No office rate
57200 is limited to nonobstetric vaginal injury repair. Choose 57210 when the documented reconstruction also includes the perineal body.
On this page
CMS RVU26D · Effective 2026-10-01
57210 Vaginal repair Medicare reimbursement rates
Reports nonobstetric reconstruction when a surgeon repairs vaginal tissue and the perineal body together, rather than treating an isolated vaginal or perineal defect. Compare 57210 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 57210?
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 57210 pays more and less
Gynecologic surgery
About 57210: Combined vaginal and perineal repair
Reports nonobstetric reconstruction when a surgeon repairs vaginal tissue and the perineal body together, rather than treating an isolated vaginal or perineal defect.
This service reconstructs a defect involving both vaginal tissue and the perineal body, restoring the tissues at the vaginal opening. Gynecologists and urogynecologists may perform it for nonobstetric separation or laxity when both structures require repair. It is not the routine repair performed as part of delivery. Operative documentation should identify the affected vaginal and perineal tissues and describe the repair performed.
Select this code when the documented operation treats both areas; use a vaginal-only or perineal-only code when only one is repaired. The combined work is reported once, not as separate codes for the same repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 57210
- 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 RVU5.57 · 52%
- Practice expense (office) RVU4.05 · 38%
- Malpractice RVU1.01 · 10%
562
Medicare services in 2024 · #3454 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.
57210 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
56810 addresses nonobstetric perineal reconstruction alone. Use 57210 when vaginal tissue is repaired along with the perineum.
No office rate
57250 is used for posterior colporrhaphy to repair a rectocele. 57210 describes combined vaginal and perineal repair, not a rectocele-directed procedure.
See how rates vary across the country
57210 · 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 57210 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 $323.50 |
| Alaska* | Office Unavailable | Facility $441.72 |
| Arizona | Office Unavailable | Facility $346.00 |
| Arkansas | Office Unavailable | Facility $319.62 |
| Atlanta | Office Unavailable | Facility $364.55 |
| Austin | Office Unavailable | Facility $359.42 |
| Bakersfield | Office Unavailable | Facility $358.38 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $375.90 |
| Beaumont | Office Unavailable | Facility $340.48 |
| Brazoria | Office Unavailable | Facility $347.90 |
| Chicago | Office Unavailable | Facility $400.72 |
| Chico | Office Unavailable | Facility $355.55 |
| Colorado | Office Unavailable | Facility $358.55 |
| Connecticut | Office Unavailable | Facility $376.27 |
| Dallas | Office Unavailable | Facility $351.39 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $392.99 |
| Delaware | Office Unavailable | Facility $350.95 |
| Detroit | Office Unavailable | Facility $373.46 |
| East St. Louis | Office Unavailable | Facility $378.44 |
| El Centro | Office Unavailable | Facility $355.72 |
| Fort Lauderdale | Office Unavailable | Facility $384.07 |
| Fort Worth | Office Unavailable | Facility $350.48 |
| Fresno | Office Unavailable | Facility $355.55 |
| Galveston | Office Unavailable | Facility $349.79 |
| Hanford-Corcoran | Office Unavailable | Facility $355.55 |
| Hawaii, Guam | Office Unavailable | Facility $359.38 |
| Houston | Office Unavailable | Facility $368.28 |
| Idaho | Office Unavailable | Facility $326.45 |
| Indiana | Office Unavailable | Facility $327.84 |
| Iowa | Office Unavailable | Facility $323.21 |
| Kansas | Office Unavailable | Facility $325.33 |
| Kentucky | Office Unavailable | Facility $337.17 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $376.10 |
| Madera | Office Unavailable | Facility $355.55 |
| Manhattan | Office Unavailable | Facility $408.64 |
| Merced | Office Unavailable | Facility $355.55 |
| Metropolitan Boston | Office Unavailable | Facility $385.21 |
| Metropolitan Kansas City | Office Unavailable | Facility $346.02 |
| Metropolitan Philadelphia | Office Unavailable | Facility $370.46 |
| Metropolitan St. Louis | Office Unavailable | Facility $348.63 |
| Miami | Office Unavailable | Facility $412.18 |
| Minnesota | Office Unavailable | Facility $335.23 |
| Mississippi | Office Unavailable | Facility $327.44 |
| Modesto | Office Unavailable | Facility $355.55 |
| Montana** | Office Unavailable | Facility $354.98 |
| Napa | Office Unavailable | Facility $393.19 |
| Nebraska | Office Unavailable | Facility $323.65 |
| Nevada** | Office Unavailable | Facility $349.55 |
| New Hampshire | Office Unavailable | Facility $356.38 |
| New Mexico | Office Unavailable | Facility $350.60 |
| New Orleans | Office Unavailable | Facility $351.66 |
| North Carolina | Office Unavailable | Facility $333.81 |
| North Dakota** | Office Unavailable | Facility $335.01 |
| Northern Nj | Office Unavailable | Facility $390.71 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $421.44 |
| Ohio | Office Unavailable | Facility $343.55 |
| Oklahoma | Office Unavailable | Facility $333.05 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $372.16 |
| Portland | Office Unavailable | Facility $364.41 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $383.36 |
| Puerto Rico | Office Unavailable | Facility $356.03 |
| Queens | Office Unavailable | Facility $406.49 |
| Redding | Office Unavailable | Facility $355.55 |
| Rest Of California | Office Unavailable | Facility $355.55 |
| Rest Of Florida | Office Unavailable | Facility $366.07 |
| Rest Of Georgia | Office Unavailable | Facility $346.92 |
| Rest Of Illinois | Office Unavailable | Facility $362.28 |
| Rest Of Louisiana | Office Unavailable | Facility $338.08 |
| Rest Of Maine | Office Unavailable | Facility $331.48 |
| Rest Of Maryland | Office Unavailable | Facility $355.77 |
| Rest Of Massachusetts | Office Unavailable | Facility $358.35 |
| Rest Of Michigan | Office Unavailable | Facility $347.63 |
| Rest Of Missouri | Office Unavailable | Facility $335.51 |
| Rest Of New Jersey | Office Unavailable | Facility $378.21 |
| Rest Of New York | Office Unavailable | Facility $338.27 |
| Rest Of Oregon | Office Unavailable | Facility $344.49 |
| Rest Of Pennsylvania | Office Unavailable | Facility $342.10 |
| Rest Of Texas | Office Unavailable | Facility $344.88 |
| Rest Of Washington | Office Unavailable | Facility $356.58 |
| Rhode Island | Office Unavailable | Facility $359.41 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $366.43 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $368.15 |
| Salinas | Office Unavailable | Facility $366.67 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $371.70 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $409.94 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $408.79 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $419.65 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $414.97 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $361.36 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $372.39 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $367.06 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $375.82 |
| Seattle (King Cnty) | Office Unavailable | Facility $388.89 |
| South Carolina | Office Unavailable | Facility $339.71 |
| South Dakota** | Office Unavailable | Facility $332.65 |
| Southern Maine | Office Unavailable | Facility $341.39 |
| Stockton | Office Unavailable | Facility $355.55 |
| Suburban Chicago | Office Unavailable | Facility $386.05 |
| Tennessee | Office Unavailable | Facility $327.12 |
| Utah | Office Unavailable | Facility $343.49 |
| Vallejo | Office Unavailable | Facility $391.54 |
| Vermont | Office Unavailable | Facility $337.03 |
| Virgin Islands | Office Unavailable | Facility $356.03 |
| Virginia | Office Unavailable | Facility $342.83 |
| Visalia | Office Unavailable | Facility $355.55 |
| West Virginia | Office Unavailable | Facility $351.87 |
| Wisconsin | Office Unavailable | Facility $326.03 |
| Wyoming** | Office Unavailable | Facility $346.28 |
| Yuba City | Office Unavailable | Facility $355.55 |
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57210 billing questions
When should I choose 57210 instead of 57200?
Use 57210 when the operative repair involves both vaginal tissue and the perineal body. Code 57200 is for a vaginal injury repair without the combined perineal reconstruction.
Is 57210 used for repair during delivery?
No. This is a nonobstetric repair; it does not describe routine repair performed as part of an obstetric delivery.
Should I report a separate perineoplasty code for the same repair?
Do not separately report the perineal portion of the same combined reconstruction. The operative note should show that both the vagina and perineum were repaired.
Can modifier 50 be appended?
No. Modifier 50 is inappropriate for this midline repair; report the service once.
What global period and multiple-procedure payment rules apply?
CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others at 50%.
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.
6,44957170,,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
6,45557240,,Anterior colporrhaphy,A,,9.83,4.88,NA,4.88,,1.61,16.32,16.32,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00