No office rate
57200 is for nonobstetric vaginal injury repair. 57210 is the closer choice when the repair also involves the perineum.
On this page
CMS RVU26D · Effective 2026-10-01
57200 Vaginal repair Medicare reimbursement rates in Delaware
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina. Compare 57200 office and facility rates across CMS payment localities in Delaware.
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 57200 in Delaware?
Delaware 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
$301.03
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Gynecologic surgery
About 57200: Nonobstetric vaginal injury repair
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina.
A gynecologist, urogynecologist, or other surgeon uses this code for operative repair of a nonobstetric injury to the vaginal wall, such as a traumatic vaginal laceration. The repair may be performed in a hospital operating room or another surgical setting. The operative report should identify the injury’s vaginal location and extent and describe the repair performed; it should also clarify whether adjacent structures or the perineum required separate repair.
Report the code when the documented work is repair of the vagina rather than correction of prolapse, a paravaginal defect, or a combined rectal and vaginal problem. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57200
- 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 RVU4.31 · 47%
- Practice expense (office) RVU4.01 · 44%
- Malpractice RVU0.80 · 9%
445
Medicare services in 2024 · #3655 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.
57200 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
57250 addresses a combined rectal and vaginal repair; 57200 is for repair of the vagina without that combined operative problem.
No office rate
57240 is used for anterior vaginal wall prolapse repair. Choose 57200 for repair of a nonobstetric vaginal injury instead.
No office rate
57285 repairs a paravaginal defect through a vaginal approach; 57200 repairs an injury to the vagina.
Compare 57200 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
Delaware →
Office / nonfacility
Unavailable
Facility
$301.03
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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 57200 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,451
- Code
- 57200
- Physician work
- 4.31
- Practice expense
- 4.01
- Malpractice
- 0.80
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.31 | × 1.005 | 4.3315 |
| Practice expense | 4.01 | × 0.988 | 3.9619 |
| Malpractice | 0.80 | × 0.899 | 0.7192 |
| Total RVUs | 9.0126 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$301.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.31 | 1.005 |
| Practice expense | 4.01 | 0.988 |
| Malpractice | 0.8 | 0.899 |
(4.31 × 1.005 + 4.01 × 0.988 + 0.8 × 0.899) × $33.4009 = $301.03
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.
57200 billing questions
How is 57200 distinguished from 57210?
Use 57200 for repair of a nonobstetric vaginal injury. Code 57210 is the relevant comparison when the operative repair also involves the perineum.
Is 57200 for a laceration repaired during delivery?
No. This code describes nonobstetric vaginal repair; delivery-related laceration repair is coded under the applicable obstetric service.
What documentation supports reporting 57200?
Document the nonobstetric injury’s vaginal site and extent, the operative repair performed, and whether the perineum or another structure was also involved.
Does 57200 have a postoperative global period?
Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is 57200 handled with other procedures in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
6,44857160,,Insert pessary/other device,A,,0.87,1.09,,0.19,,0.15,2.11,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44957170,,Fitting of diaphragm/cap,A,,0.89,1.13,,0.19,,0.16,2.18,1.24,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45057180,,Treat vaginal bleeding,A,,1.59,3.80,,1.34,,0.27,5.66,3.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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