CPT code 57283: Vaginal colpopexy, intraperitoneal approach2026 Medicare rate & RVUs in Missouri
Reports surgical support of the vaginal apex through an intraperitoneal route, commonly for vaginal vault prolapse after hysterectomy.
CMS doesn’t publish an office rate for 57283 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 57283 covers
This code describes surgical suspension of the vaginal apex using an intraperitoneal route, commonly to address apical or post-hysterectomy vaginal vault prolapse. A gynecologist, urogynecologist, or pelvic reconstructive surgeon performs the operation, typically in a hospital or ambulatory surgical setting. The operative report should establish the prolapse being treated, the route into the peritoneal cavity, and how the vaginal apex was supported.
Select this code when the documented colpopexy uses the intraperitoneal approach; distinguish it from an extraperitoneal route and from laparoscopic colpopexy. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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 57283 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 | $606.81 |
| Metropolitan St. Louis, MO | Unavailable | $610.70 |
| Rest of Missouri | Unavailable | $593.21 |
How the 57283 rate is calculated
Each of 57283’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 · 57283
RVUs × geographic indexes × conversion factor
Work11.37
11.37 RVUs× 1.000 GPCI
Practice expense5.21
5.21 RVUs× 1.000 GPCI
Malpractice1.95
1.95 RVUs× 1.000 GPCI
Adjusted RVUs
18.5300
Conversion factor
$33.4009
Medicare rate
$618.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57283
57283 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57283
Vaginal colpopexy, intraperitoneal 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 · 57283
Vaginal colpopexy, intraperitoneal 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
57283 without 51 · national facility
$618.92
Vaginal colpopexy, intraperitoneal approach
57283-51 · Second procedure: 50%
$309.46
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%).
57283 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57282Vaginal suspensionExtraperitoneal approach
- 57283 identifies an intraperitoneal route; 57282 is for an extraperitoneal colpopexy. Use the approach documented in the operative report.
- 57280Vaginal suspensionAbdominal sacrocolpopexy
- Both describe vaginal colpopexy within the abdominal-approach code family. 57283 specifies the intraperitoneal route, so verify the operative approach before choosing between them.
- 57425Laparoscopic colpopexyVaginal apex suspension
- Use 57425 for laparoscopic colpopexy. Code 57283 is for the intraperitoneal approach, not the laparoscopic service.
57283 billing questions
How is this code distinguished from 57282?
Use 57283 when the operative report documents an intraperitoneal route for the colpopexy. Code 57282 represents an extraperitoneal approach.
Should this code be used for laparoscopic sacrocolpopexy?
No. Laparoscopic colpopexy is represented by 57425; 57283 identifies the intraperitoneal approach rather than the laparoscopic service.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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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