CPT code 57280: Vaginal suspension, abdominal sacrocolpopexy2026 Medicare rate & RVUs in New Mexico
Abdominal sacrocolpopexy suspends the vaginal apex to support prolapse, commonly after hysterectomy, using an abdominal operative approach.
In New Mexico, Medicare pays $856.33 for 57280 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 57280 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How New Mexico compares for 57280
Across 109 of 109 payment localities, the facility rate for 57280 runs from $781.79 in Arkansas to $1,103.07 in Alaska. New Mexico pays $856.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$856.33
- Los Angeles, CA · California$889.57+$33.24
- Washington, DC area · District of Columbia$935.88+$79.55
- Miami, FL · Florida$1,003.23+$146.90
- Chicago, IL · Illinois$978.01+$121.68
- Manhattan, NY · New York$980.26+$123.93
- Alaska · Alaska$1,103.07+$246.74
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $789.93 |
| ArkansasArkansas | — | $781.79 |
| ArizonaArizona | — | $836.90 |
| Bakersfield, CACalifornia | — | $853.30 |
| Chico, CACalifornia | — | $845.65 |
| El Centro, CACalifornia | — | $846.10 |
| Fresno, CACalifornia | — | $845.65 |
| Hanford, CACalifornia | — | $845.65 |
| Madera, CACalifornia | — | $845.65 |
| Merced, CACalifornia | — | $845.65 |
| Modesto, CACalifornia | — | $845.65 |
| Napa, CACalifornia | — | $917.57 |
| Oxnard, CACalifornia | — | $878.59 |
| Redding, CACalifornia | — | $845.65 |
| Rest of CaliforniaCalifornia | — | $845.65 |
| Riverside, CACalifornia | — | $874.68 |
| Sacramento, CACalifornia | — | $870.90 |
| Salinas, CACalifornia | — | $867.29 |
| San Diego, CACalifornia | — | $875.52 |
| Marin County, CACalifornia | — | $951.05 |
| San Francisco, CACalifornia | — | $948.00 |
| San Benito County, CACalifornia | — | $973.25 |
| Santa Clara County, CACalifornia | — | $960.77 |
| San Luis Obispo, CACalifornia | — | $855.22 |
| Santa Cruz, CACalifornia | — | $874.30 |
| Santa Maria, CACalifornia | — | $867.21 |
| Santa Rosa, CACalifornia | — | $882.10 |
| Stockton, CACalifornia | — | $845.65 |
| Vallejo, CACalifornia | — | $913.16 |
| Visalia, CACalifornia | — | $845.65 |
| Yuba City, CACalifornia | — | $845.65 |
| ColoradoColorado | — | $857.83 |
| ConnecticutConnecticut | — | $903.62 |
| DelawareDelaware | — | $847.71 |
| Fort Lauderdale, FLFlorida | — | $932.22 |
| Rest of FloridaFlorida | — | $892.14 |
| Atlanta, GAGeorgia | — | $879.99 |
| Rest of GeorgiaGeorgia | — | $849.96 |
| Hawaii, Guam, HIHawaii | — | $849.38 |
| IowaIowa | — | $783.65 |
| IdahoIdaho | — | $791.59 |
| East St. Louis, ILIllinois | — | $930.04 |
| Rest of IllinoisIllinois | — | $887.96 |
| Suburban Chicago, ILIllinois | — | $935.91 |
| IndianaIndiana | — | $794.31 |
| KansasKansas | — | $790.81 |
| KentuckyKentucky | — | $824.40 |
| New Orleans, LALouisiana | — | $855.83 |
| Rest of LouisianaLouisiana | — | $827.38 |
| Metropolitan Boston, MAMassachusetts | — | $912.33 |
| Rest of MassachusettsMassachusetts | — | $858.99 |
| Baltimore area, MDMaryland | — | $902.98 |
| Rest of MarylandMaryland | — | $857.48 |
| Rest of MaineMaine | — | $804.97 |
| Southern Maine, MEMaine | — | $821.58 |
| Detroit, MIMichigan | — | $910.58 |
| Rest of MichiganMichigan | — | $848.97 |
| MinnesotaMinnesota | — | $799.93 |
| Metropolitan Kansas City, MOMissouri | — | $841.10 |
| Metropolitan St. Louis, MOMissouri | — | $846.24 |
| Rest of MissouriMissouri | — | $823.70 |
| MississippiMississippi | — | $802.36 |
| MontanaMontana | — | $856.55 |
| North CarolinaNorth Carolina | — | $809.39 |
| North DakotaNorth Dakota | — | $803.36 |
| NebraskaNebraska | — | $783.72 |
| New HampshireNew Hampshire | — | $854.62 |
| Northern New JerseyNew Jersey | — | $932.73 |
| Rest of New JerseyNew Jersey | — | $907.69 |
| NevadaNevada | — | $841.95 |
| NYC suburbs and Long Island, NYNew York | — | $1,010.62 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $921.23 |
| Queens, NYNew York | — | $971.78 |
| Rest of New YorkNew York | — | $818.93 |
| OhioOhio | — | $838.10 |
| OklahomaOklahoma | — | $812.89 |
| Portland, OROregon | — | $867.13 |
| Rest of OregonOregon | — | $829.16 |
| Metropolitan Philadelphia, PAPennsylvania | — | $892.99 |
| Rest of PennsylvaniaPennsylvania | — | $833.55 |
| Puerto RicoPuerto Rico | — | $857.83 |
| Rhode IslandRhode Island | — | $864.71 |
| South CarolinaSouth Carolina | — | $826.35 |
| South DakotaSouth Dakota | — | $797.07 |
| TennesseeTennessee | — | $794.89 |
| Austin, TXTexas | — | $860.48 |
| Beaumont, TXTexas | — | $830.33 |
| Brazoria, TXTexas | — | $839.32 |
| Dallas, TXTexas | — | $847.98 |
| Fort Worth, TXTexas | — | $846.93 |
| Galveston, TXTexas | — | $844.08 |
| Houston, TXTexas | — | $893.31 |
