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Billing code 57288: Sling procedureMedicare rate & RVUs

billing code 57288 reports surgical placement of a sling to support the urethra in a patient undergoing treatment for stress urinary incontinence.

CMS RVU26DEffective Oct 1, 2026109 payment localities25.2K Medicare services in 2024

Medicare pays $663.68 for 57288 nationally in a facility.

Medicare rate · 57288

Sling procedure

Swap in your local Medicare rate.

Work RVUs
11.83
Total RVUs
19.87
Global days
090

National rate · 2026

$663.68

Facility setting, before claim adjustments.

See every locality for 57288 → · 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 57288 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 57288 covers

A surgeon places a sling beneath the urethra to provide support and reduce urine leakage with coughing, lifting, or other exertion. The sling may use the patient’s tissue or synthetic material. Urogynecologists and urologists commonly perform this operation in an operating room for patients with stress urinary incontinence. billing code 57288 identifies the sling operation; it is not the code for repair of an isolated bladder-wall defect.

Report the procedure when the operative note supports sling placement for stress incontinence, including the approach and material used. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same 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 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 57288 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

57288 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$610.40
Alaska*Unavailable$845.91
ArizonaUnavailable$648.14
ArkansasUnavailable$603.87
AtlantaUnavailable$680.96
AustinUnavailable$669.07
BakersfieldUnavailable$665.90
Baltimore/Surr. CntysUnavailable$700.06
BeaumontUnavailable$640.72
BrazoriaUnavailable$650.96

57288 rates by state

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

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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
57288 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 57288 rate is calculated

Each of 57288’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 · 57288

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.83Practice expense 6.13Malpractice 1.91

19.8700 adjusted RVUs×$33.4009 conversion factor=$663.68

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

Payment rules and modifiers for 57288

57288 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57288

Sling procedure

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 · 57288

Sling procedure

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

57288 without 51 · national facility

$663.68

Sling procedure

57288-51 · Second procedure: 50%

$331.84

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

57288 compared with similar codes

Compare codes

57288 vs 57287 vs 51992 vs 51715 vs 57240: national Medicare rates

Swap in your local Medicare rate.

  • 57288
    Sling procedure · 11.83 wRVU
    —
  • 57287
    Sling revision · 10.87 wRVU
    —
  • 51992
    Urinary sling · 14.5 wRVU
    —
  • 51715
    Urethral bulking · 3.64 wRVU
    $346.37
  • 57240
    Anterior repair · 9.83 wRVU
    —

How to choose

57287Sling revision
Use 57288 for placement of a sling to treat stress incontinence. Use 57287 for revision or removal of a previously placed sling.
51992Urinary sling
Both describe sling surgery for stress incontinence; 51992 identifies a laparoscopic operation, while 57288 is the sling procedure reported under its own code.
51715Urethral bulking
51715 reports urethral bulking by injection, not placement of a supporting sling.
57240Anterior repair
57240 addresses repair of the anterior vaginal wall, such as for a cystocele; it does not describe sling placement for stress incontinence.

Codes related to 57288

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

Codes related to 57288
CodeHow it relatesNational office range
Often billed with
57287Sling revisionMay accompany new sling placement when revision or removal of a prior sling is separately performed.No office rate
57240Anterior repairAnterior colporrhaphy may be performed with sling placement for a separately treated anterior vaginal wall defect.No office rate
Used instead
51992Urinary slingLaparoscopic sling operation for stress incontinence; distinguishes a laparoscopic approach.No office rate
51715Urethral bulkingUrethral bulking injection offers a different treatment method for stress incontinence.$308.58–$443.06

57288 billing questions

How is 57288 different from 57287?

57288 reports placement of a sling for stress urinary incontinence. 57287 concerns revision or removal of a previously placed sling.

Can 57288 be reported with an anterior repair?

It may be reported with 57240 when an anterior colporrhaphy is also performed as a distinct, documented procedure, rather than being inherent in the sling placement.

Is modifier 50 appropriate for 57288?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Does 57288 have a surgical global period?

Yes. Its 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

Is 57288 the code for repairing a bladder-wall defect?

No. billing code 57288 identifies sling placement for stress urinary incontinence; it should not be selected for an isolated bladder-wall repair.

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 57288PPRRVU2026_Oct_nonQPP.csv, line 6,468 (RVU26D)

Open CMS sourceHow we calculate rates

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