CPT code 57268: Enterocele repair, vaginal approach2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $504.54 for 57268 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 57268 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 57268 covers

An enterocele is a pouch of peritoneum, sometimes containing small bowel, that descends into the vaginal canal or toward the vaginal apex. This service repairs the defect through a vaginal approach, typically during pelvic reconstructive surgery by a gynecologist or urogynecologist. The operative work addresses the enterocele itself; it is distinct from repair of a rectocele, which involves the rectal wall and posterior vaginal wall.

Report 57268 when the documented repair is performed vaginally, not through an abdominal approach. The operative note should identify the enterocele, the vaginal route, and the repair performed. This is major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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.

How Washington, DC area compares for 57268

Across 109 of 109 payment localities, the facility rate for 57268 runs from $412.38 in Arkansas to $571.69 in Alaska. Washington, DC area pays $504.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57268 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 57268 in every payment locality

How the 57268 rate is calculated

Each of 57268’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.

Payment rules and modifiers for 57268

57268 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 57268

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

How 57268 has changed in Washington, DC area

Price 57268 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates