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

Reports laparoscopic suspension of the vaginal apex, commonly for post-hysterectomy vault prolapse, when the surgeon performs a laparoscopic colpopexy.

CMS RVU26DEffective Oct 1, 2026One payment locality15.5K Medicare services in 2024

In Mississippi, Medicare pays $806.39 for 57425 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$806.39Hospital or facility

Check a contract rate as a % of Medicare · 57425 nationwide

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

We’ll open 57425 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 57425 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Mississippi compares for 57425

Across 109 of 109 payment localities, the facility rate for 57425 runs from $785.38 in Arkansas to $1,109.95 in Alaska. Mississippi pays $806.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

57425 in Mississippi vs other payment areas
  1. Mississippi · this page$806.39
  2. Los Angeles, CA · California$891.06+$84.67
  3. Washington, DC area · District of Columbia$938.44+$132.05
  4. Miami, FL · Florida$1,009.28+$202.89
  5. Chicago, IL · Illinois$983.97+$177.58
  6. Manhattan, NY · New York$984.01+$177.62
  7. Alaska · Alaska$1,109.95+$303.56

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

57425 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$793.49
ArkansasArkansas—$785.38
ArizonaArizona—$840.22
Bakersfield, CACalifornia—$855.22
Chico, CACalifornia—$847.40
El Centro, CACalifornia—$847.86
Fresno, CACalifornia—$847.40
Hanford, CACalifornia—$847.40

57425 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
57425 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 57425 in every payment locality

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.

How the rate is built · 57425

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.60

16.60 RVUs× 1.000 GPCI

Practice expense6.40

6.40 RVUs× 1.000 GPCI

Malpractice2.75

2.75 RVUs× 1.000 GPCI

Adjusted RVUs

25.7500

Conversion factor

$33.4009

Medicare rate

$860.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,489

Code
57425
Physician work
16.60
Practice expense
6.40
Malpractice
2.75

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 57425 in Mississippi
ComponentRVULocality factorAdjusted
Physician work16.60× 1.00016.6000
Practice expense6.40× 0.8615.5104
Malpractice2.75× 0.7392.0322
Total RVUs24.1427
Conversion factor× 33.4009

Facility rate, Mississippi$806.39

Facility: (16.6 × 1 + 6.4 × 0.861 + 2.75 × 0.739) × $33.4009 = $806.39

Open 57425 in the RVU calculator

Payment rules and modifiers for 57425

57425 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57425

Laparoscopic colpopexy, vaginal apex suspension

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57425

Laparoscopic colpopexy, vaginal apex suspension

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57425 without 51 · national facility

$860.07

Laparoscopic colpopexy, vaginal apex suspension

57425-51 · Second procedure: 50%

$430.04

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 57425 has changed in Mississippi

57425 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$806.39RVU26D
2026-07-01Not available in this setting$806.39RVU26C
2026-04-01Not available in this setting$806.39RVU26B
2026-01-01Not available in this setting$806.39RVU26A
2025-10-01Not available in this setting$880.46RVU25D
2025-07-01Not available in this setting$880.46RVU25C
2025-04-01Not available in this setting$880.46RVU25B
2025-01-01Not available in this setting$880.46RVU25A
2024-10-01Not available in this setting$906.27RVU24D
2024-07-01Not available in this setting$906.27RVU24C
2024-04-01Not available in this setting$906.27RVU24B
2024-03-09Not available in this setting$906.27RVU24AR
2024-01-01Not available in this setting$891.48RVU24A
2023-10-01Not available in this setting$912.31RVU23D
2023-07-01Not available in this setting$912.31RVU23C
2023-04-01Not available in this setting$912.31RVU23B
2023-01-01Not available in this setting$912.31RVU23A
2022-10-01Not available in this setting$920.41RVU22D
2022-07-01Not available in this setting$920.41RVU22C
2022-04-01Not available in this setting$920.41RVU22B
2022-01-01Not available in this setting$920.41RVU22A
2021-10-01Not available in this setting$920.59RVU21D
2021-07-01Not available in this setting$920.59RVU21C
2021-04-01Not available in this setting$920.59RVU21B
2021-01-01Not available in this setting$920.59RVU21A
2020-10-01Not available in this setting$933.09RVU20D
2020-07-01Not available in this setting$933.09RVU20C
2020-04-01Not available in this setting$933.09RVU20B
2020-01-01Not available in this setting$933.09RVU20A
2019-10-01Not available in this setting$910.91RVU19D
2019-07-01Not available in this setting$910.91RVU19C
2019-04-01Not available in this setting$910.91RVU19B
2019-01-01Not available in this setting$910.91RVU19A
2018-10-01Not available in this setting$904.63RVU18D
2018-07-01Not available in this setting$904.63RVU18C
2018-04-01Not available in this setting$904.63RVU18B
2018-01-01Not available in this setting$904.63RVU18AR1
2017-10-01Not available in this setting$913.55RVU17D
2017-07-01Not available in this setting$913.55RVU17C
2017-04-01Not available in this setting$913.55RVU17B
2017-01-01Not available in this setting$913.55RVU17A
2016-10-01Not available in this setting$915.61RVU16D
2016-07-01Not available in this setting$915.61RVU16C
2016-04-01Not available in this setting$915.61RVU16B
2016-01-01Not available in this setting$915.61RVU16A
2015-10-01Not available in this setting$920.37RVU15D
2015-07-01Not available in this setting$920.37RVU15C
2015-04-01Not available in this setting$915.79RVU15B
2015-01-01Not available in this setting$915.79RVU15A
2014-10-01Not available in this setting$935.90RVU14D
2014-07-01Not available in this setting$935.90RVU14C
2014-04-01Not available in this setting$935.90RVU14B
2014-01-01Not available in this setting$935.90RVU14A
2013-10-01Not available in this setting$919.32RVU13D
2013-07-01Not available in this setting$919.32RVU13C
2013-04-01Not available in this setting$919.32RVU13B
2013-01-01Not available in this setting$919.32RVU13AR

Price 57425 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

57425 billing questions

When should I report 57425 instead of 57423?

Report 57425 for laparoscopic suspension of the vaginal apex. Code 57423 describes laparoscopic repair of a paravaginal defect, a different operative target.

Does this code describe a laparoscopic or open procedure?

It describes laparoscopic colpopexy. An abdominal colpopexy performed through an open approach is distinguished by the operative approach, not simply by the prolapse diagnosis.

What documentation supports 57425?

The operative report should document the laparoscopic approach and suspension of the vaginal apex, including the attachment site and any graft or fixation method used.

Is modifier 50 appropriate for this service?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 57425PPRRVU2026_Oct_nonQPP.csv, line 6,489 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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