No office rate
Choose 57023 for a nonobstetric vaginal hematoma; 57022 is for an obstetric or postpartum hematoma.
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CMS RVU26D · Effective 2026-10-01
57022 Vaginal hematoma drainage Medicare reimbursement rates in Iowa
Reports surgical incision and drainage of a vaginal hematoma in an obstetric or postpartum patient, rather than drainage of a nonobstetric hematoma. Compare 57022 office and facility rates across CMS payment localities in Iowa.
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 57022 in Iowa?
Iowa 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
$145.68
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Gynecology procedure
About 57022: Obstetric vaginal hematoma incision and drainage
Reports surgical incision and drainage of a vaginal hematoma in an obstetric or postpartum patient, rather than drainage of a nonobstetric hematoma.
This procedure treats a vaginal hematoma arising in an obstetric or postpartum context. The clinician incises the collection and evacuates accumulated blood; an obstetrician-gynecologist or another surgeon may perform it when the hematoma requires operative treatment. Documentation should identify the vaginal hematoma, its obstetric or postpartum context, and the incision and drainage performed. The nonobstetric counterpart is a different code.
Report the service for the obstetric or postpartum hematoma procedure, not simply because a patient has vaginal bleeding or a hematoma noted on examination. The service has a 10-day global period, so related postoperative visits during that period are included. 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. Modifier 50 is inappropriate for this code’s descriptor and anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57022
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.66 · 56%
- Practice expense (office) RVU1.66 · 35%
- Malpractice RVU0.46 · 10%
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.
57022 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
57010 addresses drainage of a pelvic abscess through a colpotomy, not incision and drainage of a vaginal hematoma.
$109.23
57020 is colpocentesis, a puncture procedure; 57022 involves incision and drainage of an obstetric or postpartum vaginal hematoma.
Compare 57022 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
Iowa →
Office / nonfacility
Unavailable
Facility
$145.68
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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 57022 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,431
- Code
- 57022
- Physician work
- 2.66
- Practice expense
- 1.66
- Malpractice
- 0.46
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.66 | × 1.000 | 2.6600 |
| Practice expense | 1.66 | × 0.915 | 1.5189 |
| Malpractice | 0.46 | × 0.397 | 0.1826 |
| Total RVUs | 4.3615 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$145.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.66 | 1 |
| Practice expense | 1.66 | 0.915 |
| Malpractice | 0.46 | 0.397 |
(2.66 × 1 + 1.66 × 0.915 + 0.46 × 0.397) × $33.4009 = $145.68
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.
57022 billing questions
How does this differ from 57023?
57022 is for an obstetric or postpartum vaginal hematoma. Use 57023 for a vaginal hematoma in a nonobstetric context.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be appended for a hematoma on each side?
No. Modifier 50 is inappropriate for this code’s descriptor and anatomy.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 57022?
Document the vaginal hematoma, its obstetric or postpartum context, and the incision and drainage performed.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure 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 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.
6,42857000,,Colpotomy w/exploration,A,,2.94,1.90,NA,1.90,,0.50,5.34,5.34,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42957010,,Colpotomy drg pel abscess,A,,6.67,4.39,NA,4.39,,1.17,12.23,12.23,0,090,0.12,0.74,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43057020,,Colpocentesis sep px,A,,1.46,1.87,,0.35,,0.25,3.58,2.06,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43157022,,I&d vaginal hematoma ob/pp,A,,2.66,1.66,NA,1.66,,0.46,4.78,4.78,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43257023,,I&d vaginal hematoma non-ob,A,,5.05,2.54,NA,2.54,,0.89,8.48,8.48,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43357061,,Destruction vag lesions smpl,A,,1.27,3.39,,1.67,,0.22,4.88,3.16,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43457065,,Destruction vag lesion xtnsv,A,,2.59,4.20,,1.93,,0.45,7.24,4.97,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136