CPT code 57240: Anterior repair, anterior compartment only2026 Medicare rate & RVUs in Texas
Anterior colporrhaphy repairs support of the front vaginal wall, commonly for a cystocele causing vaginal bulge, pressure, or related pelvic floor symptoms.
CMS doesn’t publish an office rate for 57240 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 57240 covers
A gynecologist or urogynecologist typically performs this vaginal operation to restore support to the anterior vaginal wall, often for a cystocele. The surgeon accesses the weakened support layer through the vagina, reinforces it with sutures, and closes the vaginal incision. It is generally performed in an operating room, commonly in a facility setting, when anterior compartment prolapse warrants surgical repair.
Report 57240 when the operative work is an anterior vaginal wall repair; document the affected compartment, findings, approach, and repair performed. When anterior and posterior colporrhaphy are both performed, consider the combined code 57260 rather than reporting the isolated repairs separately. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Do not append modifier 50. Assistant-at-surgery payment may be available; co-surgeons require 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 57240 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $549.08 |
| Beaumont, TX | Unavailable | $526.61 |
| Brazoria, TX | Unavailable | $534.43 |
| Dallas, TX | Unavailable | $539.77 |
| Fort Worth, TX | Unavailable | $538.84 |
| Galveston, TX | Unavailable | $537.34 |
| Houston, TX | Unavailable | $566.81 |
| Rest of Texas | Unavailable | $531.57 |
How the 57240 rate is calculated
Each of 57240’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 · 57240
RVUs × geographic indexes × conversion factor
Work9.83
9.83 RVUs× 1.000 GPCI
Practice expense4.88
4.88 RVUs× 1.000 GPCI
Malpractice1.61
1.61 RVUs× 1.000 GPCI
Adjusted RVUs
16.3200
Conversion factor
$33.4009
Medicare rate
$545.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57240
57240 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57240
Anterior repair, anterior compartment only
| 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 · 57240
Anterior repair, anterior compartment only
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
57240 without 51 · national facility
$545.10
Anterior repair, anterior compartment only
57240-51 · Second procedure: 50%
$272.55
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%).
57240 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57260Combined vaginal repairAnterior and posterior walls
- Use 57260 when the surgeon repairs both anterior and posterior vaginal compartments. Use 57240 for the anterior repair alone.
- 57250Posterior repairRectocele repair
- 57250 addresses posterior vaginal wall support, commonly for a rectocele; 57240 addresses the anterior wall, commonly for a cystocele.
- 57284Paravaginal repairOpen abdominal approach
- 57284 repairs a paravaginal defect through an open abdominal approach. 57240 is an anterior colporrhaphy performed through the vagina.
- 57285Paravaginal repairVaginal approach
- 57285 repairs a paravaginal defect through a vaginal approach; 57240 is selected for an anterior colporrhaphy rather than that defect-specific repair.
57240 billing questions
When should 57240 be chosen instead of 57260?
Use 57240 for an anterior repair alone. When both anterior and posterior colporrhaphy are performed, 57260 describes the combined repair.
Can modifier 50 be appended for bilateral repair?
No. Modifier 50 is inappropriate for this procedure; report the anterior repair without a bilateral adjustment.
What documentation supports 57240?
The operative report should identify the anterior compartment defect and describe the vaginal approach and repair performed.
How does the 90-day global affect postoperative care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons require supporting documentation; team surgery is not permitted.
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
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