No office rate
Choose 57250 for repair of a posterior vaginal wall rectocele; choose 57240 for an anterior vaginal wall defect such as a cystocele.
On this page
CMS RVU26D · Effective 2026-10-01
57250 Posterior repair Medicare reimbursement rates in Maine
Repair of a rectocele through the posterior vaginal wall, with or without perineal repair, typically performed for symptomatic posterior vaginal wall prolapse. Compare 57250 office and facility rates across CMS payment localities in Maine.
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 57250 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$511.65–$523.64
2 of 2 localities have a supported rate.
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.
Gynecologic surgery
About 57250: Posterior vaginal wall repair for rectocele
Repair of a rectocele through the posterior vaginal wall, with or without perineal repair, typically performed for symptomatic posterior vaginal wall prolapse.
This operation repairs a posterior vaginal wall defect associated with a rectocele, in which the rectum bulges toward the vagina. A gynecologist or urogynecologist typically performs the repair in an operating room for patients with symptoms such as vaginal pressure, a bulge, or difficulty emptying the bowel. The vaginal tissue is opened and the supporting tissue is repaired; perineal repair may also be part of the procedure.
Report 57250 when the operative work addresses the posterior vaginal wall rectocele, and document the defect and the repair performed. Perineorrhaphy may be included when performed with this repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 for this repair. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57250
- 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 RVU9.83 · 60%
- Practice expense (office) RVU4.85 · 30%
- Malpractice RVU1.65 · 10%
12.1K
Medicare services in 2024 · #1373 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.
57250 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
57260 represents combined anterior and posterior vaginal wall repairs. Use 57250 when the documented repair is limited to the posterior defect.
No office rate
57268 is for vaginal repair of an enterocele, not the posterior vaginal wall rectocele repair represented by 57250. The codes may describe separate defects treated in one operation.
Compare 57250 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$511.65
Southern Maine →
Office / nonfacility
Unavailable
Facility
$523.64
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57250 billing questions
How does 57250 differ from 57240?
57250 addresses a posterior vaginal wall rectocele. 57240 addresses an anterior vaginal wall defect, such as a cystocele.
Is perineorrhaphy separately reported with 57250?
Perineorrhaphy may be included when performed as part of the posterior repair. The operative note should describe the work actually performed.
When is 57260 more appropriate?
Use 57260 when the surgeon repairs both anterior and posterior vaginal wall defects during the same operation, rather than reporting only the posterior repair represented by 57250.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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 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.
6,45357220,,Revision of urethra,A,,4.73,3.79,NA,3.79,,0.81,9.33,9.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45457230,,Repair of urethral lesion,A,,6.14,3.94,NA,3.94,,1.08,11.16,11.16,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45557240,,Anterior colporrhaphy,A,,9.83,4.88,NA,4.88,,1.61,16.32,16.32,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45657250,,Repair rectum & vagina,A,,9.83,4.85,NA,4.85,,1.65,16.33,16.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45757260,,Cmbn ant pst colprhy,A,,12.92,5.49,NA,5.49,,2.17,20.58,20.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45857265,,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