CPT code 57260: Combined vaginal repair2026 Medicare rate & RVUs in Nevada
Combined repair of anterior and posterior vaginal wall prolapse is reported when both compartments are surgically reconstructed during the same operation.
CMS doesn’t publish an office rate for 57260 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 57260 covers
Code 57260 represents operative reconstruction of both the anterior and posterior vaginal support during one procedure, commonly for coexisting cystocele and rectocele or other anterior and posterior compartment prolapse. A gynecologist or urogynecologist typically performs the repair through the vagina in an operating room. Cystourethroscopy performed as part of the operation is included in this code.
Choose this combined code when the operative report documents repair of both vaginal compartments; use a single-compartment code when only the anterior or posterior wall is repaired. The report should identify the defects and describe the work on each wall. Do not separately report the component anterior and posterior repairs or included cystourethroscopy. Medicare includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are reduced. Modifier 50 is inappropriate; an assistant may be paid, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
57260 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $675.47 |
How the 57260 rate is calculated
Each of 57260’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57260
RVUs × geographic indexes × conversion factor
Work12.92
12.92 RVUs× 1.000 GPCI
Practice expense5.49
5.49 RVUs× 1.000 GPCI
Malpractice2.17
2.17 RVUs× 1.000 GPCI
Adjusted RVUs
20.5800
Conversion factor
$33.4009
Medicare rate
$687.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57260
57260 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57260
Combined vaginal repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57260
Combined vaginal repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57260 without 51 · national facility
$687.39
Combined vaginal repair
57260-51 · Second procedure: 50%
$343.70
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57260 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57240Anterior repair
- Use 57240 for an anterior-only repair, such as correction of a cystocele. Use 57260 when the posterior vaginal compartment is also repaired.
- 57250Posterior repair
- Use 57250 for a posterior-only vaginal repair. Use 57260 when the anterior compartment is repaired during the same operation as well.
- 57265Vaginal prolapse repair
- Both codes describe combined anterior and posterior repair; 57265 also includes enterocele repair. Select it only when the operative documentation supports that additional repair.
- 57267Pelvic floor mesh
- 57267 describes separately reportable add-on mesh or prosthesis implantation, not the vaginal wall repair itself.
57260 billing questions
Should I report 57260 or separate anterior and posterior repair codes?
Report 57260 when both anterior and posterior vaginal compartments are repaired in the same operation. Use a single-compartment code when the operative work is limited to one wall.
Can cystourethroscopy be billed separately?
Cystourethroscopy performed as part of this combined repair is included in 57260.
Is modifier 50 appropriate?
No. Modifier 50 is inappropriate for this combined vaginal repair.
Can 57267 be reported with 57260?
57267 may be reported as an add-on when eligible mesh or other prosthetic material is implanted for the pelvic floor repair. The operative documentation should support the implantation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 57260 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →