No office rate
57283 identifies an intraperitoneal route; 57282 is for an extraperitoneal colpopexy. Use the approach documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
57283 Vaginal colpopexy Medicare reimbursement rates in Delaware
Reports surgical support of the vaginal apex through an intraperitoneal route, commonly for vaginal vault prolapse after hysterectomy. Compare 57283 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 57283 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
$612.15
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 57283: Intraperitoneal vaginal apex suspension
Reports surgical support of the vaginal apex through an intraperitoneal route, commonly for vaginal vault prolapse after hysterectomy.
This code describes surgical suspension of the vaginal apex using an intraperitoneal route, commonly to address apical or post-hysterectomy vaginal vault prolapse. A gynecologist, urogynecologist, or pelvic reconstructive surgeon performs the operation, typically in a hospital or ambulatory surgical setting. The operative report should establish the prolapse being treated, the route into the peritoneal cavity, and how the vaginal apex was supported.
Select this code when the documented colpopexy uses the intraperitoneal approach; distinguish it from an extraperitoneal route and from laparoscopic colpopexy. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57283
- 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 RVU11.37 · 61%
- Practice expense (office) RVU5.21 · 28%
- Malpractice RVU1.95 · 11%
6.3K
Medicare services in 2024 · #1724 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.
57283 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both describe vaginal colpopexy within the abdominal-approach code family. 57283 specifies the intraperitoneal route, so verify the operative approach before choosing between them.
No office rate
Use 57425 for laparoscopic colpopexy. Code 57283 is for the intraperitoneal approach, not the laparoscopic service.
Compare 57283 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
$612.15
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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 57283 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,464
- Code
- 57283
- Physician work
- 11.37
- Practice expense
- 5.21
- Malpractice
- 1.95
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.37 | × 1.005 | 11.4268 |
| Practice expense | 5.21 | × 0.988 | 5.1475 |
| Malpractice | 1.95 | × 0.899 | 1.7530 |
| Total RVUs | 18.3274 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$612.15
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.37 | 1.005 |
| Practice expense | 5.21 | 0.988 |
| Malpractice | 1.95 | 0.899 |
(11.37 × 1.005 + 5.21 × 0.988 + 1.95 × 0.899) × $33.4009 = $612.15
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.
57283 billing questions
How is this code distinguished from 57282?
Use 57283 when the operative report documents an intraperitoneal route for the colpopexy. Code 57282 represents an extraperitoneal approach.
Should this code be used for laparoscopic sacrocolpopexy?
No. Laparoscopic colpopexy is represented by 57425; 57283 identifies the intraperitoneal approach rather than the laparoscopic service.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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.
6,46157270,,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
6,46557284,,Repair paravag defect open,A,,13.97,5.67,NA,5.67,,2.46,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46657285,,Repair paravag defect vag,A,,11.31,5.20,NA,5.20,,1.90,18.41,18.41,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46757287,,Revise/remove sling repair,A,,10.87,7.17,NA,7.17,,1.72,19.76,19.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,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