CPT code 57295: Vaginal graft revision2026 Medicare rate & RVUs in Oklahoma
Reports vaginally performed revision or removal of a previously placed prosthetic vaginal graft, such as for graft exposure, scarring, or related symptoms.
CMS doesn’t publish an office rate for 57295 in Oklahoma.
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 57295 covers
A surgeon, commonly a urogynecologist or gynecologist, accesses a previously placed prosthetic graft through the vagina and revises or removes it. The service may address problems such as graft exposure, contraction, or pain after pelvic floor surgery. It is not the initial placement of a graft, and the approach is vaginal rather than abdominal.
Select this code when the operative report documents work on an existing vaginal graft and describes the vaginal route. Record the reason for revision, the graft involved, and the work performed, including whether graft material was removed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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.
57295 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $423.01 |
How the 57295 rate is calculated
Each of 57295’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 · 57295
RVUs × geographic indexes × conversion factor
Work7.62
7.62 RVUs× 1.000 GPCI
Practice expense4.57
4.57 RVUs× 1.000 GPCI
Malpractice1.24
1.24 RVUs× 1.000 GPCI
Adjusted RVUs
13.4300
Conversion factor
$33.4009
Medicare rate
$448.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57295
57295 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57295
Vaginal graft 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 · 57295
Vaginal graft 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
57295 without 51 · national facility
$448.57
Vaginal graft revision
57295-51 · Second procedure: 50%
$224.29
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%).
57295 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57296Vaginal graft revision
- Both address revision or removal of a prosthetic vaginal graft. Choose based on whether the surgeon uses a vaginal or abdominal approach.
- 57287Sling revision
- Use 57287 for revision or removal of a urethral sling. This code concerns a prosthetic vaginal graft used for pelvic support.
- 57285Paravaginal repair
- Use 57285 for vaginal repair of a paravaginal defect. This code requires revision or removal of a previously placed vaginal graft.
57295 billing questions
How is this different from 57296?
This code is for revising or removing a prosthetic vaginal graft through the vagina. Code 57296 describes the abdominal approach.
Can this be reported for the original graft placement?
No. Report it for revision or removal of a previously placed graft, not for initial graft placement.
What documentation supports reporting this code?
Document the existing graft, the clinical reason for the procedure, the vaginal approach, and the revision or removal performed.
Should modifier 50 be appended for grafts on both sides?
No. Modifier 50 is not appropriate for this service.
How does the global period affect postoperative visits?
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?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment 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 57295 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 →