No office rate
This code addresses repair of a urethral lesion. Code 57220 is identified as urethral revision and is not selected solely because the operation involves the urethra.
On this page
CMS RVU26D · Effective 2026-10-01
57230 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$372.32
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.
Urology surgery
About 57230: Female urethral lesion repair
Surgical repair of a female urethral lesion, commonly a diverticulum, reported when the procedure treats and closes the affected urethral tissue.
This procedure treats a lesion involving the female urethra, with a urethral diverticulum as a typical clinical example. A urologist or urogynecologist commonly performs the repair in an operating room, often through a vaginal approach, exposing the lesion and repairing the urethral tissue after treating it. The operative report should identify the lesion, its relationship to the urethra, and the repair performed.
Report the code for the urethral lesion repair itself, rather than for repair of an adjacent vaginal-wall prolapse or a urethral reconstruction performed for a different condition. This is major surgery with a 90-day global period; the day-before preoperative visit and related postoperative care during that period are included. 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57230
- 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 RVU6.14 · 55%
- Practice expense (office) RVU3.94 · 35%
- Malpractice RVU1.08 · 10%
53
Medicare services in 2024 · #5324 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.
57230 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Use 57230 for repair of a urethral lesion. Code 53430 describes female urethral reconstruction, a different operative purpose.
No office rate
Code 57240 addresses anterior vaginal wall repair. It is not the urethral lesion repair represented by 57230.
The same code, a different location
How does El Centro compare?
57230 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Modesto
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Napa
California · 57230
Office
Unavailable
Facility
$409.77
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57230
Office
Unavailable
Facility
$388.85
No comparable office rate is available.
Redding
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Rest Of California
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57230
Office
Unavailable
Facility
$383.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57230
Office
Unavailable
Facility
$384.85
No comparable office rate is available.
Salinas
California · 57230
Office
Unavailable
Facility
$383.30
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57230
Office
Unavailable
Facility
$388.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57230
Office
Unavailable
Facility
$426.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57230
Office
Unavailable
Facility
$425.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57230
Office
Unavailable
Facility
$436.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57230
Office
Unavailable
Facility
$431.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57230
Office
Unavailable
Facility
$377.79
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57230
Office
Unavailable
Facility
$388.62
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57230
Office
Unavailable
Facility
$383.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57230
Office
Unavailable
Facility
$392.17
No comparable office rate is available.
Stockton
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Vallejo
California · 57230
Office
Unavailable
Facility
$408.01
No comparable office rate is available.
Visalia
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Yuba City
California · 57230
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 57230
Office
Unavailable
Facility
$411.33
No comparable office rate is available.
Miami
Florida · 57230
Office
Unavailable
Facility
$433.31
No comparable office rate is available.
Chicago
Illinois · 57230
Office
Unavailable
Facility
$421.56
No comparable office rate is available.
Manhattan
New York · 57230
Office
Unavailable
Facility
$428.34
No comparable office rate is available.
Alaska*
Alaska · 57230
Office
Unavailable
Facility
$467.65
No comparable office rate is available.
Alabama
Alabama · 57230
Office
Unavailable
Facility
$340.65
No comparable office rate is available.
Arkansas
Arkansas · 57230
Office
Unavailable
Facility
$336.70
No comparable office rate is available.
Arizona
Arizona · 57230
Office
Unavailable
Facility
$363.48
No comparable office rate is available.
Colorado
Colorado · 57230
Office
Unavailable
Facility
$375.74
No comparable office rate is available.
Connecticut
Connecticut · 57230
Office
Unavailable
Facility
$394.56
No comparable office rate is available.
Delaware
Delaware · 57230
Office
Unavailable
Facility
$368.56
No comparable office rate is available.
Fort Lauderdale
Florida · 57230
Office
Unavailable
Facility
$403.61
No comparable office rate is available.
Rest Of Florida
Florida · 57230
Office
Unavailable
Facility
$385.11
No comparable office rate is available.
Atlanta
Georgia · 57230
Office
Unavailable
Facility
$382.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 57230
Office
Unavailable
Facility
$365.47
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57230
Office
Unavailable
Facility
$375.60
No comparable office rate is available.
Iowa
Iowa · 57230
Office
Unavailable
Facility
$339.82
No comparable office rate is available.
Idaho
Idaho · 57230
Office
Unavailable
Facility
$343.22
No comparable office rate is available.
East St. Louis
Illinois · 57230
Office
Unavailable
Facility
$398.80
No comparable office rate is available.
Rest Of Illinois
Illinois · 57230
Office
Unavailable
Facility
$381.61
No comparable office rate is available.
Suburban Chicago
Illinois · 57230
Office
Unavailable
Facility
$405.59
No comparable office rate is available.
Indiana
Indiana · 57230
Office
Unavailable
Facility
$344.61
No comparable office rate is available.
Kansas
Kansas · 57230
Office
Unavailable
Facility
$342.23
No comparable office rate is available.
Kentucky
Kentucky · 57230
Office
Unavailable
Facility
$355.08
No comparable office rate is available.
New Orleans
Louisiana · 57230
Office
Unavailable
Facility
$369.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57230
Office
Unavailable
Facility
$356.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57230
Office
Unavailable
Facility
$402.72
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57230
Office
Unavailable
Facility
$375.69
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57230
Office
Unavailable
Facility
$394.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 57230
Office
Unavailable
Facility
$373.43
No comparable office rate is available.
Rest Of Maine
Maine · 57230
Office
Unavailable
Facility
$348.59
No comparable office rate is available.
Southern Maine
Maine · 57230
Office
Unavailable
Facility
$358.26
No comparable office rate is available.
Detroit
Michigan · 57230
Office
Unavailable
Facility
$392.89
No comparable office rate is available.
Rest Of Michigan
Michigan · 57230
Office
Unavailable
Facility
$365.96
No comparable office rate is available.
Minnesota
Minnesota · 57230
Office
Unavailable
Facility
$351.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57230
Office
Unavailable
Facility
$363.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57230
Office
Unavailable
Facility
$366.51
No comparable office rate is available.
Rest Of Missouri
Missouri · 57230
Office
Unavailable
Facility
$353.66
No comparable office rate is available.
Mississippi
Mississippi · 57230
Office
Unavailable
Facility
$345.05
No comparable office rate is available.
Montana**
Montana · 57230
Office
Unavailable
Facility
$372.68
No comparable office rate is available.
North Carolina
North Carolina · 57230
Office
Unavailable
Facility
$350.91
No comparable office rate is available.
North Dakota**
North Dakota · 57230
Office
Unavailable
Facility
$351.33
No comparable office rate is available.
Nebraska
Nebraska · 57230
Office
Unavailable
Facility
$340.18
No comparable office rate is available.
New Hampshire
New Hampshire · 57230
Office
Unavailable
Facility
$373.64
No comparable office rate is available.
Northern Nj
New Jersey · 57230
Office
Unavailable
Facility
$409.18
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57230
Office
Unavailable
Facility
$396.56
No comparable office rate is available.
New Mexico
New Mexico · 57230
Office
Unavailable
Facility
$369.08
No comparable office rate is available.
Nevada**
Nevada · 57230
Office
Unavailable
Facility
$366.86
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57230
Office
Unavailable
Facility
$441.67
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57230
Office
Unavailable
Facility
$402.06
No comparable office rate is available.
Queens
New York · 57230
Office
Unavailable
Facility
$425.77
No comparable office rate is available.
Rest Of New York
New York · 57230
Office
Unavailable
Facility
$355.46
No comparable office rate is available.
Ohio
Ohio · 57230
Office
Unavailable
Facility
$361.59
No comparable office rate is available.
Oklahoma
Oklahoma · 57230
Office
Unavailable
Facility
$350.63
No comparable office rate is available.
Portland
Oregon · 57230
Office
Unavailable
Facility
$381.41
No comparable office rate is available.
Rest Of Oregon
Oregon · 57230
Office
Unavailable
Facility
$361.51
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57230
Office
Unavailable
Facility
$388.80
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57230
Office
Unavailable
Facility
$359.98
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57230
Office
Unavailable
Facility
$373.66
No comparable office rate is available.
Rhode Island
Rhode Island · 57230
Office
Unavailable
Facility
$377.10
No comparable office rate is available.
