CPT code 57240: Anterior repair, anterior compartment only2026 Medicare rate & RVUs in Virginia
Anterior colporrhaphy repairs support of the front vaginal wall, commonly for a cystocele causing vaginal bulge, pressure, or related pelvic floor symptoms.
In Virginia, Medicare pays $526.52 for 57240 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 57240 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 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.
How Virginia compares for 57240
Across 109 of 109 payment localities, the facility rate for 57240 runs from $496.04 in Arkansas to $695.72 in Alaska. Virginia pays $526.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$526.52
- Los Angeles, CA · California$570.32+$43.80
- Washington, DC area · District of Columbia$597.92+$71.40
- Miami, FL · Florida$634.01+$107.49
- Chicago, IL · Illinois$617.86+$91.34
- Manhattan, NY · New York$624.03+$97.51
- Alaska · Alaska$695.72+$169.20
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $501.39 |
| ArkansasArkansas | — | $496.04 |
| ArizonaArizona | — | $532.31 |
| Bakersfield, CACalifornia | — | $545.96 |
| Chico, CACalifornia | — | $541.38 |
| El Centro, CACalifornia | — | $541.65 |
| Fresno, CACalifornia | — | $541.38 |
| Hanford, CACalifornia | — | $541.38 |
| Madera, CACalifornia | — | $541.38 |
| Merced, CACalifornia | — | $541.38 |
| Modesto, CACalifornia | — | $541.38 |
| Napa, CACalifornia | — | $591.16 |
| Oxnard, CACalifornia | — | $563.69 |
| Redding, CACalifornia | — | $541.38 |
| Rest of CaliforniaCalifornia | — | $541.38 |
| Riverside, CACalifornia | — | $558.76 |
| Sacramento, CACalifornia | — | $558.54 |
| Salinas, CACalifornia | — | $556.25 |
| San Diego, CACalifornia | — | $562.27 |
| Marin County, CACalifornia | — | $614.03 |
| San Francisco, CACalifornia | — | $612.20 |
| San Benito County, CACalifornia | — | $628.31 |
| Santa Clara County, CACalifornia | — | $620.84 |
| San Luis Obispo, CACalifornia | — | $548.39 |
| Santa Cruz, CACalifornia | — | $562.09 |
| Santa Maria, CACalifornia | — | $556.40 |
| Santa Rosa, CACalifornia | — | $567.16 |
| Stockton, CACalifornia | — | $541.38 |
| Vallejo, CACalifornia | — | $588.53 |
| Visalia, CACalifornia | — | $541.38 |
| Yuba City, CACalifornia | — | $541.38 |
| ColoradoColorado | — | $547.70 |
| ConnecticutConnecticut | — | $575.51 |
| DelawareDelaware | — | $539.36 |
| Fort Lauderdale, FLFlorida | — | $590.67 |
| Rest of FloridaFlorida | — | $564.98 |
| Atlanta, GAGeorgia | — | $559.50 |
| Rest of GeorgiaGeorgia | — | $537.82 |
| Hawaii, Guam, HIHawaii | — | $544.79 |
| IowaIowa | — | $498.82 |
| IdahoIdaho | — | $503.72 |
| East St. Louis, ILIllinois | — | $586.59 |
| Rest of IllinoisIllinois | — | $561.20 |
| Suburban Chicago, ILIllinois | — | $593.32 |
| IndianaIndiana | — | $505.56 |
| KansasKansas | — | $502.78 |
| KentuckyKentucky | — | $522.44 |
| New Orleans, LALouisiana | — | $542.80 |
| Rest of LouisianaLouisiana | — | $524.10 |
| Metropolitan Boston, MAMassachusetts | — | $584.27 |
| Rest of MassachusettsMassachusetts | — | $548.08 |
| Baltimore area, MDMaryland | — | $575.00 |
| Rest of MarylandMaryland | — | $545.93 |
| Rest of MaineMaine | — | $511.74 |
| Southern Maine, MEMaine | — | $523.79 |
| Detroit, MIMichigan | — | $576.29 |
| Rest of MichiganMichigan | — | $537.86 |
| MinnesotaMinnesota | — | $511.97 |
| Metropolitan Kansas City, MOMissouri | — | $533.92 |
| Metropolitan St. Louis, MOMissouri | — | $537.39 |
| Rest of MissouriMissouri | — | $521.21 |
| MississippiMississippi | — | $508.41 |
| MontanaMontana | — | $545.00 |
| North CarolinaNorth Carolina | — | $514.77 |
| North DakotaNorth Dakota | — | $513.16 |
| NebraskaNebraska | — | $499.10 |
| New HampshireNew Hampshire | — | $545.06 |
| Northern New JerseyNew Jersey | — | $595.52 |
| Rest of New JerseyNew Jersey | — | $578.45 |
| New MexicoNew Mexico | — | $542.38 |
| NevadaNevada | — | $536.29 |
| NYC suburbs and Long Island, NYNew York | — | $643.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $586.66 |
| Queens, NYNew York | — | $619.55 |
| Rest of New YorkNew York | — | $520.98 |
| OhioOhio | — | $531.35 |
| OklahomaOklahoma | — | $515.67 |
| Portland, OROregon | — | $554.68 |
| Rest of OregonOregon | — | $528.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $568.07 |
| Rest of PennsylvaniaPennsylvania | — | $528.78 |
| Puerto RicoPuerto Rico | — | $546.09 |
| Rhode IslandRhode Island | — | $550.91 |
| South CarolinaSouth Carolina | — | $524.65 |
| South DakotaSouth Dakota | — | $509.40 |
| TennesseeTennessee | — | $505.37 |
| Austin, TXTexas | — | $549.08 |
| Beaumont, TXTexas | — | $526.61 |
| Brazoria, TXTexas | — | $534.43 |
| Dallas, TXTexas | — | $539.77 |
| Fort Worth, TXTexas | — | $538.84 |
| Galveston, TXTexas | — | $537.34 |
