No office rate
57300 describes rectovaginal fistula closure by vaginal approach without the colostomy included in 57307. Choose 57307 when repair and colostomy are performed together.
On this page
CMS RVU26D · Effective 2026-10-01
57307 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$988.71
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.
Gynecologic surgery
About 57307: Rectovaginal fistula repair with colostomy
Reports closure of a rectovaginal fistula with colostomy, combining repair of the abnormal connection and fecal diversion in one operative service.
This operation closes an abnormal connection between the rectum and vagina and includes creation of a colostomy to divert stool. The repair may use a vaginal or abdominal approach. It is performed in an operating room, typically by a surgeon experienced in pelvic or colorectal surgery, for patients whose fistula requires operative closure with diversion.
Report 57307 for the combined repair and colostomy, rather than treating the included diversion as a separate colostomy service. The operative report should identify the fistula, describe the repair and approach, and document the colostomy. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 57307
- 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 RVU16.74 · 56%
- Practice expense (office) RVU10.74 · 36%
- Malpractice RVU2.41 · 8%
25
Medicare services in 2024 · #5797 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.
57307 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
57305 describes rectovaginal fistula closure by abdominal approach without the colostomy included in 57307. The colostomy is the key distinction for 57307.
No office rate
57308 identifies a transperineal approach to rectovaginal fistula closure. 57307 is distinguished by the colostomy performed with the repair.
The same code, a different location
How does Delaware compare?
57307 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 57307
Office
Unavailable
Facility
$918.58
No comparable office rate is available.
Arkansas
Arkansas · 57307
Office
Unavailable
Facility
$908.73
No comparable office rate is available.
Arizona
Arizona · 57307
Office
Unavailable
Facility
$975.64
No comparable office rate is available.
Bakersfield
California · 57307
Office
Unavailable
Facility
$1011.94
No comparable office rate is available.
Chico
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
El Centro
California · 57307
Office
Unavailable
Facility
$1005.35
No comparable office rate is available.
Fresno
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Hanford-Corcoran
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Madera
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Merced
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Modesto
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Napa
California · 57307
Office
Unavailable
Facility
$1108.05
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57307
Office
Unavailable
Facility
$1048.95
No comparable office rate is available.
Redding
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Rest Of California
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57307
Office
Unavailable
Facility
$1031.02
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57307
Office
Unavailable
Facility
$1039.60
No comparable office rate is available.
Salinas
California · 57307
Office
Unavailable
Facility
$1035.37
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57307
Office
Unavailable
Facility
$1048.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57307
Office
Unavailable
Facility
$1155.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57307
Office
Unavailable
Facility
$1152.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57307
Office
Unavailable
Facility
$1181.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57307
Office
Unavailable
Facility
$1169.87
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57307
Office
Unavailable
Facility
$1020.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57307
Office
Unavailable
Facility
$1049.87
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57307
Office
Unavailable
Facility
$1036.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57307
Office
Unavailable
Facility
$1059.57
No comparable office rate is available.
Stockton
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Vallejo
California · 57307
Office
Unavailable
Facility
$1104.10
No comparable office rate is available.
Visalia
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Yuba City
California · 57307
Office
Unavailable
Facility
$1004.95
No comparable office rate is available.
Colorado
Colorado · 57307
Office
Unavailable
Facility
$1010.39
No comparable office rate is available.
Connecticut
Connecticut · 57307
Office
Unavailable
Facility
$1054.06
No comparable office rate is available.
Fort Lauderdale
Florida · 57307
Office
Unavailable
Facility
$1068.06
No comparable office rate is available.
Rest Of Florida
Florida · 57307
Office
Unavailable
Facility
$1023.06
No comparable office rate is available.
Atlanta
Georgia · 57307
Office
Unavailable
Facility
$1021.95
No comparable office rate is available.
Rest Of Georgia
Georgia · 57307
Office
Unavailable
Facility
$975.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57307
Office
Unavailable
Facility
$1013.61
No comparable office rate is available.
Iowa
Iowa · 57307
Office
Unavailable
Facility
$919.32
No comparable office rate is available.
Idaho
Idaho · 57307
Office
Unavailable
Facility
$927.23
No comparable office rate is available.
