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CPT code 57282: Vaginal suspension, extraperitoneal approach2026 Medicare rate & RVUs

Reports vaginal-route suspension of the vaginal apex using an extraperitoneal approach, commonly to correct apical or posthysterectomy vault prolapse.

CMS RVU26DEffective Oct 1, 2026109 payment localities8.7K Medicare services in 2024

Medicare pays $615.24 for 57282 nationally in a facility.

Medicare rate · 57282

Vaginal suspension, extraperitoneal approach

Office or facility?

Work RVUs
11.34
Total RVUs
18.42
Global days
090

National rate · 2026

$615.24

Facility setting, before claim adjustments.

See every locality for 57282 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 57282 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 57282 covers

A gynecologic or urogynecologic surgeon uses a vaginal approach to restore support to the vaginal apex, commonly by securing it to the sacrospinous ligament. The procedure is used for apical prolapse, including vaginal vault prolapse after hysterectomy, and is generally performed in an operating room. The operative report should establish the vaginal route, the extraperitoneal dissection and fixation, and the support structure used.

Choose this code for the extraperitoneal vaginal suspension, not simply for repair of a vaginal wall defect. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. 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 57282 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

57282 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$566.38
AlaskaUnavailable$787.89
ArizonaUnavailable$600.86
ArkansasUnavailable$560.41
Atlanta, GAUnavailable$631.72
Austin, TXUnavailable$618.97
Bakersfield, CAUnavailable$614.73
Baltimore area, MDUnavailable$648.81
Beaumont, TXUnavailable$595.15
Brazoria, TXUnavailable$602.97

57282 rates by state

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

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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
57282 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 57282 rate is calculated

Each of 57282’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 · 57282

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.34

11.34 RVUs× 1.000 GPCI

Practice expense5.21

5.21 RVUs× 1.000 GPCI

Malpractice1.87

1.87 RVUs× 1.000 GPCI

Adjusted RVUs

18.4200

Conversion factor

$33.4009

Medicare rate

$615.24

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 57282

57282 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57282

Vaginal suspension, extraperitoneal approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57282

Vaginal suspension, extraperitoneal approach

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57282 without 51 · national facility

$615.24

Vaginal suspension, extraperitoneal approach

57282-51 · Second procedure: 50%

$307.62

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%).

When to use modifier 51

57282 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 57282

    Vaginal suspension, extraperitoneal approach11.34 wRVU

    Not priced

  • 57283

    Vaginal colpopexy, intraperitoneal approach11.37 wRVU

    Not priced

  • 57280

    Vaginal suspension, abdominal sacrocolpopexy16.3 wRVU

    Not priced

  • 57240

    Anterior repair, anterior compartment only9.83 wRVU

    Not priced

  • 57260

    Combined vaginal repair, anterior and posterior walls12.92 wRVU

    Not priced

How to choose

57283Vaginal colpopexyIntraperitoneal approach
Both are vaginal apical suspensions. Choose 57282 for extraperitoneal fixation and 57283 for the intraperitoneal approach.
57280Vaginal suspensionAbdominal sacrocolpopexy
57280 describes colpopexy performed through an abdominal approach; this code is for vaginal access and extraperitoneal fixation.
57240Anterior repairAnterior compartment only
57240 repairs the anterior vaginal wall, commonly for an anterior compartment defect. This code suspends the vaginal apex; it is not a substitute for that repair.
57260Combined vaginal repairAnterior and posterior walls
57260 describes combined anterior and posterior vaginal repairs. This code addresses apical suspension, a different part of the prolapse repair.

Codes related to 57282

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

Codes related to 57282
CodeHow it relatesNational office range
Same family
57283Vaginal colpopexy, intraperitoneal approachVaginal apical suspension using an intraperitoneal rather than extraperitoneal approach.No office rate
Used instead
57280Vaginal suspension, abdominal sacrocolpopexyColpopexy through an abdominal approach rather than the vaginal approach used here.No office rate
Often billed with
57240Anterior repair, anterior compartment onlyAnterior vaginal wall repair may accompany apical suspension when separately performed and documented.No office rate
57260Combined vaginal repair, anterior and posterior wallsCombined anterior and posterior vaginal repairs may accompany apical suspension when supported by the operative work.No office rate

57282 billing questions

How is this different from 57283?

Both describe vaginal-route apical suspension, but 57282 is the extraperitoneal approach; 57283 is the intraperitoneal approach. Use the operative approach documented by the surgeon.

When would 57280 be considered instead?

57280 is for colpopexy performed through an abdominal approach. This code describes vaginal access with extraperitoneal fixation.

Can an anterior repair be reported in the same session?

A separate anterior vaginal wall repair, such as 57240, may be performed with apical suspension when the operative work supports both services. Apply the multiple-procedure payment reduction when procedures are performed in the same session.

Should modifier 50 be used for bilateral fixation?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.

What documentation supports reporting this code?

The operative report should describe the vaginal route, extraperitoneal dissection, apical suspension and fixation site. It should distinguish this work from any separately performed vaginal wall repair.

How are assistant and co-surgeon services handled?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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
RVUs for 57282PPRRVU2026_Oct_nonQPP.csv, line 6,463 (RVU26D)

Open CMS sourceHow we calculate rates

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