| Houston, TXTexas | — | $566.81 |
| Rest of TexasTexas | — | $531.57 |
| UtahUtah | — | $529.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $546.09 |
| VermontVermont | — | $516.91 |
| Rest of WashingtonWashington | — | $545.16 |
| King County, WAWashington | — | $588.68 |
| WisconsinWisconsin | — | $501.04 |
| West VirginiaWest Virginia | — | $546.93 |
| WyomingWyoming | — | $531.12 |
57240 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 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.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,455
- Code
- 57240
- Physician work
- 9.83
- Practice expense
- 4.88
- Malpractice
- 1.61
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.83 | × 1.000 | 9.8300 |
| Practice expense | 4.88 | × 0.983 | 4.7970 |
| Malpractice | 1.61 | × 0.706 | 1.1367 |
| Total RVUs | 15.7637 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$526.52
Facility: (9.83 × 1 + 4.88 × 0.983 + 1.61 × 0.706) × $33.4009 = $526.52
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%).
How 57240 has changed in Virginia
57240 · 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 | $526.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $526.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $526.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $526.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $583.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $583.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $583.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $583.15 | RVU25A |
| 2024-10-01 | Not available in this setting | $600.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $600.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $600.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $600.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $590.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $612.48 | RVU23D |
| 2023-07-01 | Not available in this setting | $612.48 | RVU23C |
| 2023-04-01 | Not available in this setting | $612.48 | RVU23B |
| 2023-01-01 | Not available in this setting | $612.48 | RVU23A |
| 2022-10-01 | Not available in this setting | $625.03 | RVU22D |
| 2022-07-01 | Not available in this setting | $625.03 | RVU22C |
| 2022-04-01 | Not available in this setting | $625.03 | RVU22B |
| 2022-01-01 | Not available in this setting | $625.03 | RVU22A |
| 2021-10-01 | Not available in this setting | $621.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $621.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $621.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $621.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $624.20 | RVU20D |
| 2020-07-01 | Not available in this setting | $624.20 | RVU20C |
| 2020-04-01 | Not available in this setting | $624.20 | RVU20B |
| 2020-01-01 | Not available in this setting | $624.20 | RVU20A |
| 2019-10-01 | Not available in this setting | $605.86 | RVU19D |
| 2019-07-01 | Not available in this setting | $605.86 | RVU19C |
| 2019-04-01 | Not available in this setting | $605.86 | RVU19B |
| 2019-01-01 | Not available in this setting | $605.86 | RVU19A |
| 2018-10-01 | Not available in this setting | $597.06 | RVU18D |
| 2018-07-01 | Not available in this setting | $597.06 | RVU18C |
| 2018-04-01 | Not available in this setting | $597.06 | RVU18B |
| 2018-01-01 | Not available in this setting | $597.06 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $676.01 | RVU17D |
| 2017-07-01 | Not available in this setting | $676.01 | RVU17C |
| 2017-04-01 | Not available in this setting | $676.01 | RVU17B |
| 2017-01-01 | Not available in this setting | $676.01 | RVU17A |
| 2016-10-01 | Not available in this setting | $669.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $669.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $669.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $669.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $673.57 | RVU15D |
| 2015-07-01 | Not available in this setting | $673.57 | RVU15C |
| 2015-04-01 | Not available in this setting | $670.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $670.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $673.10 | RVU14D |
| 2014-07-01 | Not available in this setting | $673.10 | RVU14C |
| 2014-04-01 | Not available in this setting | $673.10 | RVU14B |
| 2014-01-01 | Not available in this setting | $673.10 | RVU14A |
| 2013-10-01 | Not available in this setting | $653.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $653.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $653.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $653.52 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
Show the CMS file lines behind this rate
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