FeeBase
Log inGet started
Menu

Billing code 57310: Fistula repairMedicare rate & RVUs

Surgical closure of a urethrovaginal fistula through the vagina is reported when the repair is performed by the vaginal route.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $448.91 for 57310 nationally in a facility.

Medicare rate · 57310

Fistula repair

Swap in your local Medicare rate.

Work RVUs
7.46
Total RVUs
13.44
Global days
090

National rate · 2026

$448.91

Facility setting, before claim adjustments.

See every locality for 57310 → · 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 57310 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 57310 covers

This operation closes an abnormal communication between the urethra and vagina, which can allow urine to pass into the vagina and cause persistent leakage. A gynecologic surgeon, urogynecologist, or urologist repairs the tract through vaginal access, reconstructing the tissues between the organs. The procedure is performed in an operative setting and is distinct from repair of a bladder-to-vagina or rectum-to-vagina fistula.

Report 57310 when the operative documentation identifies a urethrovaginal fistula and records a vaginal approach; use 57311 when the repair is performed through an abdominal approach. Documentation should establish the tract’s origin and destination, the surgical route, and the repair performed. The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate for this descriptor and anatomy. 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 57310 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

57310 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$414.03
Alaska*Unavailable$570.00
ArizonaUnavailable$439.09
ArkansasUnavailable$409.71
AtlantaUnavailable$458.78
AustinUnavailable$455.48
BakersfieldUnavailable$457.20
Baltimore/Surr. CntysUnavailable$472.73
BeaumontUnavailable$431.54
BrazoriaUnavailable$442.34

57310 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
57310 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 57310 rate is calculated

Each of 57310’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 · 57310

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.46Practice expense 5.02Malpractice 0.96

13.4400 adjusted RVUs×$33.4009 conversion factor=$448.91

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

Payment rules and modifiers for 57310

57310 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57310

Fistula repair

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 · 57310

Fistula repair

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

57310 without 51 · national facility

$448.91

Fistula repair

57310-51 · Second procedure: 50%

$224.46

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

57310 compared with similar codes

Compare codes

57310 vs 57311 vs 57320 vs 57330: national Medicare rates

Swap in your local Medicare rate.

  • 57310
    Fistula repair · 7.46 wRVU
    —
  • 57311
    Fistula repair · 8.69 wRVU
    —
  • 57320
    Fistula repair · 8.66 wRVU
    —
  • 57330
    Fistula repair · 12.88 wRVU
    —

How to choose

57311Fistula repair
Both codes address urethrovaginal fistula repair. Use 57310 for the vaginal route and 57311 for the abdominal route.
57320Fistula repair
This code is for a bladder-to-vagina fistula repaired vaginally. Code 57310 is for a urethra-to-vagina fistula.
57330Fistula repair
This code addresses a bladder-to-vagina fistula repaired abdominally; 57310 addresses a urethra-to-vagina fistula repaired vaginally.

Codes related to 57310

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

Codes related to 57310
CodeHow it relatesNational office range
Same family
57311Fistula repairUrethrovaginal fistula repair through an abdominal approach.No office rate
Used instead
57320Fistula repairVaginal repair when the fistula connects the bladder and vagina.No office rate
57330Fistula repairAbdominal repair when the fistula connects the bladder and vagina.No office rate

57310 billing questions

When should 57310 be chosen over 57311?

Choose 57310 when the urethrovaginal fistula is repaired through a vaginal approach. Code 57311 represents repair through an abdominal approach.

Can 57310 be used for a vesicovaginal fistula?

No. This code concerns a tract between the urethra and vagina; codes 57320 or 57330 concern a bladder-to-vagina fistula, depending on approach.

Is modifier 50 appropriate for this repair?

No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.

What does the 90-day global include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

What documentation supports reporting 57310?

The operative record should identify the urethrovaginal tract, document the vaginal approach, and describe the repair performed.

How are multiple procedures handled when performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.

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 57310PPRRVU2026_Oct_nonQPP.csv, line 6,478 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 57310 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 57310 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →