 2024-10-01 | Not available in this setting | $323.97 | RVU24D |
| 2024-07-01 | Not available in this setting | $323.97 | RVU24C |
| 2024-04-01 | Not available in this setting | $323.97 | RVU24B |
| 2024-03-09 | Not available in this setting | $323.97 | RVU24AR |
| 2024-01-01 | Not available in this setting | $318.69 | RVU24A |
| 2023-10-01 | Not available in this setting | $325.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $325.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $325.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $325.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $329.96 | RVU22D |
| 2022-07-01 | Not available in this setting | $329.96 | RVU22C |
| 2022-04-01 | Not available in this setting | $329.96 | RVU22B |
| 2022-01-01 | Not available in this setting | $329.96 | RVU22A |
| 2021-10-01 | Not available in this setting | $323.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $323.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $323.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $323.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $318.30 | RVU20D |
| 2020-07-01 | Not available in this setting | $318.30 | RVU20C |
| 2020-04-01 | Not available in this setting | $318.30 | RVU20B |
| 2020-01-01 | Not available in this setting | $318.30 | RVU20A |
| 2019-10-01 | Not available in this setting | $308.89 | RVU19D |
| 2019-07-01 | Not available in this setting | $308.89 | RVU19C |
| 2019-04-01 | Not available in this setting | $308.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $308.89 | RVU19A |
| 2018-10-01 | Not available in this setting | $298.64 | RVU18D |
| 2018-07-01 | Not available in this setting | $298.64 | RVU18C |
| 2018-04-01 | Not available in this setting | $298.64 | RVU18B |
| 2018-01-01 | Not available in this setting | $298.64 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $298.96 | RVU17D |
| 2017-07-01 | Not available in this setting | $298.96 | RVU17C |
| 2017-04-01 | Not available in this setting | $298.96 | RVU17B |
| 2017-01-01 | Not available in this setting | $298.96 | RVU17A |
| 2016-10-01 | Not available in this setting | $297.34 | RVU16D |
| 2016-07-01 | Not available in this setting | $297.34 | RVU16C |
| 2016-04-01 | Not available in this setting | $297.34 | RVU16B |
| 2016-01-01 | Not available in this setting | $297.34 | RVU16A |
| 2015-10-01 | Not available in this setting | $298.65 | RVU15D |
| 2015-07-01 | Not available in this setting | $298.65 | RVU15C |
| 2015-04-01 | Not available in this setting | $297.16 | RVU15B |
| 2015-01-01 | Not available in this setting | $297.16 | RVU15A |
| 2014-10-01 | Not available in this setting | $297.49 | RVU14D |
| 2014-07-01 | Not available in this setting | $297.49 | RVU14C |
| 2014-04-01 | Not available in this setting | $297.49 | RVU14B |
| 2014-01-01 | Not available in this setting | $297.49 | RVU14A |
| 2013-10-01 | Not available in this setting | $293.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $293.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $293.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $293.52 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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