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Billing code 57280: Vaginal suspensionMedicare rate & RVUs

Abdominal sacrocolpopexy suspends the vaginal apex to support prolapse, commonly after hysterectomy, using an abdominal operative approach.

CMS RVU26DEffective Oct 1, 2026109 payment localities574 Medicare services in 2024

Medicare pays $856.73 for 57280 nationally in a facility.

Medicare rate · 57280

Vaginal suspension

Swap in your local Medicare rate.

Work RVUs
16.3
Total RVUs
25.65
Global days
090

National rate · 2026

$856.73

Facility setting, before claim adjustments.

See every locality for 57280 → · 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 57280 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 57280 covers

This operation restores support to a descended vaginal apex by attaching it to the sacrum through an abdominal approach. It is commonly performed by a urogynecologist or gynecologist for apical vaginal prolapse, including vault prolapse after hysterectomy, in a hospital or ambulatory surgical setting. A graft may be used to connect the vaginal apex to the sacral support point.

Report the code for the abdominal suspension itself, not for a vaginal-route suspension or a laparoscopic colpopexy. The operative report should identify the route, the vaginal apex being suspended, the sacral attachment, and any separately performed compartment repairs. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 57280 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

57280 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$789.93
Alaska*Unavailable$1,103.07
ArizonaUnavailable$836.90
ArkansasUnavailable$781.79
AtlantaUnavailable$879.99
AustinUnavailable$860.48
BakersfieldUnavailable$853.30
Baltimore/Surr. CntysUnavailable$902.98
BeaumontUnavailable$830.33
BrazoriaUnavailable$839.32

57280 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 every state and territory as a table
57280 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 57280 rate is calculated

Each of 57280’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 · 57280

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 16.30Practice expense 6.66Malpractice 2.69

25.6500 adjusted RVUs×$33.4009 conversion factor=$856.73

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

Payment rules and modifiers for 57280

57280 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57280

Vaginal 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 · 57280

Vaginal 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.

  • 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

57280 without 51 · national facility

$856.73

Vaginal suspension

57280-51 · Second procedure: 50%

$428.37

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

57280 compared with similar codes

Compare codes

57280 vs 57282 vs 57283 vs 57425 vs 57240: national Medicare rates

Swap in your local Medicare rate.

  • 57280
    Vaginal suspension · 16.3 wRVU
    —
  • 57282
    Vaginal suspension · 11.34 wRVU
    —
  • 57283
    Vaginal colpopexy · 11.37 wRVU
    —
  • 57425
    Laparoscopic colpopexy · 16.6 wRVU
    —
  • 57240
    Anterior repair · 9.83 wRVU
    —

How to choose

57282Vaginal suspension
Use 57280 for the abdominal approach. Code 57282 is a vaginal-route, extraperitoneal colpopexy.
57283Vaginal colpopexy
Use 57280 for the abdominal approach. Code 57283 is a vaginal-route, intraperitoneal colpopexy.
57425Laparoscopic colpopexy
Code 57425 describes laparoscopic colpopexy; 57280 is the abdominal approach. Select according to the operative route.
57240Anterior repair
Code 57240 addresses anterior vaginal wall repair, not suspension of the vaginal apex to the sacrum.

Codes related to 57280

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

Codes related to 57280
CodeHow it relatesNational office range
Same family
57282Vaginal suspensionVaginal-route colpopexy using an extraperitoneal approach.No office rate
57283Vaginal colpopexyVaginal-route colpopexy using an intraperitoneal approach.No office rate
Used instead
57425Laparoscopic colpopexyLaparoscopic colpopexy for apical support rather than the abdominal approach.No office rate
Often billed with
57240Anterior repairMay accompany apical suspension when a distinct anterior vaginal wall repair is performed.No office rate
57250Posterior repairMay accompany apical suspension when a distinct posterior vaginal wall repair is performed.No office rate

57280 billing questions

How does this differ from vaginal colpopexy codes 57282 and 57283?

Code 57280 describes suspension by an abdominal approach. Codes 57282 and 57283 describe vaginal approaches, distinguished by extraperitoneal versus intraperitoneal technique.

Is a laparoscopic sacrocolpopexy reported with 57280?

No. For a laparoscopic colpopexy, compare 57425; 57280 is for the abdominal approach.

Can an anterior or posterior repair be reported in the same session?

A separately performed repair of an anterior or posterior vaginal wall defect may be reported when the operative documentation supports that distinct work. CMS applies the multiple-procedure reduction when procedures are performed in the same session.

Does modifier 50 apply to this vaginal suspension?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included?

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

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 57280PPRRVU2026_Oct_nonQPP.csv, line 6,462 (RVU26D)

Open CMS sourceHow we calculate rates

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