CPT code 57285: Paravaginal repair, vaginal approach2026 Medicare rate & RVUs

Medicare pays $614.91 for 57285 nationally in a facility.

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

What 57285 covers

A urogynecologist, gynecologist, or pelvic reconstructive surgeon uses a vaginal route to restore support where the lateral vaginal wall has separated from its pelvic attachment. The repair may address an associated cystocele when that correction is part of the same operation. It is typically performed in a facility operating room for vaginal prolapse caused by a paravaginal defect.

Choose this code when the operative report documents repair of the lateral support defect through the vagina, rather than a central anterior wall repair or an abdominal approach. The note should identify the defect, route, and repair performed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate for this code.

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 57285 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

57285 rates by state

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

How the 57285 rate is calculated

Each of 57285’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 57285

57285 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

57285 compared with similar codes

How to choose

57284Paravaginal repairOpen abdominal approach

Use 57285 for the vaginal route to a paravaginal defect; 57284 describes the open abdominal route.

57240Anterior repairAnterior compartment only

57240 addresses anterior vaginal wall repair, typically a central defect. This code is for restoring lateral vaginal support; a cystocele repaired as part of that work is included.

57260Combined vaginal repairAnterior and posterior walls

57260 combines anterior and posterior vaginal wall repairs. It is not the specific choice for a lateral paravaginal defect repaired vaginally.

Codes related to 57285

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

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