No office rate
57240 reports the anterior vaginal repair itself. Use 57267 as an add-on only when prosthetic reinforcement is placed with the primary repair.
On this page
CMS RVU26D · Effective 2026-10-01
57267 Pelvic floor mesh Medicare reimbursement rates in Alabama
Add-on reporting for prosthetic reinforcement placed during vaginal pelvic floor repair, including prolapse surgery involving an anterior or posterior compartment. Compare 57267 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 57267 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$203.54
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urogynecology surgery
About 57267: Pelvic floor mesh reinforcement
Add-on reporting for prosthetic reinforcement placed during vaginal pelvic floor repair, including prolapse surgery involving an anterior or posterior compartment.
During vaginal pelvic floor reconstruction, this add-on captures placement of mesh or another prosthesis to reinforce a repaired defect at a specific site. It is commonly associated with prolapse operations involving the anterior or posterior vaginal compartment, such as repairs for cystocele or rectocele. Gynecologists and urogynecologists typically perform the work in an operating room as part of reconstructive surgery.
Report 57267 only with the primary procedure that repairs the defect; it is not a stand-alone service. The operative note should identify the repaired compartment or site, the prosthetic material, and its placement for reinforcement. The code is defined per site, so documentation should make clear which site or sites received prosthetic support. CMS treats it as an add-on paid within the primary procedure's global period; report it alongside that primary surgery rather than as an independent procedure.
CMS billing rules for 57267
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.76 · 73%
- Practice expense (office) RVU1.02 · 16%
- Malpractice RVU0.78 · 12%
2.7K
Medicare services in 2024 · #2246 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.
57267 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
57250 reports the posterior vaginal repair itself. It does not replace 57267 when prosthetic reinforcement is also placed.
No office rate
57268 reports repair of an enterocele through a vaginal approach; 57267 reports prosthetic reinforcement of a pelvic floor defect and requires a primary procedure.
No office rate
57287 concerns revision or removal of a sling. 57267 is for prosthetic reinforcement during pelvic floor defect repair, not sling revision or removal.
Compare 57267 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$203.54
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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 57267 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,459
- Code
- 57267
- Physician work
- 4.76
- Practice expense
- 1.02
- Malpractice
- 0.78
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.76 | × 1.000 | 4.7600 |
| Practice expense | 1.02 | × 0.875 | 0.8925 |
| Malpractice | 0.78 | × 0.566 | 0.4415 |
| Total RVUs | 6.0940 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$203.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.76 | 1 |
| Practice expense | 1.02 | 0.875 |
| Malpractice | 0.78 | 0.566 |
(4.76 × 1 + 1.02 × 0.875 + 0.78 × 0.566) × $33.4009 = $203.54
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.
57267 billing questions
Can 57267 be reported by itself?
No. It is an add-on and must be reported with the primary procedure that repairs the pelvic floor defect.
When is 57267 appropriate instead of a colporrhaphy code?
57267 reports the prosthetic reinforcement, not the underlying vaginal repair. Report the appropriate primary repair code for the defect and add 57267 when mesh or another prosthesis is placed.
How should the operative note support 57267?
Document the repaired site or compartment, the prosthetic material, and its placement to reinforce the defect. The record should also identify the primary repair performed.
How does the code handle more than one repair site?
The code is defined for each site. Document each compartment or site receiving prosthetic reinforcement and report according to applicable claim-edit and unit instructions.
Is mesh reinforcement included in the primary repair?
57267 is a separate add-on code for prosthetic reinforcement when performed with the primary repair. It is paid within that primary procedure's global period.
Is 57267 the code for a urinary sling?
No. It addresses prosthetic reinforcement of a pelvic floor defect. Sling placement or revision is a different service with its own coding.
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.
6,45657250,,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
6,45857265,,Cmbn ap colprhy w/ntrcl rpr,A,,14.63,5.89,NA,5.89,,2.48,23.00,23.00,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45957267,,Insert mesh/pelvic flr addon,A,,4.76,1.02,NA,1.02,,0.78,6.56,6.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46057268,,Repair of bowel bulge,A,,7.38,5.02,NA,5.02,,1.27,13.67,13.67,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46157270,,Repair of bowel pouch,A,,13.33,5.95,NA,5.95,,2.30,21.58,21.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46257280,,Suspension of vagina,A,,16.30,6.66,NA,6.66,,2.69,25.65,25.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515