No office rate
Use 57280 for the abdominal approach. Code 57282 is a vaginal-route, extraperitoneal colpopexy.
On this page
CMS RVU26D · Effective 2026-10-01
57280 Vaginal suspension Medicare reimbursement rates in Michigan
Abdominal sacrocolpopexy suspends the vaginal apex to support prolapse, commonly after hysterectomy, using an abdominal operative approach. Compare 57280 office and facility rates across CMS payment localities in Michigan.
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 57280 in Michigan?
Michigan 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
$848.97–$910.58
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.
Urogynecology surgery
About 57280: Abdominal vaginal apex suspension
Abdominal sacrocolpopexy suspends the vaginal apex to support prolapse, commonly after hysterectomy, using an abdominal operative approach.
This operation restores support to a descended vaginal apex by attaching it to the sacrum through an abdominal approach. It is commonly performed by a urogynecologist or gynecologist for apical vaginal prolapse, including vault prolapse after hysterectomy, in a hospital or ambulatory surgical setting. A graft may be used to connect the vaginal apex to the sacral support point.
Report the code for the abdominal suspension itself, not for a vaginal-route suspension or a laparoscopic colpopexy. The operative report should identify the route, the vaginal apex being suspended, the sacral attachment, and any separately performed compartment repairs. 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 at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57280
- 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 RVU16.30 · 64%
- Practice expense (office) RVU6.66 · 26%
- Malpractice RVU2.69 · 10%
574
Medicare services in 2024 · #3438 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.
57280 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Use 57280 for the abdominal approach. Code 57283 is a vaginal-route, intraperitoneal colpopexy.
No office rate
Code 57425 describes laparoscopic colpopexy; 57280 is the abdominal approach. Select according to the operative route.
No office rate
Code 57240 addresses anterior vaginal wall repair, not suspension of the vaginal apex to the sacrum.
Compare 57280 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
Detroit →
Office / nonfacility
Unavailable
Facility
$910.58
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$848.97
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57280 billing questions
How does this differ from vaginal colpopexy codes 57282 and 57283?
Code 57280 describes suspension by an abdominal approach. Codes 57282 and 57283 describe vaginal approaches, distinguished by extraperitoneal versus intraperitoneal technique.
Is a laparoscopic sacrocolpopexy reported with 57280?
No. For a laparoscopic colpopexy, compare 57425; 57280 is for the abdominal approach.
Can an anterior or posterior repair be reported in the same session?
A separately performed repair of an anterior or posterior vaginal wall defect may be reported when the operative documentation supports that distinct work. CMS applies the multiple-procedure reduction when procedures are performed in the same session.
Does modifier 50 apply to this vaginal suspension?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,45957267,,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
6,46057268,,Repair of bowel bulge,A,,7.38,5.02,NA,5.02,,1.27,13.67,13.67,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46157270,,Repair of bowel pouch,A,,13.33,5.95,NA,5.95,,2.30,21.58,21.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46257280,,Suspension of vagina,A,,16.30,6.66,NA,6.66,,2.69,25.65,25.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46357282,,Colpopexy extraperitoneal,A,,11.34,5.21,NA,5.21,,1.87,18.42,18.42,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46457283,,Colpopexy intraperitoneal,A,,11.37,5.21,NA,5.21,,1.95,18.53,18.53,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46557284,,Repair paravag defect open,A,,13.97,5.67,NA,5.67,,2.46,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00