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CPT code 57267: Pelvic floor mesh, add-on, each repair site2026 Medicare rate & RVUs

Add-on reporting for prosthetic reinforcement placed during vaginal pelvic floor repair, including prolapse surgery involving an anterior or posterior compartment.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.7K Medicare services in 2024

Medicare pays $219.11 for 57267 nationally in a facility.

Medicare rate · 57267

Pelvic floor mesh, add-on, each repair site

Office or facility?

Work RVUs
4.76
Total RVUs
6.56
Global days
ZZZ

National rate · 2026

$219.11

Facility setting, before claim adjustments.

See every locality for 57267 →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 57267 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 57267 covers

During vaginal pelvic floor reconstruction, this add-on captures placement of mesh or another prosthesis to reinforce a repaired defect at a specific site. It is commonly associated with prolapse operations involving the anterior or posterior vaginal compartment, such as repairs for cystocele or rectocele. Gynecologists and urogynecologists typically perform the work in an operating room as part of reconstructive surgery.

Report 57267 only with the primary procedure that repairs the defect; it is not a stand-alone service. The operative note should identify the repaired compartment or site, the prosthetic material, and its placement for reinforcement. The code is defined per site, so documentation should make clear which site or sites received prosthetic support. CMS treats it as an add-on paid within the primary procedure's global period; report it alongside that primary surgery rather than as an independent procedure.

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 57267 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

57267 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$203.54
AlaskaUnavailable$289.12
ArizonaUnavailable$214.30
ArkansasUnavailable$201.67
Atlanta, GAUnavailable$225.37
Austin, TXUnavailable$218.43
Bakersfield, CAUnavailable$215.21
Baltimore area, MDUnavailable$230.32
Beaumont, TXUnavailable$214.19
Brazoria, TXUnavailable$214.34

57267 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
57267 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 57267 rate is calculated

Each of 57267’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 · 57267

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.76

4.76 RVUs× 1.000 GPCI

Practice expense1.02

1.02 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

6.5600

Conversion factor

$33.4009

Medicare rate

$219.11

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

Payment rules and modifiers for 57267

The CMS indicators that decide how 57267 is paid alongside other services.

CMS payment indicators · 57267

Pelvic floor mesh, add-on, each repair site

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

57267 without 80 · national facility

$219.11

Pelvic floor mesh, add-on, each repair site

57267-80 · Assistant: 16%

$35.06

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

57267 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 57267

    Pelvic floor mesh, add-on, each repair site4.76 wRVU

    Not priced

  • 57240

    Anterior repair, anterior compartment only9.83 wRVU

    Not priced

  • 57250

    Posterior repair, rectocele repair9.83 wRVU

    Not priced

  • 57268

    Enterocele repair, vaginal approach7.38 wRVU

    Not priced

  • 57287

    Sling revision, removal or revision10.87 wRVU

    Not priced

How to choose

57240Anterior repairAnterior compartment only
57240 reports the anterior vaginal repair itself. Use 57267 as an add-on only when prosthetic reinforcement is placed with the primary repair.
57250Posterior repairRectocele repair
57250 reports the posterior vaginal repair itself. It does not replace 57267 when prosthetic reinforcement is also placed.
57268Enterocele repairVaginal approach
57268 reports repair of an enterocele through a vaginal approach; 57267 reports prosthetic reinforcement of a pelvic floor defect and requires a primary procedure.
57287Sling revisionRemoval or revision
57287 concerns revision or removal of a sling. 57267 is for prosthetic reinforcement during pelvic floor defect repair, not sling revision or removal.

Codes related to 57267

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

Codes related to 57267
CodeHow it relatesNational office range
Add-on codes
57240Anterior repair, anterior compartment onlyAnterior vaginal repair may be the primary procedure when prosthetic reinforcement is also placed.No office rate
57250Posterior repair, rectocele repairPosterior vaginal repair may be the primary procedure when prosthetic reinforcement is also placed.No office rate
57260Combined vaginal repair, anterior and posterior wallsCombined anterior and posterior repair may serve as the primary procedure.No office rate
57265Vaginal prolapse repair, anterior and posterior with enteroceleCombined repair with enterocele repair may serve as the primary procedure.No office rate

57267 billing questions

Can 57267 be reported by itself?

No. It is an add-on and must be reported with the primary procedure that repairs the pelvic floor defect.

When is 57267 appropriate instead of a colporrhaphy code?

57267 reports the prosthetic reinforcement, not the underlying vaginal repair. Report the appropriate primary repair code for the defect and add 57267 when mesh or another prosthesis is placed.

How should the operative note support 57267?

Document the repaired site or compartment, the prosthetic material, and its placement to reinforce the defect. The record should also identify the primary repair performed.

How does the code handle more than one repair site?

The code is defined for each site. Document each compartment or site receiving prosthetic reinforcement and report according to applicable claim-edit and unit instructions.

Is mesh reinforcement included in the primary repair?

57267 is a separate add-on code for prosthetic reinforcement when performed with the primary repair. It is paid within that primary procedure's global period.

Is 57267 the code for a urinary sling?

No. It addresses prosthetic reinforcement of a pelvic floor defect. Sling placement or revision is a different service with its own coding.

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 57267PPRRVU2026_Oct_nonQPP.csv, line 6,459 (RVU26D)

Open CMS sourceHow we calculate rates

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