No office rate
57200 is for nonobstetric vaginal injury repair. 57210 is the closer choice when the repair also involves the perineum.
On this page
CMS RVU26D · Effective 2026-10-01
57200 Vaginal repair Medicare reimbursement rates
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina. Compare 57200 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 57200?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 57200 pays more and less
Gynecologic surgery
About 57200: Nonobstetric vaginal injury repair
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina.
A gynecologist, urogynecologist, or other surgeon uses this code for operative repair of a nonobstetric injury to the vaginal wall, such as a traumatic vaginal laceration. The repair may be performed in a hospital operating room or another surgical setting. The operative report should identify the injury’s vaginal location and extent and describe the repair performed; it should also clarify whether adjacent structures or the perineum required separate repair.
Report the code when the documented work is repair of the vagina rather than correction of prolapse, a paravaginal defect, or a combined rectal and vaginal problem. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57200
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.31 · 47%
- Practice expense (office) RVU4.01 · 44%
- Malpractice RVU0.80 · 9%
445
Medicare services in 2024 · #3655 by national volume
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.
57200 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
57250 addresses a combined rectal and vaginal repair; 57200 is for repair of the vagina without that combined operative problem.
No office rate
57240 is used for anterior vaginal wall prolapse repair. Choose 57200 for repair of a nonobstetric vaginal injury instead.
No office rate
57285 repairs a paravaginal defect through a vaginal approach; 57200 repairs an injury to the vagina.
See how rates vary across the country
57200 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 57200 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $276.28 |
| Alaska* | Office Unavailable | Facility $373.30 |
| Arizona | Office Unavailable | Facility $296.62 |
| Arkansas | Office Unavailable | Facility $272.77 |
| Atlanta | Office Unavailable | Facility $312.56 |
| Austin | Office Unavailable | Facility $309.63 |
| Bakersfield | Office Unavailable | Facility $309.76 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $323.03 |
| Beaumont | Office Unavailable | Facility $290.66 |
| Brazoria | Office Unavailable | Facility $298.68 |
| Chicago | Office Unavailable | Facility $340.90 |
| Chico | Office Unavailable | Facility $307.52 |
| Colorado | Office Unavailable | Facility $309.06 |
| Connecticut | Office Unavailable | Facility $323.42 |
| Dallas | Office Unavailable | Facility $301.58 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $339.25 |
| Delaware | Office Unavailable | Facility $301.03 |
| Detroit | Office Unavailable | Facility $318.26 |
| East St. Louis | Office Unavailable | Facility $321.00 |
| El Centro | Office Unavailable | Facility $307.66 |
| Fort Lauderdale | Office Unavailable | Facility $327.95 |
| Fort Worth | Office Unavailable | Facility $300.59 |
| Fresno | Office Unavailable | Facility $307.52 |
| Galveston | Office Unavailable | Facility $300.23 |
| Hanford-Corcoran | Office Unavailable | Facility $307.52 |
| Hawaii, Guam | Office Unavailable | Facility $311.72 |
| Houston | Office Unavailable | Facility $314.88 |
| Idaho | Office Unavailable | Facility $279.82 |
| Indiana | Office Unavailable | Facility $281.10 |
| Iowa | Office Unavailable | Facility $277.12 |
| Kansas | Office Unavailable | Facility $278.50 |
| Kentucky | Office Unavailable | Facility $287.48 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $326.05 |
| Madera | Office Unavailable | Facility $307.52 |
| Manhattan | Office Unavailable | Facility $351.19 |
| Merced | Office Unavailable | Facility $307.52 |
| Metropolitan Boston | Office Unavailable | Facility $333.56 |
| Metropolitan Kansas City | Office Unavailable | Facility $295.83 |
| Metropolitan Philadelphia | Office Unavailable | Facility $317.86 |
| Metropolitan St. Louis | Office Unavailable | Facility $298.24 |
| Miami | Office Unavailable | Facility $350.96 |
| Minnesota | Office Unavailable | Facility $289.69 |
| Mississippi | Office Unavailable | Facility $279.02 |
| Modesto | Office Unavailable | Facility $307.52 |
| Montana** | Office Unavailable | Facility $304.56 |
| Napa | Office Unavailable | Facility $343.13 |
| Nebraska | Office Unavailable | Facility $277.68 |
| Nevada** | Office Unavailable | Facility $300.29 |
| New Hampshire | Office Unavailable | Facility $306.77 |
| New Mexico | Office Unavailable | Facility $298.87 |
| New Orleans | Office Unavailable | Facility $300.35 |
| North Carolina | Office Unavailable | Facility $286.00 |
| North Dakota** | Office Unavailable | Facility $288.74 |
