No office rate
This code addresses repair of a urethral lesion. Code 57220 is identified as urethral revision and is not selected solely because the operation involves the urethra.
On this page
CMS RVU26D · Effective 2026-10-01
57230 Urethral repair Medicare reimbursement rates in Nevada
Surgical repair of a female urethral lesion, commonly a diverticulum, reported when the procedure treats and closes the affected urethral tissue. Compare 57230 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 57230 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
No supported rate
Facility setting
$366.86
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.
Urology surgery
About 57230: Female urethral lesion repair
Surgical repair of a female urethral lesion, commonly a diverticulum, reported when the procedure treats and closes the affected urethral tissue.
This procedure treats a lesion involving the female urethra, with a urethral diverticulum as a typical clinical example. A urologist or urogynecologist commonly performs the repair in an operating room, often through a vaginal approach, exposing the lesion and repairing the urethral tissue after treating it. The operative report should identify the lesion, its relationship to the urethra, and the repair performed.
Report the code for the urethral lesion repair itself, rather than for repair of an adjacent vaginal-wall prolapse or a urethral reconstruction performed for a different condition. This is major surgery with a 90-day global period; the day-before preoperative visit and related postoperative care during that period are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57230
- 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 RVU6.14 · 55%
- Practice expense (office) RVU3.94 · 35%
- Malpractice RVU1.08 · 10%
53
Medicare services in 2024 · #5324 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.
57230 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Use 57230 for repair of a urethral lesion. Code 53430 describes female urethral reconstruction, a different operative purpose.
No office rate
Code 57240 addresses anterior vaginal wall repair. It is not the urethral lesion repair represented by 57230.
Compare 57230 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
Unavailable
Facility
$366.86
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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 57230 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,454
- Code
- 57230
- Physician work
- 6.14
- Practice expense
- 3.94
- Malpractice
- 1.08
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.14 | × 1.000 | 6.1400 |
| Practice expense | 3.94 | × 1.001 | 3.9439 |
| Malpractice | 1.08 | × 0.833 | 0.8996 |
| Total RVUs | 10.9836 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$366.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1 |
| Practice expense | 3.94 | 1.001 |
| Malpractice | 1.08 | 0.833 |
(6.14 × 1 + 3.94 × 1.001 + 1.08 × 0.833) × $33.4009 = $366.86
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.
57230 billing questions
When is this code more appropriate than a urethral reconstruction code?
Use it when the operation repairs a urethral lesion, such as a diverticulum. A reconstructive urethroplasty code is for reconstruction of the urethra rather than repair of a lesion.
Is a urethral diverticulum a typical reason for reporting this code?
Yes. A diverticulum is a typical example of a lesion treated by this repair; the operative note should describe the lesion and the urethral repair.
Can modifier 50 be reported for a lesion on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.
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 when performed in the same session.
May 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.
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.
6,45157200,,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
6,45257210,,Repair vagina/perineum,A,,5.57,4.05,NA,4.05,,1.01,10.63,10.63,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45357220,,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
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