No office rate
This code represents a separate rectocele repair; 57250 describes posterior colporrhaphy by the vaginal approach. Use the code matching the documented operative technique.
On this page
CMS RVU26D · Effective 2026-10-01
45560 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$628.95
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.
Pelvic surgery
About 45560: Surgical rectocele repair
Surgical repair of a rectocele is reported when the surgeon corrects weakened support between the rectum and vagina, rather than rectal prolapse.
A rectocele occurs when the rectum bulges toward the posterior vaginal wall because the supporting tissue has weakened. This code describes a surgical repair directed at that defect. Gynecologic, urogynecologic, or colorectal surgeons may perform the operation for a patient with symptomatic pelvic organ prolapse in a surgical setting. The operative report should identify the rectocele and describe the repair performed; a diagnosis alone does not establish that this procedure was done.
Select this code for the rectocele repair documented, distinguishing it from vaginal posterior colporrhaphy and procedures for rectal prolapse. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 45560
- 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 RVU11.21 · 59%
- Practice expense (office) RVU5.84 · 31%
- Malpractice RVU1.92 · 10%
863
Medicare services in 2024 · #3078 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.
45560 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
57260 is for combined anterior and posterior vaginal wall repair. It is a different choice when both cystocele and rectocele defects are repaired.
$182.13
45520 concerns treatment of rectal prolapse, not a rectocele. Choose based on whether the operative target is rectal prolapse or the rectovaginal support defect.
The same code, a different location
How does Chico compare?
45560 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Modesto
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Napa
California · 45560
Office
Unavailable
Facility
$687.68
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 45560
Office
Unavailable
Facility
$655.42
No comparable office rate is available.
Redding
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Rest Of California
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 45560
Office
Unavailable
Facility
$649.65
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 45560
Office
Unavailable
Facility
$649.13
No comparable office rate is available.
Salinas
California · 45560
Office
Unavailable
Facility
$646.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 45560
Office
Unavailable
Facility
$653.71
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45560
Office
Unavailable
Facility
$714.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45560
Office
Unavailable
Facility
$712.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45560
Office
Unavailable
Facility
$731.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45560
Office
Unavailable
Facility
$722.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 45560
Office
Unavailable
Facility
$637.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 45560
Office
Unavailable
Facility
$653.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 45560
Office
Unavailable
Facility
$646.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 45560
Office
Unavailable
Facility
$659.57
No comparable office rate is available.
Stockton
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Vallejo
California · 45560
Office
Unavailable
Facility
$684.54
No comparable office rate is available.
Visalia
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Yuba City
California · 45560
Office
Unavailable
Facility
$628.95
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 45560
Office
Unavailable
Facility
$695.80
No comparable office rate is available.
Miami
Florida · 45560
Office
Unavailable
Facility
$739.67
No comparable office rate is available.
Chicago
Illinois · 45560
Office
Unavailable
Facility
$720.26
No comparable office rate is available.
Manhattan
New York · 45560
Office
Unavailable
Facility
$726.76
No comparable office rate is available.
Alaska*
Alaska · 45560
Office
Unavailable
Facility
$804.71
No comparable office rate is available.
Alabama
Alabama · 45560
Office
Unavailable
Facility
$581.40
No comparable office rate is available.
Arkansas
Arkansas · 45560
Office
Unavailable
Facility
$575.01
No comparable office rate is available.
Arizona
Arizona · 45560
Office
Unavailable
Facility
$618.33
No comparable office rate is available.
Colorado
Colorado · 45560
Office
Unavailable
Facility
$636.55
No comparable office rate is available.
Connecticut
Connecticut · 45560
Office
Unavailable
Facility
$669.59
No comparable office rate is available.
Delaware
Delaware · 45560
Office
Unavailable
Facility
$626.67
No comparable office rate is available.
Fort Lauderdale
Florida · 45560
Office
Unavailable
Facility
$687.97
No comparable office rate is available.
Rest Of Florida
Florida · 45560
Office
Unavailable
Facility
$657.29
No comparable office rate is available.
Atlanta
Georgia · 45560
Office
Unavailable
Facility
$650.75
No comparable office rate is available.
Rest Of Georgia
Georgia · 45560
Office
Unavailable
Facility
$624.86
No comparable office rate is available.