East St. Louis
Illinois · 57307
Office
Unavailable
Facility
$1051.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 57307
Office
Unavailable
Facility
$1012.46
No comparable office rate is available.
Suburban Chicago
Illinois · 57307
Office
Unavailable
Facility
$1074.10
No comparable office rate is available.
Indiana
Indiana · 57307
Office
Unavailable
Facility
$930.79
No comparable office rate is available.
Kansas
Kansas · 57307
Office
Unavailable
Facility
$923.99
No comparable office rate is available.
Kentucky
Kentucky · 57307
Office
Unavailable
Facility
$951.69
No comparable office rate is available.
New Orleans
Louisiana · 57307
Office
Unavailable
Facility
$988.14
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57307
Office
Unavailable
Facility
$953.72
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57307
Office
Unavailable
Facility
$1082.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57307
Office
Unavailable
Facility
$1009.97
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57307
Office
Unavailable
Facility
$1052.56
No comparable office rate is available.
Rest Of Maryland
Maryland · 57307
Office
Unavailable
Facility
$1001.65
No comparable office rate is available.
Rest Of Maine
Maine · 57307
Office
Unavailable
Facility
$939.23
No comparable office rate is available.
Southern Maine
Maine · 57307
Office
Unavailable
Facility
$965.42
No comparable office rate is available.
Detroit
Michigan · 57307
Office
Unavailable
Facility
$1041.02
No comparable office rate is available.
Rest Of Michigan
Michigan · 57307
Office
Unavailable
Facility
$977.53
No comparable office rate is available.
Minnesota
Minnesota · 57307
Office
Unavailable
Facility
$952.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57307
Office
Unavailable
Facility
$974.62
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57307
Office
Unavailable
Facility
$981.30
No comparable office rate is available.
Rest Of Missouri
Missouri · 57307
Office
Unavailable
Facility
$946.76
No comparable office rate is available.
Mississippi
Mississippi · 57307
Office
Unavailable
Facility
$927.48
No comparable office rate is available.
Montana**
Montana · 57307
Office
Unavailable
Facility
$998.19
No comparable office rate is available.
North Carolina
North Carolina · 57307
Office
Unavailable
Facility
$945.26
No comparable office rate is available.
North Dakota**
North Dakota · 57307
Office
Unavailable
Facility
$950.54
No comparable office rate is available.
Nebraska
Nebraska · 57307
Office
Unavailable
Facility
$920.66
No comparable office rate is available.
New Hampshire
New Hampshire · 57307
Office
Unavailable
Facility
$1003.00
No comparable office rate is available.
Northern Nj
New Jersey · 57307
Office
Unavailable
Facility
$1096.45
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57307
Office
Unavailable
Facility
$1061.53
No comparable office rate is available.
New Mexico
New Mexico · 57307
Office
Unavailable
Facility
$984.76
No comparable office rate is available.
Nevada**
Nevada · 57307
Office
Unavailable
Facility
$985.27
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57307
Office
Unavailable
Facility
$1170.92
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57307
Office
Unavailable
Facility
$1074.50
No comparable office rate is available.
Queens
New York · 57307
Office
Unavailable
Facility
$1135.00
No comparable office rate is available.
Rest Of New York
New York · 57307
Office
Unavailable
Facility
$956.51
No comparable office rate is available.
Ohio
Ohio · 57307
Office
Unavailable
Facility
$967.79
No comparable office rate is available.
Oklahoma
Oklahoma · 57307
Office
Unavailable
Facility
$942.02
No comparable office rate is available.
Portland
Oregon · 57307
Office
Unavailable
Facility
$1026.51
No comparable office rate is available.
Rest Of Oregon
Oregon · 57307
Office
Unavailable
Facility
$973.01
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57307
Office
Unavailable
Facility
$1038.66
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57307
Office
Unavailable
Facility
$964.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57307
Office
Unavailable
Facility
$1001.09
No comparable office rate is available.
Rhode Island
Rhode Island · 57307
Office
Unavailable
Facility
$1012.12
No comparable office rate is available.
South Carolina
South Carolina · 57307
Office
Unavailable
Facility
$959.02
No comparable office rate is available.