| Rest of TexasTexas | — | $836.67 |
| UtahUtah | — | $834.22 |
| VirginiaVirginia | — | $826.54 |
| Virgin Islands, VIUnited States Virgin Islands | — | $857.83 |
| VermontVermont | — | $810.12 |
| Rest of WashingtonWashington | — | $854.13 |
| King County, WAWashington | — | $918.01 |
| WisconsinWisconsin | — | $785.22 |
| West VirginiaWest Virginia | — | $866.32 |
| WyomingWyoming | — | $833.37 |
57280 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,462
- Code
- 57280
- Physician work
- 16.30
- Practice expense
- 6.66
- Malpractice
- 2.69
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.30 | × 1.000 | 16.3000 |
| Practice expense | 6.66 | × 0.917 | 6.1072 |
| Malpractice | 2.69 | × 1.201 | 3.2307 |
| Total RVUs | 25.6379 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$856.33
Facility: (16.3 × 1 + 6.66 × 0.917 + 2.69 × 1.201) × $33.4009 = $856.33
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%).
How 57280 has changed in New Mexico
57280 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $856.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $856.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $856.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $856.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $924.80 | RVU25D |
| 2025-07-01 | Not available in this setting | $924.80 | RVU25C |
| 2025-04-01 | Not available in this setting | $924.80 | RVU25B |
| 2025-01-01 | Not available in this setting | $924.80 | RVU25A |
| 2024-10-01 | Not available in this setting | $952.05 | RVU24D |
| 2024-07-01 | Not available in this setting | $952.05 | RVU24C |
| 2024-04-01 | Not available in this setting | $952.05 | RVU24B |
| 2024-03-09 | Not available in this setting | $952.05 | RVU24AR |
| 2024-01-01 | Not available in this setting | $936.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $962.05 | RVU23D |
| 2023-07-01 | Not available in this setting | $962.05 | RVU23C |
| 2023-04-01 | Not available in this setting | $962.05 | RVU23B |
| 2023-01-01 | Not available in this setting | $962.05 | RVU23A |
| 2022-10-01 | Not available in this setting | $974.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $974.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $974.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $974.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $972.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $972.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $972.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $972.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $995.13 | RVU20D |
| 2020-07-01 | Not available in this setting | $995.13 | RVU20C |
| 2020-04-01 | Not available in this setting | $995.13 | RVU20B |
| 2020-01-01 | Not available in this setting | $995.13 | RVU20A |
| 2019-10-01 | Not available in this setting | $976.72 | RVU19D |
| 2019-07-01 | Not available in this setting | $976.72 | RVU19C |
| 2019-04-01 | Not available in this setting | $976.72 | RVU19B |
| 2019-01-01 | Not available in this setting | $976.72 | RVU19A |
| 2018-10-01 | Not available in this setting | $968.33 | RVU18D |
| 2018-07-01 | Not available in this setting | $968.33 | RVU18C |
| 2018-04-01 | Not available in this setting | $968.33 | RVU18B |
| 2018-01-01 | Not available in this setting | $968.33 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $965.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $965.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $965.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $965.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $956.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $956.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $956.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $956.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $964.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $964.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $959.21 | RVU15B |
| 2015-01-01 | Not available in this setting | $959.21 | RVU15A |
| 2014-10-01 | Not available in this setting | $970.78 | RVU14D |
| 2014-07-01 | Not available in this setting | $970.78 | RVU14C |
| 2014-04-01 | Not available in this setting | $970.78 | RVU14B |
| 2014-01-01 | Not available in this setting | $970.78 | RVU14A |
| 2013-10-01 | Not available in this setting | $938.48 | RVU13D |
| 2013-07-01 | Not available in this setting | $938.48 | RVU13C |
| 2013-04-01 | Not available in this setting | $938.48 | RVU13B |
| 2013-01-01 | Not available in this setting | $938.48 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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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