No office rate
Use 57285 for the vaginal route to a paravaginal defect; 57284 describes the open abdominal route.
On this page
CMS RVU26D · Effective 2026-10-01
57285 Paravaginal repair Medicare reimbursement rates
Reports vaginal reconstruction of a lateral vaginal support defect, commonly performed for prolapse caused by detachment of the vaginal wall from its pelvic support. Compare 57285 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 57285?
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 57285 pays more and less
Urogynecologic surgery
About 57285: Vaginal paravaginal defect repair
Reports vaginal reconstruction of a lateral vaginal support defect, commonly performed for prolapse caused by detachment of the vaginal wall from its pelvic support.
A urogynecologist, gynecologist, or pelvic reconstructive surgeon uses a vaginal route to restore support where the lateral vaginal wall has separated from its pelvic attachment. The repair may address an associated cystocele when that correction is part of the same operation. It is typically performed in a facility operating room for vaginal prolapse caused by a paravaginal defect.
Choose this code when the operative report documents repair of the lateral support defect through the vagina, rather than a central anterior wall repair or an abdominal approach. The note should identify the defect, route, and repair performed. The 90-day global 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 are subject to the standard 50% reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate for this code.
CMS billing rules for 57285
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.31 · 61%
- Practice expense (office) RVU5.20 · 28%
- Malpractice RVU1.90 · 10%
815
Medicare services in 2024 · #3128 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.
57285 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
57240 addresses anterior vaginal wall repair, typically a central defect. This code is for restoring lateral vaginal support; a cystocele repaired as part of that work is included.
No office rate
57260 combines anterior and posterior vaginal wall repairs. It is not the specific choice for a lateral paravaginal defect repaired vaginally.
See how rates vary across the country
57285 · 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 57285 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 $565.66 |
| Alaska* | Office Unavailable | Facility $786.59 |
| Arizona | Office Unavailable | Facility $600.39 |
| Arkansas | Office Unavailable | Facility $559.64 |
| Atlanta | Office Unavailable | Facility $631.58 |
| Austin | Office Unavailable | Facility $618.51 |
| Bakersfield | Office Unavailable | Facility $613.95 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $648.67 |
| Beaumont | Office Unavailable | Facility $594.77 |
| Brazoria | Office Unavailable | Facility $602.41 |
| Chicago | Office Unavailable | Facility $700.61 |
| Chico | Office Unavailable | Facility $608.56 |
| Colorado | Office Unavailable | Facility $616.66 |
| Connecticut | Office Unavailable | Facility $649.17 |
| Dallas | Office Unavailable | Facility $608.60 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $673.40 |
| Delaware | Office Unavailable | Facility $608.31 |
| Detroit | Office Unavailable | Facility $652.37 |
| East St. Louis | Office Unavailable | Facility $665.37 |
| El Centro | Office Unavailable | Facility $608.88 |
| Fort Lauderdale | Office Unavailable | Facility $668.45 |
| Fort Worth | Office Unavailable | Facility $607.69 |
| Fresno | Office Unavailable | Facility $608.56 |
| Galveston | Office Unavailable | Facility $605.80 |
| Hanford-Corcoran | Office Unavailable | Facility $608.56 |
| Hawaii, Guam | Office Unavailable | Facility $611.99 |
| Houston | Office Unavailable | Facility $640.58 |
| Idaho | Office Unavailable | Facility $567.57 |
| Indiana | Office Unavailable | Facility $569.61 |
| Iowa | Office Unavailable | Facility $561.88 |
| Kansas | Office Unavailable | Facility $566.76 |
| Kentucky | Office Unavailable | Facility $590.24 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $640.86 |
| Madera | Office Unavailable | Facility $608.56 |
| Manhattan | Office Unavailable | Facility $704.41 |
| Merced | Office Unavailable | Facility $608.56 |
| Metropolitan Boston | Office Unavailable | Facility $657.11 |
| Metropolitan Kansas City | Office Unavailable | Facility $602.86 |
| Metropolitan Philadelphia | Office Unavailable | Facility $641.08 |
| Metropolitan St. Louis | Office Unavailable | Facility $606.70 |
| Miami | Office Unavailable | Facility $719.06 |
| Minnesota | Office Unavailable | Facility $575.27 |
| Mississippi | Office Unavailable | Facility $574.20 |
| Modesto | Office Unavailable | Facility $608.56 |
| Montana** | Office Unavailable | Facility $614.78 |
| Napa | Office Unavailable | Facility $662.72 |
| Nebraska | Office Unavailable | Facility $562.06 |
| Nevada** | Office Unavailable | Facility $604.49 |
| New Hampshire | Office Unavailable | Facility $614.10 |
| New Mexico | Office Unavailable | Facility $613.25 |
| New Orleans | Office Unavailable | Facility $613.29 |
| North Carolina | Office Unavailable | Facility $580.36 |
| North Dakota** | Office Unavailable | Facility $577.21 |
| Northern Nj | Office Unavailable | Facility $670.81 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $726.30 |
| Ohio | Office Unavailable | Facility $600.31 |
| Oklahoma | Office Unavailable | Facility $582.17 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $633.17 |
| Portland | Office Unavailable | Facility $623.99 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $661.74 |
| Puerto Rico | Office Unavailable | Facility $615.87 |
| Queens | Office Unavailable | Facility $698.75 |
| Redding | Office Unavailable | Facility $608.56 |
| Rest Of California | Office Unavailable | Facility $608.56 |
| Rest Of Florida | Office Unavailable | Facility $639.19 |
| Rest Of Georgia | Office Unavailable | Facility $608.34 |
| Rest Of Illinois | Office Unavailable | Facility $635.53 |
| Rest Of Louisiana | Office Unavailable | Facility $592.27 |
| Rest Of Maine | Office Unavailable | Facility $577.03 |
| Rest Of Maryland | Office Unavailable | Facility $615.57 |
| Rest Of Massachusetts | Office Unavailable | Facility $617.28 |
| Rest Of Michigan | Office Unavailable | Facility $607.99 |
| Rest Of Missouri | Office Unavailable | Facility $589.29 |
| Rest Of New Jersey | Office Unavailable | Facility $652.16 |
| Rest Of New York | Office Unavailable | Facility $587.38 |
| Rest Of Oregon | Office Unavailable | Facility $595.37 |
| Rest Of Pennsylvania | Office Unavailable | Facility $597.18 |
| Rest Of Texas | Office Unavailable | Facility $599.90 |
| Rest Of Washington | Office Unavailable | Facility $613.86 |
| Rhode Island | Office Unavailable | Facility $620.97 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $629.06 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $627.37 |
| Salinas | Office Unavailable | Facility $624.79 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $631.22 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $687.68 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $685.52 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $703.79 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $694.97 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $616.03 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $630.74 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $624.87 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $636.40 |
| Seattle (King Cnty) | Office Unavailable | Facility $661.61 |
| South Carolina | Office Unavailable | Facility $592.19 |
| South Dakota** | Office Unavailable | Facility $572.77 |
| Southern Maine | Office Unavailable | Facility $589.93 |
| Stockton | Office Unavailable | Facility $608.56 |
| Suburban Chicago | Office Unavailable | Facility $671.24 |
| Tennessee | Office Unavailable | Facility $569.72 |
| Utah | Office Unavailable | Facility $598.02 |
| Vallejo | Office Unavailable | Facility $659.61 |
| Vermont | Office Unavailable | Facility $581.82 |
| Virgin Islands | Office Unavailable | Facility $615.87 |
| Virginia | Office Unavailable | Facility $593.30 |
| Visalia | Office Unavailable | Facility $608.56 |
| West Virginia | Office Unavailable | Facility $619.51 |
| Wisconsin | Office Unavailable | Facility $563.70 |
| Wyoming** | Office Unavailable | Facility $598.41 |
| Yuba City | Office Unavailable | Facility $608.56 |
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57285 billing questions
How does this differ from 57284?
Both address a paravaginal support defect, but 57285 uses a vaginal route. Code 57284 is the open abdominal approach.
Can 57240 also be reported for a cystocele?
A cystocele corrected as part of the paravaginal repair is included in this service. Do not separately report 57240 for the same repair work; document any distinct, separately performed anterior wall repair clearly.
Can mesh insertion be reported with this repair?
When qualifying mesh or another prosthesis is inserted for the pelvic floor defect, 57267 is the related add-on code. The operative note should support the insertion and site.
Should modifier 50 be used for bilateral repair?
No. The code's anatomy and descriptor make modifier 50 inappropriate.
How are assistant and co-surgeon services treated?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
What postoperative care is included?
The 90-day global period includes the preoperative visit on the day before surgery 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 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.
6,46357282,,Colpopexy extraperitoneal,A,,11.34,5.21,NA,5.21,,1.87,18.42,18.42,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46457283,,Colpopexy intraperitoneal,A,,11.37,5.21,NA,5.21,,1.95,18.53,18.53,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46557284,,Repair paravag defect open,A,,13.97,5.67,NA,5.67,,2.46,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46657285,,Repair paravag defect vag,A,,11.31,5.20,NA,5.20,,1.90,18.41,18.41,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46757287,,Revise/remove sling repair,A,,10.87,7.17,NA,7.17,,1.72,19.76,19.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46857288,,Repair bladder defect,A,,11.83,6.13,NA,6.13,,1.91,19.87,19.87,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46957289,,Repair bladder & vagina,A,,12.48,6.28,NA,6.28,,2.19,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00