No office rate
Both address revision or removal of vaginal graft material. Choose 57296 for the open abdominal approach and 57295 for the vaginal approach.
On this page
CMS RVU26D · Effective 2026-10-01
57296 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$845.47
Base rate per service
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.
Urogynecology surgery
About 57296: Open abdominal vaginal graft revision
Reports abdominal revision or removal of previously placed vaginal graft material when the surgeon must address the graft through an open abdominal approach.
A surgeon revises or removes previously implanted graft material supporting the vagina, reaching it through an open abdominal incision. The operation may address a problem with an existing graft used in pelvic floor reconstruction. It is distinct from revising graft material through the vagina and from operating on a urethral sling. These cases are generally performed by gynecologic or urogynecologic surgeons in a facility setting.
Select this code when the operative report identifies revision or removal of vaginal graft material and documents the open abdominal route; the approach and the work on the existing graft distinguish it from initial graft placement or repair of a separate pelvic support defect. The service has 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate.
CMS billing rules for 57296
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.15 · 64%
- Practice expense (office) RVU6.26 · 25%
- Malpractice RVU2.83 · 11%
50
Medicare services in 2024 · #5357 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.
57296 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This code addresses vaginal graft material; 57287 is for revision or removal of a urethral sling. Identify the implant being treated.
No office rate
This code revises or removes existing vaginal graft material. Code 57284 addresses open repair of a paravaginal defect, not graft revision.
The same code, a different location
How does Austin compare?
57296 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 57296
Office
Unavailable
Facility
$823.21
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 57296
Office
Unavailable
Facility
$871.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 57296
Office
Unavailable
Facility
$920.07
No comparable office rate is available.
Miami
Florida · 57296
Office
Unavailable
Facility
$996.14
No comparable office rate is available.
Chicago
Illinois · 57296
Office
Unavailable
Facility
$970.27
No comparable office rate is available.
Manhattan
New York · 57296
Office
Unavailable
Facility
$966.83
No comparable office rate is available.
Alaska*
Alaska · 57296
Office
Unavailable
Facility
$1083.90
No comparable office rate is available.
Alabama
Alabama · 57296
Office
Unavailable
Facility
$775.88
No comparable office rate is available.
Arkansas
Arkansas · 57296
Office
Unavailable
Facility
$767.71
No comparable office rate is available.
Arizona
Arizona · 57296
Office
Unavailable
Facility
$822.95
No comparable office rate is available.
Bakersfield
California · 57296
Office
Unavailable
Facility
$836.40
No comparable office rate is available.
Chico
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
El Centro
California · 57296
Office
Unavailable
Facility
$828.89
No comparable office rate is available.
Fresno
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Hanford-Corcoran
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Madera
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Merced
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Modesto
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Napa
California · 57296
Office
Unavailable
Facility
$897.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57296
Office
Unavailable
Facility
$860.56
No comparable office rate is available.
Redding
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Rest Of California
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57296
Office
Unavailable
Facility
$858.93
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57296
Office
Unavailable
Facility
$852.68
No comparable office rate is available.
Salinas
California · 57296
Office
Unavailable
Facility
$849.15
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57296
Office
Unavailable
Facility
$856.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57296
Office
Unavailable
Facility
$928.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57296
Office
Unavailable
Facility
$925.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57296
Office
Unavailable
Facility
$950.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57296
Office
Unavailable
Facility
$937.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57296
Office
Unavailable
Facility
$837.41
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57296
Office
Unavailable
Facility
$855.46
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57296
Office
Unavailable
Facility
$848.99
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57296
Office
Unavailable
Facility
$863.03
No comparable office rate is available.
Stockton
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Vallejo
California · 57296
Office
Unavailable
Facility
$892.38
No comparable office rate is available.
Visalia
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Yuba City
California · 57296
Office
Unavailable
Facility
$828.42
No comparable office rate is available.
Colorado
Colorado · 57296
Office
Unavailable
Facility
$842.19
No comparable office rate is available.
Connecticut
Connecticut · 57296
Office
Unavailable
Facility
$889.78
No comparable office rate is available.
Delaware
Delaware · 57296
Office
Unavailable
Facility
$833.68
No comparable office rate is available.
Fort Lauderdale
Florida · 57296
Office
Unavailable
Facility
$922.13
No comparable office rate is available.
