CPT code 57283: Vaginal colpopexy, intraperitoneal approach2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $619.86 for 57283 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 57283 nationwide

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

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.

How Puerto Rico compares for 57283

Across 109 of 109 payment localities, the facility rate for 57283 runs from $562.79 in Arkansas to $790.87 in Alaska. Puerto Rico pays $619.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57283 rates by state

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

See 57283 in every payment locality

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.

Payment rules and modifiers for 57283

57283 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 57283

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

How 57283 has changed in Puerto Rico

Price 57283 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates