CPT code 57423: Paravaginal repair, laparoscopic approach2026 Medicare rate & RVUs

Medicare pays $820.99 for 57423 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 57423 covers

A surgeon repairs a paravaginal defect laparoscopically by restoring the anterior vaginal wall’s lateral support where it has separated from the pelvic sidewall. The operation is commonly performed by a gynecologist or urogynecologist in a hospital or ambulatory surgery facility for pelvic organ prolapse. Cystocele repair performed as part of this repair is included; the code is not for an examination or for apical suspension alone.

Select the code when the operative report supports laparoscopic repair of the paravaginal defect, rather than a vaginal-route repair or a different prolapse procedure. Document the defect, approach, repair performed, and any associated cystocele work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon reporting may be paid; 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 57423 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

57423 rates by state

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

How the 57423 rate is calculated

Each of 57423’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 57423

57423 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

57423 compared with similar codes

How to choose

57284Paravaginal repairOpen abdominal approach

Choose 57284 for vaginal-route paravaginal defect repair; choose 57423 when the repair is performed laparoscopically.

57240Anterior repairAnterior compartment only

Code 57240 describes anterior colporrhaphy for cystocele or anterior wall prolapse. Code 57423 is specific to laparoscopic restoration of paravaginal support.

57425Laparoscopic colpopexyVaginal apex suspension

Code 57425 is for laparoscopic suspension of the vaginal apex. Code 57423 repairs lateral support of the anterior vaginal wall.

57426Vaginal graft revisionLaparoscopic approach

Code 57426 is for laparoscopic revision of a prosthetic vaginal graft. It is not the code for an initial paravaginal defect repair.

Codes related to 57423

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