Hawaii, Guam
Hawaii · 45560
Office
Unavailable
Facility
$633.34
No comparable office rate is available.
Iowa
Iowa · 45560
Office
Unavailable
Facility
$578.36
No comparable office rate is available.
Idaho
Idaho · 45560
Office
Unavailable
Facility
$584.21
No comparable office rate is available.
East St. Louis
Illinois · 45560
Office
Unavailable
Facility
$683.04
No comparable office rate is available.
Rest Of Illinois
Illinois · 45560
Office
Unavailable
Facility
$652.75
No comparable office rate is available.
Suburban Chicago
Illinois · 45560
Office
Unavailable
Facility
$691.01
No comparable office rate is available.
Indiana
Indiana · 45560
Office
Unavailable
Facility
$586.41
No comparable office rate is available.
Kansas
Kansas · 45560
Office
Unavailable
Facility
$583.08
No comparable office rate is available.
Kentucky
Kentucky · 45560
Office
Unavailable
Facility
$606.51
No comparable office rate is available.
New Orleans
Louisiana · 45560
Office
Unavailable
Facility
$630.83
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 45560
Office
Unavailable
Facility
$608.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 45560
Office
Unavailable
Facility
$679.75
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 45560
Office
Unavailable
Facility
$636.93
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 45560
Office
Unavailable
Facility
$669.04
No comparable office rate is available.
Rest Of Maryland
Maryland · 45560
Office
Unavailable
Facility
$634.44
No comparable office rate is available.
Rest Of Maine
Maine · 45560
Office
Unavailable
Facility
$593.77
No comparable office rate is available.
Southern Maine
Maine · 45560
Office
Unavailable
Facility
$608.20
No comparable office rate is available.
Detroit
Michigan · 45560
Office
Unavailable
Facility
$670.78
No comparable office rate is available.
Rest Of Michigan
Michigan · 45560
Office
Unavailable
Facility
$624.92
No comparable office rate is available.
Minnesota
Minnesota · 45560
Office
Unavailable
Facility
$594.12
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 45560
Office
Unavailable
Facility
$620.24
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 45560
Office
Unavailable
Facility
$624.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 45560
Office
Unavailable
Facility
$605.03
No comparable office rate is available.
Mississippi
Mississippi · 45560
Office
Unavailable
Facility
$589.76
No comparable office rate is available.
Montana**
Montana · 45560
Office
Unavailable
Facility
$633.49
No comparable office rate is available.
North Carolina
North Carolina · 45560
Office
Unavailable
Facility
$597.40
No comparable office rate is available.
North Dakota**
North Dakota · 45560
Office
Unavailable
Facility
$595.52
No comparable office rate is available.
Nebraska
Nebraska · 45560
Office
Unavailable
Facility
$578.71
No comparable office rate is available.
New Hampshire
New Hampshire · 45560
Office
Unavailable
Facility
$633.60
No comparable office rate is available.
Northern Nj
New Jersey · 45560
Office
Unavailable
Facility
$692.77
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 45560
Office
Unavailable
Facility
$672.76
No comparable office rate is available.
New Mexico
New Mexico · 45560
Office
Unavailable
Facility
$630.32
No comparable office rate is available.
Nevada**
Nevada · 45560
Office
Unavailable
Facility
$623.10
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 45560
Office
Unavailable
Facility
$749.40
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 45560
Office
Unavailable
Facility
$682.46
No comparable office rate is available.
Queens
New York · 45560
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Rest Of New York
New York · 45560
Office
Unavailable
Facility
$604.82
No comparable office rate is available.
Ohio
Ohio · 45560
Office
Unavailable
Facility
$617.16
No comparable office rate is available.
Oklahoma
Oklahoma · 45560
Office
Unavailable
Facility
$598.44
No comparable office rate is available.
Portland
Oregon · 45560
Office
Unavailable
Facility
$644.84
No comparable office rate is available.
Rest Of Oregon
Oregon · 45560
Office
Unavailable
Facility
$613.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 45560
Office
Unavailable
Facility
$660.73
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 45560
Office
Unavailable
Facility
$614.09
No comparable office rate is available.
Puerto Rico
Puerto Rico · 45560
Office
Unavailable
Facility
$634.80
No comparable office rate is available.
Rhode Island
Rhode Island · 45560
Office
Unavailable
Facility
$640.24
No comparable office rate is available.
South Carolina
South Carolina · 45560
Office
Unavailable
Facility
$609.17
No comparable office rate is available.
South Dakota**
South Dakota · 45560
Office
Unavailable
Facility
$591.03
No comparable office rate is available.
Tennessee
Tennessee · 45560
Office
Unavailable
Facility
$586.17
No comparable office rate is available.
Austin
Texas · 45560
Office
Unavailable
Facility
$638.37
No comparable office rate is available.
Beaumont
Texas · 45560
Office
Unavailable
Facility
$611.51
No comparable office rate is available.
Brazoria
Texas · 45560
Office
Unavailable
Facility
$620.75
No comparable office rate is available.
Dallas
Texas · 45560
Office
Unavailable
Facility
$627.10
No comparable office rate is available.
Fort Worth
Texas · 45560
Office
Unavailable
Facility
$625.98
No comparable office rate is available.
Galveston
Texas · 45560
Office
Unavailable
Facility
$624.21
No comparable office rate is available.
Houston
Texas · 45560
Office
Unavailable
Facility
$659.36
No comparable office rate is available.
Rest Of Texas
Texas · 45560
Office
Unavailable
Facility
$617.45
No comparable office rate is available.
Utah
Utah · 45560
Office
Unavailable
Facility
$615.37
No comparable office rate is available.
Virginia
Virginia · 45560
Office
Unavailable
Facility
$611.44
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 45560
Office
Unavailable
Facility
$634.80
No comparable office rate is available.
Vermont
Vermont · 45560
Office
Unavailable
Facility
$599.98
No comparable office rate is available.
Rest Of Washington
Washington · 45560
Office
Unavailable
Facility
$633.49
No comparable office rate is available.
Seattle (King Cnty)
Washington · 45560
Office
Unavailable
Facility
$684.88
No comparable office rate is available.
Wisconsin
Wisconsin · 45560
Office
Unavailable
Facility
$581.04
No comparable office rate is available.
West Virginia
West Virginia · 45560
Office
Unavailable
Facility
$635.70
No comparable office rate is available.
Wyoming**
Wyoming · 45560
Office
Unavailable
Facility
$616.94
No comparable office rate is available.
See how rates vary across the country
45560 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 45560 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$691.85
$628.95 × 110% = $691.85
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 45560 in Chico.
PPRRVU2026_Oct_nonQPP.csv
5,549
- Code
- 45560
- Physician work
- 11.21
- Practice expense
- 5.84
- Malpractice
- 1.92
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.21 | × 1.017 | 11.4006 |
| Practice expense | 5.84 | × 1.096 | 6.4006 |
| Malpractice | 1.92 | × 0.536 | 1.0291 |
| Total RVUs | 18.8303 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$628.95
Open 45560 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.21 | 1.017 |
| Practice expense | 5.84 | 1.096 |
| Malpractice | 1.92 | 0.536 |
(11.21 × 1.017 + 5.84 × 1.096 + 1.92 × 0.536) × $33.4009 = $628.95
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
45560 · 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 | $628.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $628.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $628.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $628.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $676.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $676.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $676.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $676.04 | RVU25A |
45560 billing questions
How does this differ from 57250?
Both relate to rectocele repair, but 57250 describes posterior colporrhaphy through a vaginal approach. Select the code that matches the operation documented.
Is modifier 50 appropriate for a bilateral repair?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
What documentation supports reporting this code?
The operative report should identify the rectocele and describe the surgical repair. The diagnosis by itself does not show that the repair was performed.
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.
5,5464554F,,Pt recvd inhal anesthetic,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,54745550,,Repair rectum/remove sigmoid,A,,24.18,11.73,NA,11.73,,4.58,40.49,40.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,5484555F,,Pt recvd no inhal anesthic,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,54945560,,Repair of rectocele,A,,11.21,5.84,NA,5.84,,1.92,18.97,18.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,55045562,,Exploration/repair of rectum,A,,17.53,11.41,NA,11.41,,4.69,33.63,33.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,55145563,,Exploration/repair of rectum,A,,25.72,14.42,NA,14.42,,6.86,47.00,47.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,5524556F,,Pt w/3+ post-op nausea&vom,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536