Billing code 57270: Enterocele repairMedicare rate & RVUs in Nevada
Reports abdominal repair of an enterocele, a peritoneal sac descending into the upper vagina, often addressed during pelvic organ prolapse surgery.
CMS doesn’t publish an office rate for 57270 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 57270 covers
An enterocele is a peritoneal sac that descends into the upper vagina and may contain small bowel. It can occur with vaginal vault prolapse, particularly after hysterectomy. billing code 57270 represents repair through an abdominal approach: the surgeon reaches the pelvic defect from the abdomen, reduces the herniated sac, and repairs or supports the defect. Gynecologists and urogynecologists typically perform this operation in a hospital or ambulatory surgery setting as part of pelvic organ prolapse reconstruction.
Select this code when the enterocele is repaired abdominally; the vaginal-route counterpart is 57268. The operative report should identify the enterocele, surgical approach, repair performed, and any distinct concomitant prolapse repairs. CMS assigns a major-surgery 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery 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.
57270 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $708.16 |
How the 57270 rate is calculated
Each of 57270’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 · 57270
RVUs × geographic indexes × conversion factor
Work13.33
13.33 RVUs× 1.000 GPCI
Practice expense5.95
5.95 RVUs× 1.000 GPCI
Malpractice2.30
2.30 RVUs× 1.000 GPCI
Adjusted RVUs
21.5800
Conversion factor
$33.4009
Medicare rate
$720.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57270
57270 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57270
Enterocele 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 · 57270
Enterocele 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
57270 without 51 · national facility
$720.79
Enterocele repair
57270-51 · Second procedure: 50%
$360.40
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%).
57270 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57268Enterocele repair
- Both codes address enterocele repair. Use 57270 for the abdominal approach and 57268 for the vaginal approach.
- 57250Posterior repair
- 57250 addresses rectocele repair, involving a different pelvic support defect; 57270 is for abdominal repair of an enterocele.
- 57284Paravaginal repair
- 57284 repairs a paravaginal defect through an open approach. It is not the code for an enterocele repair.
57270 billing questions
How do I distinguish 57270 from 57268?
Both represent enterocele repair, but 57270 is the abdominal approach and 57268 is the vaginal approach. Use the approach documented in the operative report.
Is this the code for a rectocele repair?
No. This code is for an enterocele repaired abdominally. A rectocele is a different pelvic support defect; 57250 describes its repair.
Can another prolapse procedure be reported during the same operation?
A distinct repair or suspension may be reported when it is separately performed and supported by the operative documentation. Multiple procedures in the same session are subject to CMS's standard reduction.
What documentation supports reporting 57270?
Document the enterocele, the abdominal route, and the repair performed. Identify any additional prolapse defects and the separate procedures performed for them.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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 57270 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 →