South Dakota**
South Dakota · 57307
Office
Unavailable
Facility
$944.90
No comparable office rate is available.
Tennessee
Tennessee · 57307
Office
Unavailable
Facility
$928.44
No comparable office rate is available.
Austin
Texas · 57307
Office
Unavailable
Facility
$1011.10
No comparable office rate is available.
Beaumont
Texas · 57307
Office
Unavailable
Facility
$960.35
No comparable office rate is available.
Brazoria
Texas · 57307
Office
Unavailable
Facility
$981.89
No comparable office rate is available.
Dallas
Texas · 57307
Office
Unavailable
Facility
$990.52
No comparable office rate is available.
Fort Worth
Texas · 57307
Office
Unavailable
Facility
$987.98
No comparable office rate is available.
Galveston
Texas · 57307
Office
Unavailable
Facility
$986.47
No comparable office rate is available.
Houston
Texas · 57307
Office
Unavailable
Facility
$1030.58
No comparable office rate is available.
Rest Of Texas
Texas · 57307
Office
Unavailable
Facility
$972.25
No comparable office rate is available.
Utah
Utah · 57307
Office
Unavailable
Facility
$968.62
No comparable office rate is available.
Virginia
Virginia · 57307
Office
Unavailable
Facility
$968.59
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57307
Office
Unavailable
Facility
$1001.09
No comparable office rate is available.
Vermont
Vermont · 57307
Office
Unavailable
Facility
$955.00
No comparable office rate is available.
Rest Of Washington
Washington · 57307
Office
Unavailable
Facility
$1005.40
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57307
Office
Unavailable
Facility
$1093.01
No comparable office rate is available.
Wisconsin
Wisconsin · 57307
Office
Unavailable
Facility
$927.58
No comparable office rate is available.
West Virginia
West Virginia · 57307
Office
Unavailable
Facility
$986.05
No comparable office rate is available.
Wyoming**
Wyoming · 57307
Office
Unavailable
Facility
$977.42
No comparable office rate is available.
See how rates vary across the country
57307 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 57307 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1087.58
$988.71 × 110% = $1087.58
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 57307 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,476
- Code
- 57307
- Physician work
- 16.74
- Practice expense
- 10.74
- Malpractice
- 2.41
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.74 | × 1.005 | 16.8237 |
| Practice expense | 10.74 | × 0.988 | 10.6111 |
| Malpractice | 2.41 | × 0.899 | 2.1666 |
| Total RVUs | 29.6014 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$988.71
Open 57307 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.74 | 1.005 |
| Practice expense | 10.74 | 0.988 |
| Malpractice | 2.41 | 0.899 |
(16.74 × 1.005 + 10.74 × 0.988 + 2.41 × 0.899) × $33.4009 = $988.71
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
57307 · 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 | $988.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $988.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $988.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $988.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $1047.80 | RVU25D |
| 2025-07-01 | Not available in this setting | $1047.80 | RVU25C |
| 2025-04-01 | Not available in this setting | $1047.80 | RVU25B |
| 2025-01-01 | Not available in this setting | $1047.80 | RVU25A |
57307 billing questions
When should 57307 be selected instead of 57300 or 57305?
Use 57307 when the rectovaginal fistula repair is performed with a colostomy. Codes 57300 and 57305 describe repair without the colostomy included in 57307.
Can the colostomy be billed separately with 57307?
The colostomy is part of the combined service represented by 57307. Do not separately report a colostomy code for that included work.
What documentation supports reporting 57307?
Document the rectovaginal fistula, the closure performed, the operative approach, and creation of the colostomy.
Does modifier 50 apply to this repair?
No. Modifier 50 is not appropriate for this single fistula repair with colostomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for the repair and colostomy.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard 50% 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 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.
6,47357296,,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
6,47757308,,Fistula repair transperine,A,,10.33,7.07,NA,7.07,,1.48,18.88,18.88,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47857310,,Repair urethrovaginal lesion,A,,7.46,5.02,NA,5.02,,0.96,13.44,13.44,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47957311,,Repair urethrovaginal lesion,A,,8.69,5.28,NA,5.28,,1.12,15.09,15.09,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503