CPT code 57287: Sling revision, removal or revision2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 57287 in California.

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

What 57287 covers

This service covers operative work on a previously placed sling used to treat stress urinary incontinence. A urologist or urogynecologist may revise, release, or remove sling material when a patient develops problems such as vaginal exposure, pain, urinary obstruction, or difficulty voiding. It is commonly performed in an operating room, with the operative report identifying the sling and describing the work performed.

Select this code for revision or removal of the incontinence sling, not for placement of a new sling alone. Document the indication, prior sling, operative approach, and whether material was revised, released, or removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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. Assistant-at-surgery services may be paid; co-surgeons require 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 57287 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 57287 rate is calculated

Each of 57287’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 57287

57287 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

57287 compared with similar codes

How to choose

57288Sling procedureStress-incontinence sling

57287 addresses revision or removal of an existing incontinence sling; 57288 describes placement of a sling for stress urinary incontinence.

57295Vaginal graft revisionVaginal approach

Use 57295 for revision of vaginal graft material by a vaginal approach when the operative target is graft material rather than an incontinence sling.

57296Vaginal graft revisionOpen abdominal approach

Use 57296 for revision of vaginal graft material by an abdominal approach when the operative target is graft material rather than an incontinence sling.

Codes related to 57287

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