Billing code 57335: Vaginal repairMedicare rate & RVUs in Nevada
billing code 57335 reports major operative repair of vaginal tissue when the defect requires more than a routine injury closure or compartment repair.
CMS doesn’t publish an office rate for 57335 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 57335 covers
billing code 57335 represents major operative repair of vaginal tissue. A gynecologist, urogynecologist, or other surgeon may perform the repair in an operating room when a vaginal defect requires substantial reconstruction. The operative report should identify the defect, its location and extent, the repair performed, and why the work went beyond a routine vaginal injury closure or an anterior or posterior compartment repair.
Report the code for the documented vaginal repair, not simply because vaginal tissue was involved in another procedure. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; 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.
57335 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,017.23 |
How the 57335 rate is calculated
Each of 57335’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 · 57335
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 19.52Practice expense 8.07Malpractice 3.43
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57335
57335 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57335
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 · 57335
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
57335 without 51 · national facility
$1,036.10
Vaginal repair
57335-51 · Second procedure: 50%
$518.05
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%).
57335 compared with similar codes
Compare codes
57335 vs 57200 vs 57300 vs 57310 vs 57320: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57200Vaginal repair
- billing code 57200 describes suture repair of a nonobstetric vaginal injury. billing code 57335 is used for a major vaginal repair rather than routine injury closure.
- 57300Fistula repair
- billing code 57300 is specific to closure of a rectovaginal fistula through a vaginal approach. Use a fistula-specific code when the operative target is that tract.
- 57310Fistula repair
- billing code 57310 addresses repair of a urethrovaginal fistula. billing code 57335 is not the choice when the documented procedure is specifically fistula closure.
- 57320Fistula repair
- billing code 57320 is for vaginal-approach closure of a vesicovaginal fistula. Choose according to the documented fistula and operative approach.
57335 billing questions
How is this different from repair of a vaginal injury?
billing code 57335 is for a major vaginal repair, rather than routine closure of a nonobstetric vaginal injury. Use the operative findings and work documented to distinguish the procedures.
Should this code be used for a vaginal fistula repair?
Use the fistula-specific code when the operation closes a defined communication, such as a rectovaginal, urethrovaginal, or vesicovaginal fistula. The record should identify the tract and repair approach.
Can another procedure be reported during the same session?
Yes, when a distinct procedure is performed and documented. Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the reduction.
Does modifier 50 apply to this repair?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can 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.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
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
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