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CPT code 57250: Posterior repair, rectocele repair2026 Medicare rate & RVUs

Repair of a rectocele through the posterior vaginal wall, with or without perineal repair, typically performed for symptomatic posterior vaginal wall prolapse.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.1K Medicare services in 2024

Medicare pays $545.44 for 57250 nationally in a facility.

Medicare rate · 57250

Posterior repair, rectocele repair

Office or facility?

Work RVUs
9.83
Total RVUs
16.33
Global days
090

National rate · 2026

$545.44

Facility setting, before claim adjustments.

See every locality for 57250 →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 57250 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 57250 covers

This operation repairs a posterior vaginal wall defect associated with a rectocele, in which the rectum bulges toward the vagina. A gynecologist or urogynecologist typically performs the repair in an operating room for patients with symptoms such as vaginal pressure, a bulge, or difficulty emptying the bowel. The vaginal tissue is opened and the supporting tissue is repaired; perineal repair may also be part of the procedure.

Report 57250 when the operative work addresses the posterior vaginal wall rectocele, and document the defect and the repair performed. Perineorrhaphy may be included when performed with this repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this repair. 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 57250 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

57250 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$501.27
AlaskaUnavailable$695.39
ArizonaUnavailable$532.48
ArkansasUnavailable$495.87
Atlanta, GAUnavailable$560.09
Austin, TXUnavailable$549.21
Bakersfield, CAUnavailable$545.68
Baltimore area, MDUnavailable$575.58
Beaumont, TXUnavailable$526.94
Brazoria, TXUnavailable$534.48

57250 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
57250 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 57250 rate is calculated

Each of 57250’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 · 57250

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.83

9.83 RVUs× 1.000 GPCI

Practice expense4.85

4.85 RVUs× 1.000 GPCI

Malpractice1.65

1.65 RVUs× 1.000 GPCI

Adjusted RVUs

16.3300

Conversion factor

$33.4009

Medicare rate

$545.44

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

Payment rules and modifiers for 57250

57250 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57250

Posterior repair, rectocele repair

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 · 57250

Posterior repair, rectocele repair

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

57250 without 51 · national facility

$545.44

Posterior repair, rectocele repair

57250-51 · Second procedure: 50%

$272.72

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

57250 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 57250

    Posterior repair, rectocele repair9.83 wRVU

    Not priced

  • 57240

    Anterior repair, anterior compartment only9.83 wRVU

    Not priced

  • 57260

    Combined vaginal repair, anterior and posterior walls12.92 wRVU

    Not priced

  • 57268

    Enterocele repair, vaginal approach7.38 wRVU

    Not priced

How to choose

57240Anterior repairAnterior compartment only
Choose 57250 for repair of a posterior vaginal wall rectocele; choose 57240 for an anterior vaginal wall defect such as a cystocele.
57260Combined vaginal repairAnterior and posterior walls
57260 represents combined anterior and posterior vaginal wall repairs. Use 57250 when the documented repair is limited to the posterior defect.
57268Enterocele repairVaginal approach
57268 is for vaginal repair of an enterocele, not the posterior vaginal wall rectocele repair represented by 57250. The codes may describe separate defects treated in one operation.

Codes related to 57250

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

Codes related to 57250
CodeHow it relatesNational office range
Same family
57240Anterior repair, anterior compartment onlyRepairs an anterior vaginal wall defect rather than a posterior rectocele.No office rate
57260Combined vaginal repair, anterior and posterior wallsCovers combined anterior and posterior vaginal wall repairs.No office rate
57265Vaginal prolapse repair, anterior and posterior with enteroceleCovers combined anterior and posterior repair with enterocele repair.No office rate
Often billed with
57268Enterocele repair, vaginal approachRepairs an enterocele by the vaginal approach and may accompany posterior repair when both defects are treated.No office rate
Add-on codes
57267Pelvic floor mesh, add-on, each repair siteAdd-on for mesh or other prosthesis insertion with an eligible pelvic floor repair.No office rate

57250 billing questions

How does 57250 differ from 57240?

57250 addresses a posterior vaginal wall rectocele. 57240 addresses an anterior vaginal wall defect, such as a cystocele.

Is perineorrhaphy separately reported with 57250?

Perineorrhaphy may be included when performed as part of the posterior repair. The operative note should describe the work actually performed.

When is 57260 more appropriate?

Use 57260 when the surgeon repairs both anterior and posterior vaginal wall defects during the same operation, rather than reporting only the posterior repair represented by 57250.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires 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
RVUs for 57250PPRRVU2026_Oct_nonQPP.csv, line 6,456 (RVU26D)

Open CMS sourceHow we calculate rates

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