No office rate
Both codes address enterocele repair. Use 57270 for the abdominal approach and 57268 for the vaginal approach.
On this page
CMS RVU26D · Effective 2026-10-01
57270 Enterocele repair Medicare reimbursement rates in Delaware
Reports abdominal repair of an enterocele, a peritoneal sac descending into the upper vagina, often addressed during pelvic organ prolapse surgery. Compare 57270 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 57270 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
$712.87
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.
Pelvic reconstructive surgery
About 57270: Abdominal enterocele repair
Reports abdominal repair of an enterocele, a peritoneal sac descending into the upper vagina, often addressed during pelvic organ prolapse surgery.
An enterocele is a peritoneal sac that descends into the upper vagina and may contain small bowel. It can occur with vaginal vault prolapse, particularly after hysterectomy. CPT 57270 represents repair through an abdominal approach: the surgeon reaches the pelvic defect from the abdomen, reduces the herniated sac, and repairs or supports the defect. Gynecologists and urogynecologists typically perform this operation in a hospital or ambulatory surgery setting as part of pelvic organ prolapse reconstruction.
Select this code when the enterocele is repaired abdominally; the vaginal-route counterpart is 57268. The operative report should identify the enterocele, surgical approach, repair performed, and any distinct concomitant prolapse repairs. CMS assigns a major-surgery 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one 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 57270
- 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 RVU13.33 · 62%
- Practice expense (office) RVU5.95 · 28%
- Malpractice RVU2.30 · 11%
405
Medicare services in 2024 · #3730 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.
57270 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
57250 addresses rectocele repair, involving a different pelvic support defect; 57270 is for abdominal repair of an enterocele.
No office rate
57284 repairs a paravaginal defect through an open approach. It is not the code for an enterocele repair.
Compare 57270 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
$712.87
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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 57270 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,461
- Code
- 57270
- Physician work
- 13.33
- Practice expense
- 5.95
- Malpractice
- 2.30
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.33 | × 1.005 | 13.3966 |
| Practice expense | 5.95 | × 0.988 | 5.8786 |
| Malpractice | 2.30 | × 0.899 | 2.0677 |
| Total RVUs | 21.3429 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$712.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.33 | 1.005 |
| Practice expense | 5.95 | 0.988 |
| Malpractice | 2.3 | 0.899 |
(13.33 × 1.005 + 5.95 × 0.988 + 2.3 × 0.899) × $33.4009 = $712.87
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.
57270 billing questions
How do I distinguish 57270 from 57268?
Both represent enterocele repair, but 57270 is the abdominal approach and 57268 is the vaginal approach. Use the approach documented in the operative report.
Is this the code for a rectocele repair?
No. This code is for an enterocele repaired abdominally. A rectocele is a different pelvic support defect; 57250 describes its repair.
Can another prolapse procedure be reported during the same operation?
A distinct repair or suspension may be reported when it is separately performed and supported by the operative documentation. Multiple procedures in the same session are subject to CMS's standard reduction.
What documentation supports reporting 57270?
Document the enterocele, the abdominal route, and the repair performed. Identify any additional prolapse defects and the separate procedures performed for them.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
6,45857265,,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
6,46357282,,Colpopexy extraperitoneal,A,,11.34,5.21,NA,5.21,,1.87,18.42,18.42,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46457283,,Colpopexy intraperitoneal,A,,11.37,5.21,NA,5.21,,1.95,18.53,18.53,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,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