CPT code 57426: Vaginal graft revision, laparoscopic approach2026 Medicare rate & RVUs

Medicare pays $775.90 for 57426 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 57426 covers

This procedure addresses a previously placed prosthetic vaginal graft through a laparoscopic approach. A gynecologist or urogynecologist may revise or remove graft material when mesh used in pelvic organ prolapse repair causes symptoms or requires surgical correction. The work is performed in an operating room and concerns the existing graft, rather than placement of a new support graft.

Select this code when the operative report documents laparoscopic access and the work performed on the vaginal graft. An operative note describing vaginal or open abdominal access points to a different approach code. Medicare treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included in its global period. When other procedures are performed in the same session, the standard multiple-procedure reduction pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery 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 57426 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

57426 rates by state

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

How the 57426 rate is calculated

Each of 57426’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 57426

57426 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

57426 compared with similar codes

How to choose

57295Vaginal graft revisionVaginal approach

Both address an existing prosthetic vaginal graft. Choose 57295 for a vaginal approach; choose 57426 when the graft work is performed laparoscopically.

57296Vaginal graft revisionOpen abdominal approach

Both address an existing prosthetic vaginal graft. Choose 57296 for an open abdominal approach and 57426 for a laparoscopic approach.

57425Laparoscopic colpopexyVaginal apex suspension

Code 57425 covers laparoscopic vaginal suspension. Code 57426 covers laparoscopic revision or removal of a prosthetic vaginal graft already in place.

Codes related to 57426

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