South Carolina
South Carolina · 57230
Office
Unavailable
Facility
$357.34
No comparable office rate is available.
South Dakota**
South Dakota · 57230
Office
Unavailable
Facility
$348.80
No comparable office rate is available.
Tennessee
Tennessee · 57230
Office
Unavailable
Facility
$344.08
No comparable office rate is available.
Austin
Texas · 57230
Office
Unavailable
Facility
$376.68
No comparable office rate is available.
Beaumont
Texas · 57230
Office
Unavailable
Facility
$358.35
No comparable office rate is available.
Brazoria
Texas · 57230
Office
Unavailable
Facility
$365.27
No comparable office rate is available.
Dallas
Texas · 57230
Office
Unavailable
Facility
$368.95
No comparable office rate is available.
Fort Worth
Texas · 57230
Office
Unavailable
Facility
$368.10
No comparable office rate is available.
Galveston
Texas · 57230
Office
Unavailable
Facility
$367.27
No comparable office rate is available.
Houston
Texas · 57230
Office
Unavailable
Facility
$387.04
No comparable office rate is available.
Rest Of Texas
Texas · 57230
Office
Unavailable
Facility
$362.54
No comparable office rate is available.
Utah
Utah · 57230
Office
Unavailable
Facility
$361.18
No comparable office rate is available.
Virginia
Virginia · 57230
Office
Unavailable
Facility
$359.91
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57230
Office
Unavailable
Facility
$373.66
No comparable office rate is available.
Vermont
Vermont · 57230
Office
Unavailable
Facility
$353.62
No comparable office rate is available.
Rest Of Washington
Washington · 57230
Office
Unavailable
Facility
$373.77
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57230
Office
Unavailable
Facility
$406.28
No comparable office rate is available.
Wisconsin
Wisconsin · 57230
Office
Unavailable
Facility
$342.26
No comparable office rate is available.
West Virginia
West Virginia · 57230
Office
Unavailable
Facility
$371.06
No comparable office rate is available.
Wyoming**
Wyoming · 57230
Office
Unavailable
Facility
$363.38
No comparable office rate is available.
See how rates vary across the country
57230 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 57230 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$409.55
$372.32 × 110% = $409.55
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 57230 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
6,454
- Code
- 57230
- Physician work
- 6.14
- Practice expense
- 3.94
- Malpractice
- 1.08
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.14 | × 1.017 | 6.2444 |
| Practice expense | 3.94 | × 1.096 | 4.3182 |
| Malpractice | 1.08 | × 0.541 | 0.5843 |
| Total RVUs | 11.1469 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$372.32
Open 57230 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1.017 |
| Practice expense | 3.94 | 1.096 |
| Malpractice | 1.08 | 0.541 |
(6.14 × 1.017 + 3.94 × 1.096 + 1.08 × 0.541) × $33.4009 = $372.32
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
57230 · 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 | $372.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $372.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $372.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $372.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $412.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $412.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $412.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $412.13 | RVU25A |
57230 billing questions
When is this code more appropriate than a urethral reconstruction code?
Use it when the operation repairs a urethral lesion, such as a diverticulum. A reconstructive urethroplasty code is for reconstruction of the urethra rather than repair of a lesion.
Is a urethral diverticulum a typical reason for reporting this code?
Yes. A diverticulum is a typical example of a lesion treated by this repair; the operative note should describe the lesion and the urethral repair.
Can modifier 50 be reported for a lesion on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
6,45157200,,Repair of vagina,A,,4.31,4.01,NA,4.01,,0.80,9.12,9.12,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45257210,,Repair vagina/perineum,A,,5.57,4.05,NA,4.05,,1.01,10.63,10.63,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45357220,,Revision of urethra,A,,4.73,3.79,NA,3.79,,0.81,9.33,9.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45457230,,Repair of urethral lesion,A,,6.14,3.94,NA,3.94,,1.08,11.16,11.16,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45557240,,Anterior colporrhaphy,A,,9.83,4.88,NA,4.88,,1.61,16.32,16.32,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45657250,,Repair rectum & vagina,A,,9.83,4.85,NA,4.85,,1.65,16.33,16.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45757260,,Cmbn ant pst colprhy,A,,12.92,5.49,NA,5.49,,2.17,20.58,20.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664