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Billing code 45560: Rectocele repairMedicare rate & RVUs

Surgical repair of a rectocele is reported when the surgeon corrects weakened support between the rectum and vagina, rather than rectal prolapse.

CMS RVU26DEffective Oct 1, 2026109 payment localities863 Medicare services in 2024

Medicare pays $633.62 for 45560 nationally in a facility.

Medicare rate · 45560

Rectocele repair

Swap in your local Medicare rate.

Work RVUs
11.21
Total RVUs
18.97
Global days
090

National rate · 2026

$633.62

Facility setting, before claim adjustments.

See every locality for 45560 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 45560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 45560 covers

A rectocele occurs when the rectum bulges toward the posterior vaginal wall because the supporting tissue has weakened. This code describes a surgical repair directed at that defect. Gynecologic, urogynecologic, or colorectal surgeons may perform the operation for a patient with symptomatic pelvic organ prolapse in a surgical setting. The operative report should identify the rectocele and describe the repair performed; a diagnosis alone does not establish that this procedure was done.

Select this code for the rectocele repair documented, distinguishing it from vaginal posterior colporrhaphy and procedures for rectal prolapse. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 45560 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

45560 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$581.40
Alaska*Unavailable$804.71
ArizonaUnavailable$618.33
ArkansasUnavailable$575.01
AtlantaUnavailable$650.75
AustinUnavailable$638.37
BakersfieldUnavailable$634.38
Baltimore/Surr. CntysUnavailable$669.04
BeaumontUnavailable$611.51
BrazoriaUnavailable$620.75

45560 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
45560 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

How the 45560 rate is calculated

Each of 45560’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 · 45560

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.21Practice expense 5.84Malpractice 1.92

18.9700 adjusted RVUs×$33.4009 conversion factor=$633.62

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 45560

45560 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 45560

Rectocele repair

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)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 45560

Rectocele repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

45560 without 51 · national facility

$633.62

Rectocele repair

45560-51 · Second procedure: 50%

$316.81

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

45560 compared with similar codes

Compare codes

45560 vs 57250 vs 57260 vs 45520: national Medicare rates

Swap in your local Medicare rate.

  • 45560
    Rectocele repair · 11.21 wRVU
    —
  • 57250
    Posterior repair · 9.83 wRVU
    —
  • 57260
    Combined vaginal repair · 12.92 wRVU
    —
  • 45520
    Rectal prolapse treatment · 0.54 wRVU
    $168.67

How to choose

57250Posterior repair
This code represents a separate rectocele repair; 57250 describes posterior colporrhaphy by the vaginal approach. Use the code matching the documented operative technique.
57260Combined vaginal repair
57260 is for combined anterior and posterior vaginal wall repair. It is a different choice when both cystocele and rectocele defects are repaired.
45520Rectal prolapse treatment
45520 concerns treatment of rectal prolapse, not a rectocele. Choose based on whether the operative target is rectal prolapse or the rectovaginal support defect.

Codes related to 45560

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

Codes related to 45560
CodeHow it relatesNational office range
Used instead
57250Posterior repairPosterior vaginal wall repair for rectocele; select when the documented operation is posterior colporrhaphy.No office rate
57260Combined vaginal repairCombined anterior and posterior vaginal wall repair when both defects are addressed.No office rate
57265Vaginal prolapse repairCombined anterior and posterior repair with enterocele repair when those additional defects are treated.No office rate

45560 billing questions

How does this differ from 57250?

Both relate to rectocele repair, but 57250 describes posterior colporrhaphy through a vaginal approach. Select the code that matches the operation documented.

Is modifier 50 appropriate for a bilateral repair?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What postoperative care is included?

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

Can an assistant surgeon be paid?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.

What documentation supports reporting this code?

The operative report should identify the rectocele and describe the surgical repair. The diagnosis by itself does not show that the repair was 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

Show the CMS file lines behind this rate
RVUs for 45560PPRRVU2026_Oct_nonQPP.csv, line 5,549 (RVU26D)

Open CMS sourceHow we calculate rates

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