FeeBase
Log inGet started
Menu

Billing code 57335: Vaginal repairMedicare rate & RVUs

billing code 57335 reports major operative repair of vaginal tissue when the defect requires more than a routine injury closure or compartment repair.

CMS RVU26DEffective Oct 1, 2026109 payment localities57 Medicare services in 2024

Medicare pays $1,036.10 for 57335 nationally in a facility.

Medicare rate · 57335

Vaginal repair

Swap in your local Medicare rate.

Work RVUs
19.52
Total RVUs
31.02
Global days
090

National rate · 2026

$1,036.10

Facility setting, before claim adjustments.

See every locality for 57335 → · 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 57335 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 57335 covers

billing code 57335 represents major operative repair of vaginal tissue. A gynecologist, urogynecologist, or other surgeon may perform the repair in an operating room when a vaginal defect requires substantial reconstruction. The operative report should identify the defect, its location and extent, the repair performed, and why the work went beyond a routine vaginal injury closure or an anterior or posterior compartment repair.

Report the code for the documented vaginal repair, not simply because vaginal tissue was involved in another procedure. The service has a 90-day global period, including 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; 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 57335 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

57335 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$952.68
Alaska*Unavailable$1,328.17
ArizonaUnavailable$1,011.24
ArkansasUnavailable$942.53
AtlantaUnavailable$1,065.39
AustinUnavailable$1,039.97
BakersfieldUnavailable$1,029.57
Baltimore/Surr. CntysUnavailable$1,093.36
BeaumontUnavailable$1,003.70
BrazoriaUnavailable$1,013.68

57335 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
57335 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 57335 rate is calculated

Each of 57335’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 · 57335

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 19.52Practice expense 8.07Malpractice 3.43

31.0200 adjusted RVUs×$33.4009 conversion factor=$1,036.10

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

Payment rules and modifiers for 57335

57335 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57335

Vaginal 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 · 57335

Vaginal 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

57335 without 51 · national facility

$1,036.10

Vaginal repair

57335-51 · Second procedure: 50%

$518.05

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

57335 compared with similar codes

Compare codes

57335 vs 57200 vs 57300 vs 57310 vs 57320: national Medicare rates

Swap in your local Medicare rate.

  • 57335
    Vaginal repair · 19.52 wRVU
    —
  • 57200
    Vaginal repair · 4.31 wRVU
    —
  • 57300
    Fistula repair · 8.49 wRVU
    —
  • 57310
    Fistula repair · 7.46 wRVU
    —
  • 57320
    Fistula repair · 8.66 wRVU
    —

How to choose

57200Vaginal repair
billing code 57200 describes suture repair of a nonobstetric vaginal injury. billing code 57335 is used for a major vaginal repair rather than routine injury closure.
57300Fistula repair
billing code 57300 is specific to closure of a rectovaginal fistula through a vaginal approach. Use a fistula-specific code when the operative target is that tract.
57310Fistula repair
billing code 57310 addresses repair of a urethrovaginal fistula. billing code 57335 is not the choice when the documented procedure is specifically fistula closure.
57320Fistula repair
billing code 57320 is for vaginal-approach closure of a vesicovaginal fistula. Choose according to the documented fistula and operative approach.

Codes related to 57335

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

Codes related to 57335
CodeHow it relatesNational office range
Used instead
57200Vaginal repairFor suture repair of a nonobstetric vaginal injury rather than a major vaginal repair.No office rate
57300Fistula repairFor closure of a rectovaginal fistula by the vaginal approach.No office rate
57310Fistula repairFor repair directed at a urethrovaginal fistula.No office rate
57320Fistula repairFor closure of a vesicovaginal fistula by the vaginal approach.No office rate

57335 billing questions

How is this different from repair of a vaginal injury?

billing code 57335 is for a major vaginal repair, rather than routine closure of a nonobstetric vaginal injury. Use the operative findings and work documented to distinguish the procedures.

Should this code be used for a vaginal fistula repair?

Use the fistula-specific code when the operation closes a defined communication, such as a rectovaginal, urethrovaginal, or vesicovaginal fistula. The record should identify the tract and repair approach.

Can another procedure be reported during the same session?

Yes, when a distinct procedure is performed and documented. Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the reduction.

Does modifier 50 apply to this repair?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What postoperative care is included?

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

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 57335PPRRVU2026_Oct_nonQPP.csv, line 6,482 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 57335 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 57335 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 →