Billing code 57284: Paravaginal repairMedicare rate & RVUs in Delaware
Open abdominal repair restores lateral vaginal support when a paravaginal defect contributes to prolapse, with associated cystocele repair included when performed.
CMS doesn’t publish an office rate for 57284 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 57284 covers
This operation restores support where the lateral vaginal wall has separated from its pelvic sidewall attachments, a defect that can contribute to anterior vaginal prolapse. A gynecologist or urogynecologist performs the repair through an open abdominal approach, commonly in an operating room as part of pelvic reconstructive surgery. The code includes repair of an associated cystocele when that repair is part of the procedure.
Choose this code when the operative findings and work document correction of a paravaginal defect through an open abdominal route. A vaginal route for the same defect is represented by 57285; a central anterior wall repair without the lateral defect is a different service. This major operation has a 90-day global period, including the day-before preoperative visit and related postoperative care. 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. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not. Modifier 50 is inappropriate for this code.
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.
57284 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $729.92 |
How the 57284 rate is calculated
Each of 57284’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57284
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.97Practice expense 5.67Malpractice 2.46
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57284
57284 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57284
Paravaginal repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57284
Paravaginal repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57284 without 51 · national facility
$738.16
Paravaginal repair
57284-51 · Second procedure: 50%
$369.08
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57284 compared with similar codes
Compare codes
57284 vs 57285 vs 57240 vs 57282: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57285Paravaginal repair
- Both address a paravaginal defect, but 57284 uses an open abdominal route and 57285 uses a vaginal route.
- 57240Anterior repair
- Use 57240 for anterior vaginal wall repair when the documented work is not an open abdominal repair of a lateral paravaginal defect.
- 57282Vaginal suspension
- 57282 is an extraperitoneal vaginal suspension for apical support; 57284 repairs lateral vaginal wall support through an open abdominal approach.
57284 billing questions
How does 57284 differ from 57285?
The distinction is the operative route for repairing the paravaginal defect: 57284 is performed through an open abdominal approach, while 57285 uses a vaginal approach.
Can a cystocele repair be separately reported?
Repair of an associated cystocele is included when performed as part of the paravaginal repair. The operative note should clarify whether the work addresses the lateral defect, rather than only a central anterior wall defect.
Should modifier 50 be used for a bilateral defect?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
What global period applies?
The procedure has a 90-day global period. The day-before preoperative visit and related postoperative care during that period are included.
May an assistant or another surgeon be reported?
Assistant-at-surgery and co-surgeon payment are permitted. Team surgery is not permitted for this code.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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