CPT code 57296: Vaginal graft revision, open abdominal approach2026 Medicare rate & RVUs in Queens, NY

In Queens, NY, Medicare pays $957.40 for 57296 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 57296 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 57296 covers

A surgeon revises or removes previously implanted graft material supporting the vagina, reaching it through an open abdominal incision. The operation may address a problem with an existing graft used in pelvic floor reconstruction. It is distinct from revising graft material through the vagina and from operating on a urethral sling. These cases are generally performed by gynecologic or urogynecologic surgeons in a facility setting.

Select this code when the operative report identifies revision or removal of vaginal graft material and documents the open abdominal route; the approach and the work on the existing graft distinguish it from initial graft placement or repair of a separate pelvic support defect. The service has 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate.

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 Queens, NY compares for 57296

Across 109 of 109 payment localities, the facility rate for 57296 runs from $767.71 in Arkansas to $1,083.90 in Alaska. Queens, NY pays $957.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57296 rates by state

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

See 57296 in every payment locality

How the 57296 rate is calculated

Each of 57296’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 57296

57296 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 57296

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

How 57296 has changed in Queens, NY

Price 57296 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

• 57296 in New York · multiple payment areas

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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