Rest Of Florida
Florida · 57296
Office
Unavailable
Facility
$881.38
No comparable office rate is available.
Atlanta
Georgia · 57296
Office
Unavailable
Facility
$867.00
No comparable office rate is available.
Rest Of Georgia
Georgia · 57296
Office
Unavailable
Facility
$838.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57296
Office
Unavailable
Facility
$831.89
No comparable office rate is available.
Iowa
Iowa · 57296
Office
Unavailable
Facility
$768.27
No comparable office rate is available.
Idaho
Idaho · 57296
Office
Unavailable
Facility
$776.50
No comparable office rate is available.
East St. Louis
Illinois · 57296
Office
Unavailable
Facility
$922.16
No comparable office rate is available.
Rest Of Illinois
Illinois · 57296
Office
Unavailable
Facility
$878.07
No comparable office rate is available.
Suburban Chicago
Illinois · 57296
Office
Unavailable
Facility
$925.43
No comparable office rate is available.
Indiana
Indiana · 57296
Office
Unavailable
Facility
$779.19
No comparable office rate is available.
Kansas
Kansas · 57296
Office
Unavailable
Facility
$776.08
No comparable office rate is available.
Kentucky
Kentucky · 57296
Office
Unavailable
Facility
$811.80
No comparable office rate is available.
New Orleans
Louisiana · 57296
Office
Unavailable
Facility
$843.56
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57296
Office
Unavailable
Facility
$815.02
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57296
Office
Unavailable
Facility
$895.32
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57296
Office
Unavailable
Facility
$843.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57296
Office
Unavailable
Facility
$889.34
No comparable office rate is available.
Rest Of Maryland
Maryland · 57296
Office
Unavailable
Facility
$843.19
No comparable office rate is available.
Rest Of Maine
Maine · 57296
Office
Unavailable
Facility
$790.58
No comparable office rate is available.
Southern Maine
Maine · 57296
Office
Unavailable
Facility
$806.28
No comparable office rate is available.
Detroit
Michigan · 57296
Office
Unavailable
Facility
$900.56
No comparable office rate is available.
Rest Of Michigan
Michigan · 57296
Office
Unavailable
Facility
$837.04
No comparable office rate is available.
Minnesota
Minnesota · 57296
Office
Unavailable
Facility
$782.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57296
Office
Unavailable
Facility
$828.11
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57296
Office
Unavailable
Facility
$833.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 57296
Office
Unavailable
Facility
$811.73
No comparable office rate is available.
Mississippi
Mississippi · 57296
Office
Unavailable
Facility
$789.30
No comparable office rate is available.
Montana**
Montana · 57296
Office
Unavailable
Facility
$842.85
No comparable office rate is available.
North Carolina
North Carolina · 57296
Office
Unavailable
Facility
$794.91
No comparable office rate is available.
North Dakota**
North Dakota · 57296
Office
Unavailable
Facility
$786.89
No comparable office rate is available.
Nebraska
Nebraska · 57296
Office
Unavailable
Facility
$768.14
No comparable office rate is available.
New Hampshire
New Hampshire · 57296
Office
Unavailable
Facility
$839.80
No comparable office rate is available.
Northern Nj
New Jersey · 57296
Office
Unavailable
Facility
$916.90
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57296
Office
Unavailable
Facility
$893.02
No comparable office rate is available.
New Mexico
New Mexico · 57296
Office
Unavailable
Facility
$844.68
No comparable office rate is available.
Nevada**
Nevada · 57296
Office
Unavailable
Facility
$827.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57296
Office
Unavailable
Facility
$998.09
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57296
Office
Unavailable
Facility
$907.03
No comparable office rate is available.
Queens
New York · 57296
Office
Unavailable
Facility
$957.40
No comparable office rate is available.
Rest Of New York
New York · 57296
Office
Unavailable
Facility
$804.51
No comparable office rate is available.
Ohio
Ohio · 57296
Office
Unavailable
Facility
$825.60
No comparable office rate is available.
Oklahoma
Oklahoma · 57296
Office
Unavailable
Facility
$799.59
No comparable office rate is available.
Portland
Oregon · 57296
Office
Unavailable
Facility
$850.68
No comparable office rate is available.
Rest Of Oregon
Oregon · 57296
Office
Unavailable
Facility
$814.13
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57296
Office
Unavailable
Facility
$879.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57296
Office
Unavailable
Facility
$820.69
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57296
Office
Unavailable
Facility
$843.92
No comparable office rate is available.
