CPT code 57267: Pelvic floor mesh, add-on, each repair site2026 Medicare rate & RVUs in California
Add-on reporting for prosthetic reinforcement placed during vaginal pelvic floor repair, including prolapse surgery involving an anterior or posterior compartment.
CMS doesn’t publish an office rate for 57267 in California.
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 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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $215.21 |
| Chico, CA | Unavailable | $212.99 |
| El Centro, CA | Unavailable | $213.13 |
| Fresno, CA | Unavailable | $212.99 |
| Hanford, CA | Unavailable | $212.99 |
| Los Angeles, CA | Unavailable | $223.11 |
| Madera, CA | Unavailable | $212.99 |
| Marin County, CA | Unavailable | $234.09 |
| Merced, CA | Unavailable | $212.99 |
| Modesto, CA | Unavailable | $212.99 |
| Napa, CA | Unavailable | $227.14 |
| Oxnard, CA | Unavailable | $219.94 |
| Redding, CA | Unavailable | $212.99 |
| Rest of California | Unavailable | $212.99 |
| Riverside, CA | Unavailable | $221.41 |
| Sacramento, CA | Unavailable | $218.30 |
| Salinas, CA | Unavailable | $217.37 |
| San Benito County, CA | Unavailable | $239.57 |
| San Diego, CA | Unavailable | $218.62 |
| San Francisco, CA | Unavailable | $233.20 |
| San Luis Obispo, CA | Unavailable | $214.46 |
| Santa Clara County, CA | Unavailable | $235.95 |
| Santa Cruz, CA | Unavailable | $217.69 |
| Santa Maria, CA | Unavailable | $217.13 |
| Santa Rosa, CA | Unavailable | $219.56 |
| Stockton, CA | Unavailable | $212.99 |
| Vallejo, CA | Unavailable | $225.87 |
| Visalia, CA | Unavailable | $212.99 |
| Yuba City, CA | Unavailable | $212.99 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
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.
57267 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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