Billing code 57287: Sling revisionMedicare rate & RVUs in Ohio
Reported when a surgeon revises or removes a previously placed sling for stress urinary incontinence, such as for exposure, pain, or obstruction.
CMS doesn’t publish an office rate for 57287 in Ohio.
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 57287 covers
This service covers operative work on a previously placed sling used to treat stress urinary incontinence. A urologist or urogynecologist may revise, release, or remove sling material when a patient develops problems such as vaginal exposure, pain, urinary obstruction, or difficulty voiding. It is commonly performed in an operating room, with the operative report identifying the sling and describing the work performed.
Select this code for revision or removal of the incontinence sling, not for placement of a new sling alone. Document the indication, prior sling, operative approach, and whether material was revised, released, or removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons require 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.
57287 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $639.63 |
How the 57287 rate is calculated
Each of 57287’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 · 57287
RVUs × geographic indexes × conversion factor
Work10.87
10.87 RVUs× 1.000 GPCI
Practice expense7.17
7.17 RVUs× 1.000 GPCI
Malpractice1.72
1.72 RVUs× 1.000 GPCI
Adjusted RVUs
19.7600
Conversion factor
$33.4009
Medicare rate
$660.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57287
57287 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57287
Sling revision
| 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 · 57287
Sling revision
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
57287 without 51 · national facility
$660.00
Sling revision
57287-51 · Second procedure: 50%
$330.00
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%).
57287 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57288Sling procedure
- 57287 addresses revision or removal of an existing incontinence sling; 57288 describes placement of a sling for stress urinary incontinence.
- 57295Vaginal graft revision
- Use 57295 for revision of vaginal graft material by a vaginal approach when the operative target is graft material rather than an incontinence sling.
- 57296Vaginal graft revision
- Use 57296 for revision of vaginal graft material by an abdominal approach when the operative target is graft material rather than an incontinence sling.
57287 billing questions
How does this differ from 57288?
Use 57287 for operative revision or removal of a previously placed incontinence sling. Use 57288 when the service is placement of a sling to treat stress urinary incontinence.
Can 57287 be reported with placement of a new sling?
When the surgeon revises or removes an existing sling and also places a new sling during the same session, the two services may be reported when the operative documentation supports both distinct services.
What documentation supports reporting 57287?
Document the prior sling, the reason for intervention, the operative approach, and the specific revision, release, or removal performed. Describe any exposure, pain, obstruction, or voiding problem that prompted surgery.
Should modifier 50 be used for work on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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