CPT code 57270: Enterocele repair, abdominal approach2026 Medicare rate & RVUs

Medicare pays $720.79 for 57270 nationally in a facility.

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

What 57270 covers

An enterocele is a peritoneal sac that descends into the upper vagina and may contain small bowel. It can occur with vaginal vault prolapse, particularly after hysterectomy. CPT 57270 represents repair through an abdominal approach: the surgeon reaches the pelvic defect from the abdomen, reduces the herniated sac, and repairs or supports the defect. Gynecologists and urogynecologists typically perform this operation in a hospital or ambulatory surgery setting as part of pelvic organ prolapse reconstruction.

Select this code when the enterocele is repaired abdominally; the vaginal-route counterpart is 57268. The operative report should identify the enterocele, surgical approach, repair performed, and any distinct concomitant prolapse repairs. CMS assigns a major-surgery 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. 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 57270 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

57270 rates by state

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

How the 57270 rate is calculated

Each of 57270’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 57270

57270 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

57270 compared with similar codes

How to choose

57268Enterocele repairVaginal approach

Both codes address enterocele repair. Use 57270 for the abdominal approach and 57268 for the vaginal approach.

57250Posterior repairRectocele repair

57250 addresses rectocele repair, involving a different pelvic support defect; 57270 is for abdominal repair of an enterocele.

57284Paravaginal repairOpen abdominal approach

57284 repairs a paravaginal defect through an open approach. It is not the code for an enterocele repair.

Codes related to 57270

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

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