CPT code 57425: Laparoscopic colpopexy, vaginal apex suspension2026 Medicare rate & RVUs

Medicare pays $860.07 for 57425 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 57425 covers

The surgeon uses a laparoscopic approach to suspend the vaginal apex, often attaching the vaginal cuff to the sacrum with a graft during repair of post-hysterectomy vault prolapse. Urogynecologists and gynecologic surgeons typically perform this operation in a hospital or ambulatory surgical setting. The operative report should establish the laparoscopic approach and the actual suspension of the vaginal apex; a diagnosis of prolapse alone does not identify this procedure.

Report the service for the laparoscopic suspension, distinguishing it from laparoscopic repair of a paravaginal defect or an open or vaginal approach to colpopexy. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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.

Where 57425 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

57425 rates by state

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

How the 57425 rate is calculated

Each of 57425’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 57425

57425 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

57425 compared with similar codes

How to choose

57423Paravaginal repairLaparoscopic approach

57425 suspends the vaginal apex laparoscopically; 57423 repairs a paravaginal defect laparoscopically. Choose according to the structure repaired in the operative report.

57426Vaginal graft revisionLaparoscopic approach

57425 describes laparoscopic colpopexy, while 57426 describes laparoscopic revision of a prosthetic vaginal graft. A graft revision is not the primary suspension.

57280Vaginal suspensionAbdominal sacrocolpopexy

Both involve colpopexy, but 57425 is laparoscopic and 57280 uses an abdominal approach. The documented operative approach distinguishes them.

57282Vaginal suspensionExtraperitoneal approach

57282 is a vaginal, extraperitoneal colpopexy; 57425 is performed laparoscopically. Select the code that matches the surgeon’s approach.

Codes related to 57425

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