CPT code 57282: Vaginal suspension, extraperitoneal approach2026 Medicare rate & RVUs in Missouri
Reports vaginal-route suspension of the vaginal apex using an extraperitoneal approach, commonly to correct apical or posthysterectomy vault prolapse.
CMS doesn’t publish an office rate for 57282 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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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 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 | $603.19 |
| Metropolitan St. Louis, MO | Unavailable | $607.02 |
| Rest of Missouri | Unavailable | $589.61 |
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
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
| 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 · 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.
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%).
57282 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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