Billing code 57425: Laparoscopic colpopexyMedicare rate & RVUs in Guam
Reports laparoscopic suspension of the vaginal apex, commonly for post-hysterectomy vault prolapse, when the surgeon performs a laparoscopic colpopexy.
CMS doesn’t publish an office rate for 57425 in Guam.
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 57425 covers
The surgeon uses a laparoscopic approach to suspend the vaginal apex, often attaching the vaginal cuff to the sacrum with a graft during repair of post-hysterectomy vault prolapse. Urogynecologists and gynecologic surgeons typically perform this operation in a hospital or ambulatory surgical setting. The operative report should establish the laparoscopic approach and the actual suspension of the vaginal apex; a diagnosis of prolapse alone does not identify this procedure.
Report the service for the laparoscopic suspension, distinguishing it from laparoscopic repair of a paravaginal defect or an open or vaginal approach to colpopexy. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
57425 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $850.69 |
How the 57425 rate is calculated
Each of 57425’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 · 57425
RVUs × geographic indexes × conversion factor
Work16.60
16.60 RVUs× 1.000 GPCI
Practice expense6.40
6.40 RVUs× 1.000 GPCI
Malpractice2.75
2.75 RVUs× 1.000 GPCI
Adjusted RVUs
25.7500
Conversion factor
$33.4009
Medicare rate
$860.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57425
57425 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57425
Laparoscopic colpopexy
| 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) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57425
Laparoscopic colpopexy
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
57425 without 51 · national facility
$860.07
Laparoscopic colpopexy
57425-51 · Second procedure: 50%
$430.04
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%).
57425 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57423Paravaginal repair
- 57425 suspends the vaginal apex laparoscopically; 57423 repairs a paravaginal defect laparoscopically. Choose according to the structure repaired in the operative report.
- 57426Vaginal graft revision
- 57425 describes laparoscopic colpopexy, while 57426 describes laparoscopic revision of a prosthetic vaginal graft. A graft revision is not the primary suspension.
- 57280Vaginal suspension
- Both involve colpopexy, but 57425 is laparoscopic and 57280 uses an abdominal approach. The documented operative approach distinguishes them.
- 57282Vaginal suspension
- 57282 is a vaginal, extraperitoneal colpopexy; 57425 is performed laparoscopically. Select the code that matches the surgeon’s approach.
57425 billing questions
When should I report 57425 instead of 57423?
Report 57425 for laparoscopic suspension of the vaginal apex. Code 57423 describes laparoscopic repair of a paravaginal defect, a different operative target.
Does this code describe a laparoscopic or open procedure?
It describes laparoscopic colpopexy. An abdominal colpopexy performed through an open approach is distinguished by the operative approach, not simply by the prolapse diagnosis.
What documentation supports 57425?
The operative report should document the laparoscopic approach and suspension of the vaginal apex, including the attachment site and any graft or fixation method used.
Is modifier 50 appropriate for this service?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires 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 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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