Rhode Island
Rhode Island · 57296
Office
Unavailable
Facility
$849.98
No comparable office rate is available.
South Carolina
South Carolina · 57296
Office
Unavailable
Facility
$812.97
No comparable office rate is available.
South Dakota**
South Dakota · 57296
Office
Unavailable
Facility
$780.27
No comparable office rate is available.
Tennessee
Tennessee · 57296
Office
Unavailable
Facility
$780.25
No comparable office rate is available.
Utah
Utah · 57296
Office
Unavailable
Facility
$820.85
No comparable office rate is available.
Virginia
Virginia · 57296
Office
Unavailable
Facility
$811.69
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57296
Office
Unavailable
Facility
$843.92
No comparable office rate is available.
Vermont
Vermont · 57296
Office
Unavailable
Facility
$794.25
No comparable office rate is available.
Rest Of Washington
Washington · 57296
Office
Unavailable
Facility
$838.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57296
Office
Unavailable
Facility
$900.18
No comparable office rate is available.
Wisconsin
Wisconsin · 57296
Office
Unavailable
Facility
$768.85
No comparable office rate is available.
West Virginia
West Virginia · 57296
Office
Unavailable
Facility
$856.39
No comparable office rate is available.
Wyoming**
Wyoming · 57296
Office
Unavailable
Facility
$818.46
No comparable office rate is available.
See how rates vary across the country
57296 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 57296 in Austin
Multiple payment areas
- 57296 in Barton Creek
- 57296 in Bee Cave
- 57296 in Briarcliff
- 57296 in Cedar Park
Multiple payment areas
- 57296 in Creedmoor
Multiple payment areas
- 57296 in Elgin
Multiple payment areas
- 57296 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 57296 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$930.02
$845.47 × 110% = $930.02
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57296 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,473
- Code
- 57296
- Physician work
- 16.15
- Practice expense
- 6.26
- Malpractice
- 2.83
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.15 | × 1.002 | 16.1823 |
| Practice expense | 6.26 | × 1.058 | 6.6231 |
| Malpractice | 2.83 | × 0.886 | 2.5074 |
| Total RVUs | 25.3128 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$845.47
Open 57296 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.15 | 1.002 |
| Practice expense | 6.26 | 1.058 |
| Malpractice | 2.83 | 0.886 |
(16.15 × 1.002 + 6.26 × 1.058 + 2.83 × 0.886) × $33.4009 = $845.47
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
57296 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $845.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $845.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $845.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $845.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $938.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $938.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $938.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $938.60 | RVU25A |
57296 billing questions
How is this distinguished from 57295?
This code is for revision or removal of vaginal graft material through an open abdominal approach. Code 57295 describes the vaginal approach.
Is this the right code for revising a urethral sling?
No. This code concerns vaginal graft material; code 57287 addresses revision or removal of a sling. The operative report should identify the implanted material and the work performed.
Can the initial graft placement be reported with this code?
This code reports work on previously placed graft material, not its initial placement. Report only services supported as distinct procedures by the operative documentation.
What documentation supports the abdominal approach?
The operative report should identify the existing vaginal graft, the reason for revision or removal, the work performed on it, and the open abdominal route.
Can modifier 50 be used for bilateral work?
No. Modifier 50 is inappropriate for this code.
How are other procedures in the same session handled?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The code has a 90-day global period.
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.
6,47057291,,Construction of vagina,A,,8.42,4.73,NA,4.73,,1.47,14.62,14.62,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47157292,,Construct vagina with graft,A,,13.66,5.85,NA,5.85,,2.39,21.90,21.90,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47257295,,Revise vag graft via vagina,A,,7.62,4.57,NA,4.57,,1.24,13.43,13.43,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47357296,,Revise vag graft open abd,A,,16.15,6.26,NA,6.26,,2.83,25.24,25.24,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47457300,,Repair rectum-vagina fistula,A,,8.49,6.79,NA,6.79,,1.61,16.89,16.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47557305,,Repair rectum-vagina fistula,A,,14.97,8.98,NA,8.98,,2.97,26.92,26.92,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47657307,,Fistula repair & colostomy,A,,16.74,10.74,NA,10.74,,2.41,29.89,29.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858