No office rate
CPT 57200 describes suture repair of a nonobstetric vaginal injury. CPT 57335 is used for a major vaginal repair rather than routine injury closure.
On this page
CMS RVU26D · Effective 2026-10-01
57335 Vaginal repair Medicare reimbursement rates in New Jersey
CPT 57335 reports major operative repair of vaginal tissue when the defect requires more than a routine injury closure or compartment repair. Compare 57335 office and facility rates across CMS payment localities in New Jersey.
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 57335 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1098.09–$1128.09
2 of 2 localities have a supported rate.
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.
Gynecologic surgery
About 57335: Complex vaginal repair
CPT 57335 reports major operative repair of vaginal tissue when the defect requires more than a routine injury closure or compartment repair.
CPT 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.
CMS billing rules for 57335
- 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 RVU19.52 · 63%
- Practice expense (office) RVU8.07 · 26%
- Malpractice RVU3.43 · 11%
57
Medicare services in 2024 · #5273 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.
57335 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
CPT 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.
No office rate
CPT 57310 addresses repair of a urethrovaginal fistula. CPT 57335 is not the choice when the documented procedure is specifically fistula closure.
No office rate
CPT 57320 is for vaginal-approach closure of a vesicovaginal fistula. Choose according to the documented fistula and operative approach.
Compare 57335 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1128.09
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1098.09
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
57335 billing questions
How is this different from repair of a vaginal injury?
CPT 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 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.
6,47957311,,Repair urethrovaginal lesion,A,,8.69,5.28,NA,5.28,,1.12,15.09,15.09,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48057320,,Repair bladder-vagina lesion,A,,8.66,4.86,NA,4.86,,1.50,15.02,15.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48157330,,Repair bladder-vagina lesion,A,,12.88,6.09,NA,6.09,,1.65,20.62,20.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48257335,,Repair vagina,A,,19.52,8.07,NA,8.07,,3.43,31.02,31.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48357400,,Dilation of vagina,A,,2.21,0.86,NA,0.86,,0.39,3.46,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48457410,,Pelvic examination,A,,1.71,0.88,NA,0.88,,0.30,2.89,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48557415,,Remove vaginal foreign body,A,,2.43,1.84,NA,1.84,,0.41,4.68,4.68,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00