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Billing code 57287: Sling revisionMedicare rate & RVUs

Reported when a surgeon revises or removes a previously placed sling for stress urinary incontinence, such as for exposure, pain, or obstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.7K Medicare services in 2024

Medicare pays $660.00 for 57287 nationally in a facility.

Medicare rate · 57287

Sling revision

Swap in your local Medicare rate.

Work RVUs
10.87
Total RVUs
19.76
Global days
090

National rate · 2026

$660.00

Facility setting, before claim adjustments.

See every locality for 57287 → · 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 57287 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 57287 covers

This service covers operative work on a previously placed sling used to treat stress urinary incontinence. A urologist or urogynecologist may revise, release, or remove sling material when a patient develops problems such as vaginal exposure, pain, urinary obstruction, or difficulty voiding. It is commonly performed in an operating room, with the operative report identifying the sling and describing the work performed.

Select this code for revision or removal of the incontinence sling, not for placement of a new sling alone. Document the indication, prior sling, operative approach, and whether material was revised, released, or removed. Medicare 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons require 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 57287 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

57287 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$605.13
Alaska*Unavailable$831.31
ArizonaUnavailable$644.31
ArkansasUnavailable$598.37
AtlantaUnavailable$676.47
AustinUnavailable$668.07
BakersfieldUnavailable$667.43
Baltimore/Surr. CntysUnavailable$696.91
BeaumontUnavailable$634.37
BrazoriaUnavailable$648.11

57287 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
57287 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 57287 rate is calculated

Each of 57287’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 · 57287

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.87Practice expense 7.17Malpractice 1.72

19.7600 adjusted RVUs×$33.4009 conversion factor=$660.00

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

Payment rules and modifiers for 57287

57287 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57287

Sling revision

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 · 57287

Sling revision

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

57287 without 51 · national facility

$660.00

Sling revision

57287-51 · Second procedure: 50%

$330.00

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

57287 compared with similar codes

Compare codes

57287 vs 57288 vs 57295 vs 57296: national Medicare rates

Swap in your local Medicare rate.

  • 57287
    Sling revision · 10.87 wRVU
    —
  • 57288
    Sling procedure · 11.83 wRVU
    —
  • 57295
    Vaginal graft revision · 7.62 wRVU
    —
  • 57296
    Vaginal graft revision · 16.15 wRVU
    —

How to choose

57288Sling procedure
57287 addresses revision or removal of an existing incontinence sling; 57288 describes placement of a sling for stress urinary incontinence.
57295Vaginal graft revision
Use 57295 for revision of vaginal graft material by a vaginal approach when the operative target is graft material rather than an incontinence sling.
57296Vaginal graft revision
Use 57296 for revision of vaginal graft material by an abdominal approach when the operative target is graft material rather than an incontinence sling.

Codes related to 57287

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

Codes related to 57287
CodeHow it relatesNational office range
Used instead
57288Sling procedureUse for sling placement rather than revision or removal of a previously placed sling.No office rate
57295Vaginal graft revisionFor revision of vaginal graft material through a vaginal approach when the target is not an incontinence sling.No office rate
57296Vaginal graft revisionFor revision of vaginal graft material through an abdominal approach when the target is not an incontinence sling.No office rate
Often billed with
57240Anterior repairMay be reported for a separately performed anterior vaginal wall repair during the same session.No office rate

57287 billing questions

How does this differ from 57288?

Use 57287 for operative revision or removal of a previously placed incontinence sling. Use 57288 when the service is placement of a sling to treat stress urinary incontinence.

Can 57287 be reported with placement of a new sling?

When the surgeon revises or removes an existing sling and also places a new sling during the same session, the two services may be reported when the operative documentation supports both distinct services.

What documentation supports reporting 57287?

Document the prior sling, the reason for intervention, the operative approach, and the specific revision, release, or removal performed. Describe any exposure, pain, obstruction, or voiding problem that prompted surgery.

Should modifier 50 be used for work on both sides?

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

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 57287PPRRVU2026_Oct_nonQPP.csv, line 6,467 (RVU26D)

Open CMS sourceHow we calculate rates

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