No office rate
57425 suspends the vaginal apex laparoscopically; 57423 repairs a paravaginal defect laparoscopically. Choose according to the structure repaired in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
57425 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$851.00
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 57425: Laparoscopic vaginal apex suspension
Reports laparoscopic suspension of the vaginal apex, commonly for post-hysterectomy vault prolapse, when the surgeon performs a laparoscopic colpopexy.
The surgeon uses a laparoscopic approach to suspend the vaginal apex, often attaching the vaginal cuff to the sacrum with a graft during repair of post-hysterectomy vault prolapse. Urogynecologists and gynecologic surgeons typically perform this operation in a hospital or ambulatory surgical setting. The operative report should establish the laparoscopic approach and the actual suspension of the vaginal apex; a diagnosis of prolapse alone does not identify this procedure.
Report the service for the laparoscopic suspension, distinguishing it from laparoscopic repair of a paravaginal defect or an open or vaginal approach to colpopexy. Medicare assigns 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57425
- 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 RVU16.60 · 64%
- Practice expense (office) RVU6.40 · 25%
- Malpractice RVU2.75 · 11%
15.5K
Medicare services in 2024 · #1242 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.
57425 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
57425 describes laparoscopic colpopexy, while 57426 describes laparoscopic revision of a prosthetic vaginal graft. A graft revision is not the primary suspension.
No office rate
Both involve colpopexy, but 57425 is laparoscopic and 57280 uses an abdominal approach. The documented operative approach distinguishes them.
No office rate
57282 is a vaginal, extraperitoneal colpopexy; 57425 is performed laparoscopically. Select the code that matches the surgeon’s approach.
The same code, a different location
How does Delaware compare?
57425 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 · 57425
Office
Unavailable
Facility
$793.49
No comparable office rate is available.
Arkansas
Arkansas · 57425
Office
Unavailable
Facility
$785.38
No comparable office rate is available.
Arizona
Arizona · 57425
Office
Unavailable
Facility
$840.22
No comparable office rate is available.
Bakersfield
California · 57425
Office
Unavailable
Facility
$855.22
No comparable office rate is available.
Chico
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
El Centro
California · 57425
Office
Unavailable
Facility
$847.86
No comparable office rate is available.
Fresno
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Hanford-Corcoran
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Madera
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Merced
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Modesto
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Napa
California · 57425
Office
Unavailable
Facility
$917.79
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57425
Office
Unavailable
Facility
$879.87
No comparable office rate is available.
Redding
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Rest Of California
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57425
Office
Unavailable
Facility
$877.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57425
Office
Unavailable
Facility
$872.26
No comparable office rate is available.
Salinas
California · 57425
Office
Unavailable
Facility
$868.63
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57425
Office
Unavailable
Facility
$876.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57425
Office
Unavailable
Facility
$950.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57425
Office
Unavailable
Facility
$947.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57425
Office
Unavailable
Facility
$972.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57425
Office
Unavailable
Facility
$960.16
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57425
Office
Unavailable
Facility
$856.59
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57425
Office
Unavailable
Facility
$875.06
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57425
Office
Unavailable
Facility
$868.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57425
Office
Unavailable
Facility
$882.83
No comparable office rate is available.
Stockton
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Vallejo
California · 57425
Office
Unavailable
Facility
$913.29
No comparable office rate is available.
Visalia
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Yuba City
California · 57425
Office
Unavailable
Facility
$847.40
No comparable office rate is available.
Colorado
Colorado · 57425
Office
Unavailable
Facility
$860.29
No comparable office rate is available.
Connecticut
Connecticut · 57425
Office
Unavailable
Facility
$906.91
No comparable office rate is available.
Fort Lauderdale
Florida · 57425
Office
Unavailable
Facility
$937.07
No comparable office rate is available.
Rest Of Florida
Florida · 57425
Office
Unavailable
Facility
$896.87
No comparable office rate is available.
Atlanta
Georgia · 57425
Office
Unavailable
Facility
$883.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 57425
Office
Unavailable
Facility
$854.62
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57425
Office
Unavailable
Facility
$850.69
No comparable office rate is available.
Iowa
Iowa · 57425
Office
Unavailable
Facility
$786.52
No comparable office rate is available.
Idaho
Idaho · 57425
Office
Unavailable
Facility
$794.57
No comparable office rate is available.
East St. Louis
Illinois · 57425
Office
Unavailable
Facility
$936.11
No comparable office rate is available.
Rest Of Illinois
Illinois · 57425
Office
Unavailable
Facility
$893.19
No comparable office rate is available.
Suburban Chicago
Illinois · 57425
Office
Unavailable
Facility
$940.64
No comparable office rate is available.
Indiana
Indiana · 57425
Office
Unavailable
Facility
$797.26
No comparable office rate is available.
Kansas
Kansas · 57425
Office
Unavailable
Facility
$793.99
No comparable office rate is available.
Kentucky
Kentucky · 57425
Office
Unavailable
Facility
$828.54
No comparable office rate is available.
New Orleans
Louisiana · 57425
Office
Unavailable
Facility
$859.95
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57425
Office
Unavailable
Facility
$831.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57425
Office
Unavailable
Facility
$914.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57425
Office
Unavailable
Facility
$861.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57425
Office
Unavailable
Facility
$906.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 57425
Office
Unavailable
Facility
$860.65
No comparable office rate is available.
Rest Of Maine
Maine · 57425
Office
Unavailable
Facility
$808.25
No comparable office rate is available.
Southern Maine
Maine · 57425
Office
Unavailable
Facility
$824.26
No comparable office rate is available.
Detroit
Michigan · 57425
Office
Unavailable
Facility
$915.60
No comparable office rate is available.
Rest Of Michigan
Michigan · 57425
Office
Unavailable
Facility
$853.32
No comparable office rate is available.
Minnesota
Minnesota · 57425
Office
Unavailable
Facility
$801.61
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57425
Office
Unavailable
Facility
$844.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57425
Office
Unavailable
Facility
$850.00
No comparable office rate is available.
Rest Of Missouri
Missouri · 57425
Office
Unavailable
Facility
$828.19
No comparable office rate is available.
Mississippi
Mississippi · 57425
Office
Unavailable
Facility
$806.39
No comparable office rate is available.
Montana**
Montana · 57425
Office
Unavailable
Facility
$859.89
No comparable office rate is available.
North Carolina
North Carolina · 57425
Office
Unavailable
Facility
$812.59
No comparable office rate is available.
North Dakota**
North Dakota · 57425
Office
Unavailable
Facility
$805.51
No comparable office rate is available.
Nebraska
Nebraska · 57425
Office
Unavailable
Facility
$786.48
No comparable office rate is available.
New Hampshire
New Hampshire · 57425
Office
Unavailable
Facility
$857.36
No comparable office rate is available.
Northern Nj
New Jersey · 57425
Office
Unavailable
Facility
$935.45
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57425
Office
Unavailable
Facility
$910.83
No comparable office rate is available.
New Mexico
New Mexico · 57425
Office
Unavailable
Facility
$860.79
No comparable office rate is available.
Nevada**
Nevada · 57425
Office
Unavailable
Facility
$844.95
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57425
Office
Unavailable
Facility
$1014.68
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57425
Office
Unavailable
Facility
$924.62
No comparable office rate is available.
Queens
New York · 57425
Office
Unavailable
Facility
$975.06
No comparable office rate is available.
Rest Of New York
New York · 57425
Office
Unavailable
Facility
$822.10
No comparable office rate is available.
Ohio
Ohio · 57425
Office
Unavailable
Facility
$842.21
No comparable office rate is available.
Oklahoma
Oklahoma · 57425
Office
Unavailable
Facility
$816.72
No comparable office rate is available.
Portland
Oregon · 57425
Office
Unavailable
Facility
$869.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 57425
Office
Unavailable
Facility
$831.94
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57425
Office
Unavailable
Facility
$896.55
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57425
Office
Unavailable
Facility
$837.49
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57425
Office
Unavailable
Facility
$861.05
No comparable office rate is available.
Rhode Island
Rhode Island · 57425
Office
Unavailable
Facility
$867.74
No comparable office rate is available.
South Carolina
South Carolina · 57425
Office
Unavailable
Facility
$830.05
No comparable office rate is available.
South Dakota**
South Dakota · 57425
Office
Unavailable
Facility
$799.08
No comparable office rate is available.
Tennessee
Tennessee · 57425
Office
Unavailable
Facility
$798.09
No comparable office rate is available.
Austin
Texas · 57425
Office
Unavailable
Facility
$863.11
No comparable office rate is available.
Beaumont
Texas · 57425
Office
Unavailable
Facility
$834.31
No comparable office rate is available.
Brazoria
Texas · 57425
Office
Unavailable
Facility
$842.38
No comparable office rate is available.
Dallas
Texas · 57425
Office
Unavailable
Facility
$851.17
No comparable office rate is available.
Fort Worth
Texas · 57425
Office
Unavailable
Facility
$850.22
No comparable office rate is available.
Galveston
Texas · 57425
Office
Unavailable
Facility
$847.21
No comparable office rate is available.
Houston
Texas · 57425
Office
Unavailable
Facility
$897.55
No comparable office rate is available.
Rest Of Texas
Texas · 57425
Office
Unavailable
Facility
$840.26
No comparable office rate is available.
Utah
Utah · 57425
Office
Unavailable
Facility
$837.88
No comparable office rate is available.
Virginia
Virginia · 57425
Office
Unavailable
Facility
$829.43
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57425
Office
Unavailable
Facility
$861.05
No comparable office rate is available.
Vermont
Vermont · 57425
Office
Unavailable
Facility
$812.56
No comparable office rate is available.
Rest Of Washington
Washington · 57425
Office
Unavailable
Facility
$856.66
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57425
Office
Unavailable
Facility
$919.51
No comparable office rate is available.
Wisconsin
Wisconsin · 57425
Office
Unavailable
Facility
$787.53
No comparable office rate is available.
West Virginia
West Virginia · 57425
Office
Unavailable
Facility
$871.66
No comparable office rate is available.
Wyoming**
Wyoming · 57425
Office
Unavailable
Facility
$836.19
No comparable office rate is available.
See how rates vary across the country
57425 · 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 57425 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$936.10
$851.00 × 110% = $936.10
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 57425 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,489
- Code
- 57425
- Physician work
- 16.60
- Practice expense
- 6.40
- Malpractice
- 2.75
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.60 | × 1.005 | 16.6830 |
| Practice expense | 6.40 | × 0.988 | 6.3232 |
| Malpractice | 2.75 | × 0.899 | 2.4722 |
| Total RVUs | 25.4784 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$851.00
Open 57425 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.6 | 1.005 |
| Practice expense | 6.4 | 0.988 |
| Malpractice | 2.75 | 0.899 |
(16.6 × 1.005 + 6.4 × 0.988 + 2.75 × 0.899) × $33.4009 = $851.00
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
57425 · 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 | $851.00 | RVU26D |
| 2026-07-01 | Not available in this setting | $851.00 | RVU26C |
| 2026-04-01 | Not available in this setting | $851.00 | RVU26B |
| 2026-01-01 | Not available in this setting | $851.00 | RVU26A |
| 2025-10-01 | Not available in this setting | $944.26 | RVU25D |
| 2025-07-01 | Not available in this setting | $944.26 | RVU25C |
| 2025-04-01 | Not available in this setting | $944.26 | RVU25B |
| 2025-01-01 | Not available in this setting | $944.26 | RVU25A |
57425 billing questions
When should I report 57425 instead of 57423?
Report 57425 for laparoscopic suspension of the vaginal apex. Code 57423 describes laparoscopic repair of a paravaginal defect, a different operative target.
Does this code describe a laparoscopic or open procedure?
It describes laparoscopic colpopexy. An abdominal colpopexy performed through an open approach is distinguished by the operative approach, not simply by the prolapse diagnosis.
What documentation supports 57425?
The operative report should document the laparoscopic approach and suspension of the vaginal apex, including the attachment site and any graft or fixation method used.
Is modifier 50 appropriate for this service?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
6,48657420,,Exam of vagina w/scope,A,,1.56,2.26,,0.57,,0.30,4.12,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48757421,,Exam/biopsy of vag w/scope,A,,2.15,2.88,,0.70,,0.42,5.45,3.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48857423,,Repair paravag defect lap,A,,15.68,6.23,NA,6.23,,2.67,24.58,24.58,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48957425,,Laparoscopy surg colpopexy,A,,16.60,6.40,NA,6.40,,2.75,25.75,25.75,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49057426,,Revise prosth vag graft lap,A,,13.94,6.96,NA,6.96,,2.33,23.23,23.23,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49157452,,Exam of cervix w/scope,A,,1.46,2.04,,0.75,,0.26,3.76,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49257454,,Bx/curett of cervix w/scope,A,,2.27,2.30,,0.89,,0.40,4.97,3.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
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