No office rate
57023 is for a nonobstetric vaginal hematoma; 57022 is used for the obstetric or postpartum situation.
On this page
CMS RVU26D · Effective 2026-10-01
57023 Vaginal hematoma drainage Medicare reimbursement rates in Minnesota
Reports surgical incision and drainage of a vaginal hematoma when the collection is nonobstetric and requires operative treatment. Compare 57023 office and facility rates across CMS payment localities in Minnesota.
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 57023 in Minnesota?
Minnesota 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
$264.77
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Gynecologic surgery
About 57023: Nonobstetric vaginal hematoma drainage
Reports surgical incision and drainage of a vaginal hematoma when the collection is nonobstetric and requires operative treatment.
This service involves opening a blood collection in the vaginal tissues and evacuating the accumulated blood. Vaginal hematomas can follow vaginal trauma or a gynecologic procedure. A gynecologist typically performs the drainage in a procedural or surgical setting when the hematoma requires incision rather than observation or another approach.
Select this code for a nonobstetric vaginal hematoma; the obstetric or postpartum counterpart is 57022. Document the vaginal location, nonobstetric context, findings, and the drainage performed. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57023
- 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 RVU5.05 · 60%
- Practice expense (office) RVU2.54 · 30%
- Malpractice RVU0.89 · 10%
25
Medicare services in 2024 · #5796 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.
57023 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$142.42
Choose 56405 when the treated abscess is in the vulva or perineum. This code is for a hematoma in the vaginal tissues.
$180.08
Choose 56420 for a Bartholin gland abscess. This code concerns drainage of a vaginal hematoma.
Compare 57023 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$264.77
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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 57023 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,432
- Code
- 57023
- Physician work
- 5.05
- Practice expense
- 2.54
- Malpractice
- 0.89
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.05 | × 1.000 | 5.0500 |
| Practice expense | 2.54 | × 1.029 | 2.6137 |
| Malpractice | 0.89 | × 0.296 | 0.2634 |
| Total RVUs | 7.9271 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$264.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.05 | 1 |
| Practice expense | 2.54 | 1.029 |
| Malpractice | 0.89 | 0.296 |
(5.05 × 1 + 2.54 × 1.029 + 0.89 × 0.296) × $33.4009 = $264.77
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.
57023 billing questions
How does this differ from 57022?
Use 57023 for drainage of a nonobstetric vaginal hematoma. Code 57022 is the obstetric or postpartum counterpart.
What documentation supports reporting this code?
Document that the collection is a vaginal hematoma, its nonobstetric context, and the incision and drainage performed.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's global package.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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.
6,42957010,,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
6,43557100,,Biopsy vaginal mucosa simple,A,,1.17,1.76,,0.36,,0.22,3.15,1.75,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002