No office rate
This is the direct approach alternative for vesicovaginal fistula closure. Choose 57320 when the repair is performed vaginally.
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CMS RVU26D · Effective 2026-10-01
57330 Fistula repair Medicare reimbursement rates in Massachusetts
Reports abdominal surgical closure of a vesicovaginal fistula, an abnormal connection between the bladder and vagina. Compare 57330 office and facility rates across CMS payment localities in Massachusetts.
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 57330 in Massachusetts?
Massachusetts 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
$695.20–$739.76
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 57330: Abdominal vesicovaginal fistula closure
Reports abdominal surgical closure of a vesicovaginal fistula, an abnormal connection between the bladder and vagina.
This code represents operative closure of a vesicovaginal fistula through an abdominal approach. The surgeon accesses the fistula from the abdomen to separate and repair the bladder and vaginal defects. Gynecologic surgeons, urogynecologists, and urologists may perform the operation in a hospital or other surgical facility when the fistula requires abdominal repair.
Select this code when the documented operation closes a bladder-to-vagina fistula using the abdominal route; the vaginal-route closure is reported with 57320. The operative report should identify the fistula’s anatomy, the approach, and the repair performed. 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% reduction. Bilateral adjustment is inappropriate for this repair. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57330
- 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 RVU12.88 · 62%
- Practice expense (office) RVU6.09 · 30%
- Malpractice RVU1.65 · 8%
14
Medicare services in 2024 · #6113 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.
57330 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
This code concerns a urethrovaginal fistula, not a bladder-to-vagina fistula.
No office rate
This code concerns closure of a rectovaginal fistula. The involved organs, and therefore the fistula being repaired, differ from 57330.
Compare 57330 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$739.76
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$695.20
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57330 billing questions
How is 57330 different from 57320?
Both codes describe closure of a vesicovaginal fistula. Use 57330 for the abdominal approach and 57320 for the vaginal approach.
What documentation supports reporting 57330?
The operative report should establish the bladder-to-vagina fistula and document that the repair was performed through an abdominal approach.
Does the 90-day global period include routine postoperative care?
Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and 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.
6,47857310,,Repair urethrovaginal lesion,A,,7.46,5.02,NA,5.02,,0.96,13.44,13.44,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47957311,,Repair urethrovaginal lesion,A,,8.69,5.28,NA,5.28,,1.12,15.09,15.09,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48057320,,Repair bladder-vagina lesion,A,,8.66,4.86,NA,4.86,,1.50,15.02,15.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48157330,,Repair bladder-vagina lesion,A,,12.88,6.09,NA,6.09,,1.65,20.62,20.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48257335,,Repair vagina,A,,19.52,8.07,NA,8.07,,3.43,31.02,31.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48357400,,Dilation of vagina,A,,2.21,0.86,NA,0.86,,0.39,3.46,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48457410,,Pelvic examination,A,,1.71,0.88,NA,0.88,,0.30,2.89,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00