CPT code 57280: Vaginal suspension, abdominal sacrocolpopexy2026 Medicare rate & RVUs in Missouri
Abdominal sacrocolpopexy suspends the vaginal apex to support prolapse, commonly after hysterectomy, using an abdominal operative approach.
CMS doesn’t publish an office rate for 57280 in Missouri.
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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On this page 9 sections
What 57280 covers
This operation restores support to a descended vaginal apex by attaching it to the sacrum through an abdominal approach. It is commonly performed by a urogynecologist or gynecologist for apical vaginal prolapse, including vault prolapse after hysterectomy, in a hospital or ambulatory surgical setting. A graft may be used to connect the vaginal apex to the sacral support point.
Report the code for the abdominal suspension itself, not for a vaginal-route suspension or a laparoscopic colpopexy. The operative report should identify the route, the vaginal apex being suspended, the sacral attachment, and any separately performed compartment repairs. 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 at 50%. 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.
Where 57280 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $841.10 |
| Metropolitan St. Louis, MO | Unavailable | $846.24 |
| Rest of Missouri | Unavailable | $823.70 |
How the 57280 rate is calculated
Each of 57280’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 · 57280
RVUs × geographic indexes × conversion factor
Work16.30
16.30 RVUs× 1.000 GPCI
Practice expense6.66
6.66 RVUs× 1.000 GPCI
Malpractice2.69
2.69 RVUs× 1.000 GPCI
Adjusted RVUs
25.6500
Conversion factor
$33.4009
Medicare rate
$856.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57280
57280 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57280
Vaginal suspension, abdominal sacrocolpopexy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57280
Vaginal suspension, abdominal sacrocolpopexy
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57280 without 51 · national facility
$856.73
Vaginal suspension, abdominal sacrocolpopexy
57280-51 · Second procedure: 50%
$428.37
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%).
57280 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57282Vaginal suspensionExtraperitoneal approach
- Use 57280 for the abdominal approach. Code 57282 is a vaginal-route, extraperitoneal colpopexy.
- 57283Vaginal colpopexyIntraperitoneal approach
- Use 57280 for the abdominal approach. Code 57283 is a vaginal-route, intraperitoneal colpopexy.
- 57425Laparoscopic colpopexyVaginal apex suspension
- Code 57425 describes laparoscopic colpopexy; 57280 is the abdominal approach. Select according to the operative route.
- 57240Anterior repairAnterior compartment only
- Code 57240 addresses anterior vaginal wall repair, not suspension of the vaginal apex to the sacrum.
57280 billing questions
How does this differ from vaginal colpopexy codes 57282 and 57283?
Code 57280 describes suspension by an abdominal approach. Codes 57282 and 57283 describe vaginal approaches, distinguished by extraperitoneal versus intraperitoneal technique.
Is a laparoscopic sacrocolpopexy reported with 57280?
No. For a laparoscopic colpopexy, compare 57425; 57280 is for the abdominal approach.
Can an anterior or posterior repair be reported in the same session?
A separately performed repair of an anterior or posterior vaginal wall defect may be reported when the operative documentation supports that distinct work. CMS applies the multiple-procedure reduction when procedures are performed in the same session.
Does modifier 50 apply to this vaginal suspension?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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