No office rate
Use 57260 when the surgeon repairs both anterior and posterior vaginal compartments. Use 57240 for the anterior repair alone.
On this page
CMS RVU26D · Effective 2026-10-01
57240 Anterior repair Medicare reimbursement rates in Connecticut
Anterior colporrhaphy repairs support of the front vaginal wall, commonly for a cystocele causing vaginal bulge, pressure, or related pelvic floor symptoms. Compare 57240 office and facility rates across CMS payment localities in Connecticut.
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 57240 in Connecticut?
Connecticut 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
$575.51
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Urogynecologic surgery
About 57240: Anterior vaginal wall prolapse repair
Anterior colporrhaphy repairs support of the front vaginal wall, commonly for a cystocele causing vaginal bulge, pressure, or related pelvic floor symptoms.
A gynecologist or urogynecologist typically performs this vaginal operation to restore support to the anterior vaginal wall, often for a cystocele. The surgeon accesses the weakened support layer through the vagina, reinforces it with sutures, and closes the vaginal incision. It is generally performed in an operating room, commonly in a facility setting, when anterior compartment prolapse warrants surgical repair.
Report 57240 when the operative work is an anterior vaginal wall repair; document the affected compartment, findings, approach, and repair performed. When anterior and posterior colporrhaphy are both performed, consider the combined code 57260 rather than reporting the isolated repairs separately. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Do not append modifier 50. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 57240
- 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 RVU9.83 · 60%
- Practice expense (office) RVU4.88 · 30%
- Malpractice RVU1.61 · 10%
8.2K
Medicare services in 2024 · #1576 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.
57240 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
57250 addresses posterior vaginal wall support, commonly for a rectocele; 57240 addresses the anterior wall, commonly for a cystocele.
No office rate
57284 repairs a paravaginal defect through an open abdominal approach. 57240 is an anterior colporrhaphy performed through the vagina.
No office rate
57285 repairs a paravaginal defect through a vaginal approach; 57240 is selected for an anterior colporrhaphy rather than that defect-specific repair.
Compare 57240 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$575.51
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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 57240 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,455
- Code
- 57240
- Physician work
- 9.83
- Practice expense
- 4.88
- Malpractice
- 1.61
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.83 | × 1.020 | 10.0266 |
| Practice expense | 4.88 | × 1.077 | 5.2558 |
| Malpractice | 1.61 | × 1.210 | 1.9481 |
| Total RVUs | 17.2305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$575.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.83 | 1.02 |
| Practice expense | 4.88 | 1.077 |
| Malpractice | 1.61 | 1.21 |
(9.83 × 1.02 + 4.88 × 1.077 + 1.61 × 1.21) × $33.4009 = $575.51
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.
57240 billing questions
When should 57240 be chosen instead of 57260?
Use 57240 for an anterior repair alone. When both anterior and posterior colporrhaphy are performed, 57260 describes the combined repair.
Can modifier 50 be appended for bilateral repair?
No. Modifier 50 is inappropriate for this procedure; report the anterior repair without a bilateral adjustment.
What documentation supports 57240?
The operative report should identify the anterior compartment defect and describe the vaginal approach and repair performed.
How does the 90-day global affect postoperative care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons require 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.
6,45257210,,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
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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
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