$71.96
57170 is for fitting a diaphragm or cervical cap for contraception. Choose 57160 for fitting and inserting an intravaginal support device such as a pessary.
On this page
CMS RVU26D · Effective 2026-10-01
57160 Pessary fitting Medicare reimbursement rates in Nevada
Report pessary fitting and insertion when a clinician places an intravaginal support device to manage pelvic organ prolapse or stress urinary incontinence. Compare 57160 office and facility rates across CMS payment localities in Nevada.
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 57160 in Nevada?
Nevada 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
$69.68
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$39.58
1 of 1 localities have a supported rate.
Payment area: Nevada**
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
About 57160: Pessary fitting and insertion
Report pessary fitting and insertion when a clinician places an intravaginal support device to manage pelvic organ prolapse or stress urinary incontinence.
A clinician, commonly a gynecologist or urogynecologist, selects and inserts an intravaginal support device such as a pessary. The visit may involve assessing fit and confirming that the device stays in position and can be tolerated. Pessaries are commonly used for pelvic organ prolapse and may be used for stress urinary incontinence. The service is typically performed in an office, though it can also occur in a facility.
Report the service for fitting and insertion of the support device, not for a contraceptive diaphragm fitting. Document the clinical indication, device selected, fitting and insertion, and relevant assessment of fit. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is 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% reduction. Modifier 50 is inappropriate. CMS lists no assistant-at-surgery payment; co-surgeons and team surgery are not permitted for this service.
CMS billing rules for 57160
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.87 · 41%
- Practice expense (office) RVU1.09 · 52%
- Malpractice RVU0.15 · 7%
73.4K
Medicare services in 2024 · #655 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.
57160 compared with similar codes
Office rates for Nevada, from the same CMS release.
$222.74
57156 describes placement of a vaginal brachytherapy device for radiation treatment. It is not a support-device fitting or pessary insertion.
$52.75
57150 is vaginal irrigation or medication treatment for vaginal infection. It does not describe fitting or inserting a support device.
Compare 57160 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
Nevada** →
Office / nonfacility
$69.68
Facility
$39.58
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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 57160 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,448
- Code
- 57160
- Physician work
- 0.87
- Practice expense
- 1.09
- Malpractice
- 0.15
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.87 | × 1.000 | 0.8700 |
| Practice expense | 1.09 | × 1.001 | 1.0911 |
| Malpractice | 0.15 | × 0.833 | 0.1249 |
| Total RVUs | 2.0860 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$69.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.87 | 1 |
| Practice expense | 1.09 | 1.001 |
| Malpractice | 0.15 | 0.833 |
(0.87 × 1 + 1.09 × 1.001 + 0.15 × 0.833) × $33.4009 = $69.68
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.87 | 1 |
| Practice expense | 0.19 | 1.001 |
| Malpractice | 0.15 | 0.833 |
(0.87 × 1 + 0.19 × 1.001 + 0.15 × 0.833) × $33.4009 = $39.58
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.
57160 billing questions
When should 57160 be used instead of 57170?
Use 57160 for fitting and inserting an intravaginal support device such as a pessary. Use 57170 for fitting a diaphragm or cervical cap for contraception.
Can a separate E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the documentation supports work beyond the fitting and insertion and the included same-day care. The device fitting itself is not a separate E/M service.
Should modifier 50 be appended for a pessary fitted to support both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 57160?
Document the indication, the type of support device selected, the fitting and insertion, and the assessment of its fit and tolerance.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the service. CMS assigns no postoperative global days beyond the day of the procedure.
How is 57160 affected when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
6,44557150,,Treat vagina infection,A,,0.49,1.03,,0.11,,0.07,1.59,0.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44657155,,Insert uteri tandem/ovoids,A,,5.02,6.42,,1.66,,0.46,11.90,7.14,0,000,0.00,0.00,0.00,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44757156,,Ins vag brachytx device,A,,2.62,3.87,,0.97,,0.21,6.70,3.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44857160,,Insert pessary/other device,A,,0.87,1.09,,0.19,,0.15,2.11,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44957170,,Fitting of diaphragm/cap,A,,0.89,1.13,,0.19,,0.16,2.18,1.24,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45057180,,Treat vaginal bleeding,A,,1.59,3.80,,1.34,,0.27,5.66,3.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45157200,,Repair of vagina,A,,4.31,4.01,NA,4.01,,0.80,9.12,9.12,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097