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

In Ohio, Medicare pays $293.18 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.

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 Ohio 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. Ohio pays $293.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57200 rates by state

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

See 57200 in every payment locality

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.

Payment rules and modifiers for 57200

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

What modifiers do to the payment

When to use modifier 51

Codes related to 57200

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

How 57200 has changed in Ohio

Price 57200 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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

Open CMS sourceHow we calculate rates