| Northern Nj | Office Unavailable | Facility $336.93 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $362.04 |
| Ohio | Office Unavailable | Facility $293.18 |
| Oklahoma | Office Unavailable | Facility $284.33 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $322.95 |
| Portland | Office Unavailable | Facility $314.95 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $329.43 |
| Puerto Rico | Office Unavailable | Facility $305.69 |
| Queens | Office Unavailable | Facility $350.02 |
| Redding | Office Unavailable | Facility $307.52 |
| Rest Of California | Office Unavailable | Facility $307.52 |
| Rest Of Florida | Office Unavailable | Facility $312.16 |
| Rest Of Georgia | Office Unavailable | Facility $295.28 |
| Rest Of Illinois | Office Unavailable | Facility $308.01 |
| Rest Of Louisiana | Office Unavailable | Facility $288.09 |
| Rest Of Maine | Office Unavailable | Facility $283.80 |
| Rest Of Maryland | Office Unavailable | Facility $305.47 |
| Rest Of Massachusetts | Office Unavailable | Facility $308.59 |
| Rest Of Michigan | Office Unavailable | Facility $296.41 |
| Rest Of Missouri | Office Unavailable | Facility $285.44 |
| Rest Of New Jersey | Office Unavailable | Facility $325.29 |
| Rest Of New York | Office Unavailable | Facility $289.98 |
| Rest Of Oregon | Office Unavailable | Facility $296.14 |
| Rest Of Pennsylvania | Office Unavailable | Facility $292.16 |
| Rest Of Texas | Office Unavailable | Facility $295.19 |
| Rest Of Washington | Office Unavailable | Facility $307.20 |
| Rhode Island | Office Unavailable | Facility $308.89 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $316.14 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $319.23 |
| Salinas | Office Unavailable | Facility $317.98 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $322.95 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $358.75 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $357.84 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $367.25 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $363.54 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $313.28 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $324.04 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $318.48 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $327.07 |
| Seattle (King Cnty) | Office Unavailable | Facility $337.33 |
| South Carolina | Office Unavailable | Facility $290.43 |
| South Dakota** | Office Unavailable | Facility $286.87 |
| Southern Maine | Office Unavailable | Facility $293.55 |
| Stockton | Office Unavailable | Facility $307.52 |
| Suburban Chicago | Office Unavailable | Facility $329.87 |
| Tennessee | Office Unavailable | Facility $280.06 |
| Utah | Office Unavailable | Facility $293.85 |
| Vallejo | Office Unavailable | Facility $341.82 |
| Vermont | Office Unavailable | Facility $290.08 |
| Virgin Islands | Office Unavailable | Facility $305.69 |
| Virginia | Office Unavailable | Facility $294.48 |
| Visalia | Office Unavailable | Facility $307.52 |
| West Virginia | Office Unavailable | Facility $298.59 |
| Wisconsin | Office Unavailable | Facility $280.50 |
| Wyoming** | Office Unavailable | Facility $297.67 |
| Yuba City | Office Unavailable | Facility $307.52 |
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57200 billing questions
How is 57200 distinguished from 57210?
Use 57200 for repair of a nonobstetric vaginal injury. Code 57210 is the relevant comparison when the operative repair also involves the perineum.
Is 57200 for a laceration repaired during delivery?
No. This code describes nonobstetric vaginal repair; delivery-related laceration repair is coded under the applicable obstetric service.
What documentation supports reporting 57200?
Document the nonobstetric injury’s vaginal site and extent, the operative repair performed, and whether the perineum or another structure was also involved.
Does 57200 have a postoperative global period?
Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is 57200 handled with other procedures in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,44857160,,Insert pessary/other device,A,,0.87,1.09,,0.19,,0.15,2.11,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44957170,,Fitting of diaphragm/cap,A,,0.89,1.13,,0.19,,0.16,2.18,1.24,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45057180,,Treat vaginal bleeding,A,,1.59,3.80,,1.34,,0.27,5.66,3.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45157200,,Repair of vagina,A,,4.31,4.01,NA,4.01,,0.80,9.12,9.12,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45257210,,Repair vagina/perineum,A,,5.57,4.05,NA,4.05,,1.01,10.63,10.63,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45357220,,Revision of urethra,A,,4.73,3.79,NA,3.79,,0.81,9.33,9.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45457230,,Repair of urethral lesion,A,,6.14,3.94,NA,3.94,,1.08,11.16,11.16,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00